{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"C ANAYILANOTGNIRRA","gend":1,"add":"AL RIS 829RD TOLECN","city":"CHESAPEAKE","state":"VA","zip":23323,"dob":"2002-06-22","age":"","mstatus":"","insh":"2012110*43","cliId":"","pno":"06\/7572457-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/548-0076","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23323,"pcpcounty":"","pcpid":"","pcpname":"Volvo Medical Associates","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":["F32.9","F12.10","G47.33","V62.84","Z30.09","Z98.84","E88.81","E11.9","E78.5","I10.","K76.0","E55.9","R53.83","R07.9","F33.0","F41.1","E66.9","F54.","E66.01","Z71.82","F41.9","NO DATA","Z68.54","K21.9","R10.9","Z71.3","Z79.899","Z68.41","Z00.00","R68.89","F41.0","J06.9","R63.5","E11.69","F41.8","R03.0"],"date":["2022-03-31","2021-12-09","2022-03-31","2020-01-15","2022-03-31","2022-03-31","2022-03-31","2022-03-31","2022-03-31","2022-03-31","2022-03-31","2022-03-31","2022-03-31","2022-04-16","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2021-11-23","2021-11-23","2021-11-23","2021-11-23","2021-11-23","2020-02-20","2020-02-20","2020-01-21","2020-01-21","2020-12-08","2021-12-03","2022-04-16","2022-04-16","2022-04-16","2020-01-21","2020-01-21","2020-01-21","2020-01-21"],"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":""}]}]}