{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L  NIVEKSKNARF ","gend":0,"add":"BLA 6061EVA YNA","city":"RICHMOND","state":"VA","zip":23224,"dob":"1965-04-24","age":"","mstatus":"","insh":"2684210*24","cliId":"","pno":"67\/2023786-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23224,"pcpcounty":"","pcpid":"","pcpname":"Primary Health Group - Retreat","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["M25.561","M25.562","E78.2","E11.9","M22.41","M22.42","M22.2X1","M22.2X2","M62.838","M22.40","M20.012","L50.9","R05.8","J30.81","J30.1","J30.89"],"date":["2022-08-08","2022-08-08","2022-08-08","2022-08-08","2022-10-13","2022-10-13","2022-10-18","2022-10-18","2022-07-18","2022-10-18","2022-10-21","2022-07-20","2022-07-20","2022-07-20","2022-07-20","2022-07-20"],"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":""}]}]}