{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"B ASERETLLEWKCAL","gend":1,"add":"VORGNAM 46432 TPA EVA E","city":"NORFOLK","state":"VA","zip":23502,"dob":"1962-12-24","age":"","mstatus":"","insh":"1583210*70","cliId":"","pno":"02\/7576414-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/481-5858","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23502,"pcpcounty":"","pcpid":"","pcpname":"North Suffolk Family Medicine","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":["K06.8","Z72.0","E11.9","I25.10","F17.200","J44.9","Z87.898","R91.1","E04.1","K75.81","L73.2","Z01.419","B37.3","L82.1","T07.XXXA","Z71.9","Z80.8","K76.0","K30.","E66.3","E78.2","E11.42","I10.","F17.210","Z98.818","R51.9","Z23.","R20.2","S99.922A"],"date":["2021-05-02","2021-05-02","2022-05-02","2022-11-03","2022-11-03","2022-08-01","2021-09-01","2021-11-01","2022-09-14","2022-09-14","2022-07-22","2022-07-07","2022-05-26","2022-07-22","2022-07-22","2022-07-22","2022-09-14","2022-10-26","2022-10-26","2022-10-26","2022-11-03","2022-11-03","2021-05-02","2021-05-02","2021-05-02","2021-05-02","2022-11-03","2022-05-02","2022-11-03"],"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":""}]}]}