{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HK R  LUDBANAMHARULILA","gend":0,"add":"RCAS 9368RD OTNEMA","city":"ALEXANDRIA","state":"VA","zip":22309,"dob":"1961-12-31","age":"","mstatus":"","insh":"2664210*38","cliId":"","pno":"37\/9063858-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/984-6170","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22309,"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":["I73.9","E11.65","S90.32XA","S90.822A","U07.1","E11.9","I25.10","I10.","E78.5","E66.9","E55.9","Z11.59","Z79.899","E11.40","N40.0","Z12.11","E78.00","N40.1","E11.42","I25.2","R39.12","E11.69","Z95.1","J02.9","Z23.","L23.9","K59.00","R05.3","Z12.5","Z11.4"],"date":["2022-04-19","2022-09-08","2022-07-04","2022-07-04","2022-08-30","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-09-08","2022-06-06","2022-03-11","2022-03-11","2022-03-11","2022-03-28","2022-06-06","2022-08-30","2022-09-08","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06"],"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":[]}},{"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":""}]}]}