{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ENILEUQCAJNEDLOB R  ","gend":1,"add":"CIREDERF 901B TPA RIC K","city":"CHARLOTTESVILLE","state":"VA","zip":22901,"dob":"1968-08-17","age":"","mstatus":"","insh":"2231910*82","cliId":"","pno":"69\/4345420-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/924-5348","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22901,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["R53.83","I13.0","E11.22","NO DATA","I50.9","Z79.4","Z20.822","E11.9","Z11.59","Z11.1","Z00.00","N18.2","B20.","Z11.3","Z13.220","Z20.828","E78.00","I50.22","I10.","E11.8","R80.9"],"date":["2022-05-31","2022-05-31","2022-09-12","2022-10-03","2022-05-31","2022-11-23","2022-05-31","2022-11-23","2021-04-08","2022-10-20","2022-09-12","2022-09-12","2022-11-17","2022-10-20","2022-10-20","2020-07-24","2021-04-08","2021-04-08","2022-10-03","2022-10-03","2022-10-03"],"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":""}]}]}