{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" SEROLEDKOOC A ","gend":1,"add":" ERIF 2639DAOR REWOT","city":"WINDSOR","state":"VA","zip":23487,"dob":"1957-11-12","age":"","mstatus":"","insh":"18500210*48","cliId":"","pno":"85\/7576555-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/606-1656","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23487,"pcpcounty":"","pcpid":"","pcpname":"Family Physicians of Chesapeake","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["E11.9","I10.","E78.5","E55.9","M17.11","M25.562","Z12.11","M85.80","Z00.00","Z12.4","Z23.","Z12.31","Z78.0"],"date":["2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2021-02-23","2022-01-11","2020-05-19","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21"],"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":{"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":""}]}]}