{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LLEINADTRUH E","gend":1,"add":"MIS 541DAOR NO","city":"MEHERRIN","state":"VA","zip":23954,"dob":"1983-10-30","age":"","mstatus":"","insh":"1571110*33","cliId":"","pno":"92\/4344225-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/645-9191","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23954,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["N80.9","R87.615","N92.0","E11.9","E11.65","N83.209","Z79.899","E78.5","E66.9","N80.0","N80.1","N80.2","N80.8","Z12.4","Z68.32","N93.9","R10.2","Z68.30","N83.201","N83.202","Z11.4","Z01.419","N94.6"],"date":["2022-11-11","2022-04-22","2022-01-19","2021-11-30","2022-07-11","2021-09-23","2022-07-11","2022-07-11","2022-07-11","2022-01-19","2022-01-19","2022-01-19","2022-01-19","2022-01-19","2022-11-11","2021-07-26","2022-01-05","2022-01-05","2021-11-18","2021-11-18","2022-07-11","2022-11-11","2022-11-11"],"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":""}]}]}