{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" LEHTEHCNARB","gend":1,"add":" YESOP 185102 TPA NL","city":"NORFOLK","state":"VA","zip":23510,"dob":"1967-02-10","age":"","mstatus":"","insh":"1154210*00","cliId":"","pno":"03\/7579592-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23510,"pcpcounty":"","pcpid":"","pcpname":"EVMS Urogynecology at Glenn Mitchell","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":["I10.","F41.8","G47.00","E11.9","E66.01","R31.9","K57.90","K44.9","N81.10","R39.15","R35.1","R31.29","N95.0","A63.0","Z13.31","R22.1","R82.90","N30.00","Z46.89"],"date":["2022-08-24","2022-08-24","2022-08-24","2022-08-24","2022-02-03","2022-09-20","2022-09-20","2022-09-20","2022-11-08","2022-06-13","2022-06-13","2022-06-13","2022-08-03","2022-10-10","2022-06-10","2022-08-24","2022-03-10","2022-04-25","2022-11-08"],"priorHcc":["","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}