{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" YECARTYAD M ","gend":1,"add":"DROFXEW 633401 TPA RD ","city":"VIRGINIA BEACH","state":"VA","zip":23462,"dob":"1966-01-14","age":"","mstatus":"","insh":"1653210*97","cliId":"","pno":"08\/7578505-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23462,"pcpcounty":"","pcpid":"","pcpname":"David S Haden MD","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":["B34.9","Z76.0","Z20.822","H81.12","I10.","R10.32","M25.551","Z78.0","M25.511","W19.XXXA","Y92.009","E11.65","R63.1","R35.89","R11.0","R05.9","Z00.00","E11.9","Z79.899","Z82.49","Z83.3","R51.9"],"date":["2021-08-01","2021-08-01","2021-08-01","2022-02-20","2022-06-13","2021-02-01","2021-02-01","2021-02-01","2021-06-12","2021-06-12","2021-06-12","2021-10-09","2021-10-09","2021-10-09","2021-10-09","2022-06-13","2022-01-04","2022-02-20","2022-02-20","2022-02-20","2022-02-20","2022-02-20"],"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":""}]}]}