{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" T  YEOJHCIRDOOG","gend":0,"add":"EP 411TS HCA","city":"PEARISBURG","state":"VA","zip":24134,"dob":"1982-09-13","age":"","mstatus":"","insh":"24100210*98","cliId":"","pno":"95\/0451732-9","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":24134,"pcpcounty":"","pcpid":"","pcpname":"Carilion Clinic Family Medicine Giles Rural Health","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["N50.89","F31.9","Z86.59","E11.9","E78.2","E03.9","C62.92","E86.0","N50.819","C62.12","Z51.11","Z01.818","Z01.812","C62.90","J90.","K76.0","Z23."],"date":["2021-05-20","2022-10-04","2021-05-14","2022-05-18","2021-05-14","2022-05-18","2021-05-20","2021-07-02","2021-05-10","2022-07-13","2021-06-24","2021-05-20","2021-05-15","2022-05-18","2022-07-06","2022-07-06","2020-10-06"],"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":{"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":""}]}]}