{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"YEKCIMSEMAJ ","gend":0,"add":" DNYW 9661YAW TSERC","city":"VIRGINIA BEACH","state":"VA","zip":23456,"dob":"2000-09-15","age":"","mstatus":"","insh":"1003110*86","cliId":"","pno":"15\/7575047-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23456,"pcpcounty":"","pcpid":"","pcpname":"COASTAL ENDOCRINOLOGY","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z00.00","Z23.","Z71.3","Z71.82","E10.9","F93.8","R03.0","Z68.25","E10.65","Z96.41","Z79.4","F41.9"],"date":["2022-05-09","2022-05-09","2022-05-09","2022-05-09","2022-11-04","2020-09-16","2022-05-09","2022-05-09","2022-11-04","2022-06-03","2022-06-03","2022-05-09"],"priorHcc":["","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}