{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RETSAM NOSMASLLIG FIRAHS ","gend":0,"add":"UOHTERB 006151 TPA TC R","city":"STERLING","state":"VA","zip":20164,"dob":"1980-01-01","age":"","mstatus":"","insh":"2382210*43","cliId":"","pno":"39\/7621976-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"843\/237-3378","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":20164,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","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":["M75.02","M25.612","R53.1","Z00.00","R73.03","E11.65","D50.9","E78.5","E61.1","K64.1","Z13.89","Z20.822","J02.9","R50.9"],"date":["2022-03-18","2022-03-17","2022-03-17","2022-04-12","2022-04-12","2022-04-26","2022-04-20","2022-04-20","2022-04-26","2020-08-01","2020-11-03","2022-06-08","2022-06-08","2022-06-08"],"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":""}]}]}