{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  LATSYRCNAMFFUH D","gend":1,"add":"US 8451RD TESN","city":"BASSETT","state":"VA","zip":24055,"dob":"1977-01-26","age":"","mstatus":"","insh":"2254210*21","cliId":"","pno":"37\/6724496-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/666-7827","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24055,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["Z91.89","E55.9","E88.81","E66.01","Z68.37","T21.24XA","T24.112A","T24.111A","F33.42","F41.1","R41.840","R42.","R11.0","E78.2","D50.0","J06.9","T22.212A","R10.2","N83.202"],"date":["2022-09-13","2022-09-13","2022-10-05","2022-10-05","2022-10-05","2022-06-01","2022-06-01","2022-06-01","2022-05-19","2022-05-19","2022-05-19","2022-09-13","2022-09-13","2022-09-13","2022-09-13","2022-06-22","2022-09-16","2022-10-14","2022-10-14"],"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":""}]}]}