{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"D  AINATRENNIKS ","gend":1,"add":"BNYL 4702DAOR KOOR","city":"LYNCHBURG","state":"VA","zip":24501,"dob":"1978-07-12","age":"","mstatus":"","insh":"1258110*48","cliId":"","pno":"05\/4349315-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/263-4000","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24501,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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.","G47.33","E11.65","M25.561","E11.40","Z79.4","Z28.21","F43.0","F33.41","E66.01","E11.9","E78.2","Z68.42","M25.511","E55.9","M17.0","K59.00","G47.30","R06.83","G47.10","N92.1","E66.9","E78.5","E87.6"],"date":["2022-08-26","2022-04-29","2022-06-01","2022-06-01","2020-11-11","2021-03-03","2020-11-11","2021-10-25","2022-01-27","2022-08-26","2022-08-26","2022-08-26","2022-03-02","2020-01-13","2021-03-03","2021-03-03","2021-03-03","2022-04-10","2022-04-10","2022-04-10","2022-01-25","2022-02-02","2022-02-01","2022-08-26"],"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":""}]}]}