{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"A C  ASILREDNAXEL","gend":1,"add":"ALC 741DAOR YR","city":"BRODNAX","state":"VA","zip":23920,"dob":"1964-04-28","age":"","mstatus":"","insh":"17500210*43","cliId":"","pno":"36\/4347453-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/769-1245","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23920,"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":["R31.9","R31.0","Z12.11","Z80.0","K64.9","D12.3","K57.30","M25.531","R31.1","Z00.00","R82.998","E11.9","E78.5","I10.","M19.90","Z23.","R30.0","E11.3293","H04.123","H52.03","H04.121","H04.122","Z01.818","E16.2","K59.00","K21.9","N95.2","Z86.16","N39.0","Z87.448","N20.0","F32.9","Z79.84","N95.1","G56.01","Z87.442","M79.671","M79.672","K62.5","M54.5","L02.214","U07.1","Z76.89","R43.2","Z12.4"],"date":["2022-10-28","2022-02-11","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2022-06-26","2022-02-11","2022-03-25","2022-03-25","2022-10-28","2022-10-28","2022-10-28","2022-03-25","2022-10-28","2020-01-28","2021-05-03","2021-05-03","2021-05-03","2021-05-03","2021-05-03","2022-02-09","2022-08-31","2022-10-28","2022-10-28","2022-10-28","2021-02-04","2021-10-01","2021-10-01","2021-10-01","2021-10-01","2021-10-01","2021-03-22","2022-02-22","2020-06-05","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2021-03-30","2021-01-20","2021-01-20","2021-01-20","2022-03-25"],"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":""}]}]}