{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" YNOHTNASIVAD C ","gend":0,"add":"XOB OP6291 ","city":"CEDAR BLUFF","state":"VA","zip":24609,"dob":"1960-05-05","age":"","mstatus":"","insh":"25500210*39","cliId":"","pno":"69\/6728312-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/964-6771","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24609,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"SOUTHWEST","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":["E11.9","I10.","E78.2","M10.9","F34.1","M54.2","M54.12","Z68.33","F33.0","M47.819","M25.511","M25.512","Z68.32","M25.561","G89.29","M75.42","M19.012","G56.03"],"date":["2022-08-12","2022-08-12","2022-08-12","2022-08-12","2021-09-13","2021-09-13","2021-12-14","2021-12-14","2022-08-12","2020-08-10","2020-08-25","2020-08-25","2021-02-11","2021-02-11","2021-02-11","2020-08-25","2020-08-25","2021-03-15"],"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":""}]}]}