{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  NARAKARTAB N","gend":0,"add":"NNEP YRREP 4286ROOLF HT2 RD YE","city":"ANNANDALE","state":"VA","zip":22003,"dob":"1969-01-24","age":"","mstatus":"","insh":"2473210*89","cliId":"","pno":"77\/3078060-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/940-5000","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22003,"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":["Z79.899","F51.05","F31.64","F41.9","F99.","E11.65","Z79.4","E11.00","F14.10","E78.00","I10.","N17.9","F31.9","F10.10","F12.20","F14.20","R73.9","Z74.3","F33.2","T14.91XS","F43.21"],"date":["2021-03-12","2021-12-06","2021-12-08","2021-12-08","2021-12-06","2021-12-07","2021-12-07","2021-12-06","2021-12-06","2021-12-06","2021-12-06","2021-12-06","2021-12-08","2021-12-08","2021-12-08","2022-04-11","2021-12-06","2021-12-06","2021-08-18","2021-08-18","2021-08-18"],"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":""}]}]}