{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"N  ATIRAHSLLEHCTIM ","gend":1,"add":" ELAD 922B TPA RD","city":"PORTSMOUTH","state":"VA","zip":23704,"dob":"1984-11-09","age":"","mstatus":"","insh":"1263210*02","cliId":"","pno":"22\/7579862-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/483-4600","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23704,"pcpcounty":"","pcpid":"","pcpname":"","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":["A59.9","E11.9","I10.","F17.210","Z79.84","Z79.899","Z20.2","Z20.828","L29.9","R10.9","R07.9","Z53.21","R07.89","M25.531","R87.610","Z01.419","R87.810","A60.9","U07.1","Z79.1","R11.0","E11.65","B34.9","Z20.822"],"date":["2021-11-18","2022-09-07","2022-01-06","2022-09-07","2022-09-07","2021-11-18","2021-11-18","2021-10-16","2022-09-07","2022-09-07","2022-01-06","2020-04-14","2022-11-05","2021-10-20","2021-05-26","2021-05-26","2021-05-26","2021-05-26","2022-01-06","2022-01-06","2022-01-06","2022-11-05","2022-11-05","2022-11-05"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}