{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ZANAHSRATKHA","gend":1,"add":"ETIHW 0027RD ESUOH ","city":"SPRINGFIELD","state":"VA","zip":22153,"dob":"1959-05-10","age":"","mstatus":"","insh":"2722210*89","cliId":"","pno":"62\/1755335-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/218-2970","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22153,"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":["M75.01","E11.29","R80.9","Z79.4","I10.","E78.2","E11.9","M79.621","G47.00","R07.9","Z00.00","Z23.","Z13.29","Z12.31","Z12.11","Z11.59"],"date":["2021-11-08","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2020-01-13","2021-11-30","2021-09-24","2021-09-24","2021-10-26","2021-10-26","2021-10-26","2021-10-26","2021-10-26","2021-10-26"],"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":""}]}]}