{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L  NAIRAMNOSNHOJ ","gend":1,"add":"81 909TS HT","city":"NEWPORT NEWS","state":"VA","zip":23607,"dob":"1959-04-11","age":"","mstatus":"","insh":"2904210*81","cliId":"","pno":"96\/7576706-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/594-3800","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23607,"pcpcounty":"","pcpid":"","pcpname":"Riverside Brentwood Medical Center","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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","B18.2","F51.02","E11.40","M24.571","M24.572","G57.63","M25.572","M25.571","M16.11","I10.","M25.551","R03.0","E66.09","F51.01","Z68.35","Z11.59","Z11.4","Z12.11"],"date":["2022-07-14","2022-07-14","2022-04-07","2022-04-25","2022-04-25","2022-04-25","2022-04-25","2022-05-02","2022-05-02","2022-03-25","2022-03-16","2022-03-16","2022-03-25","2022-03-25","2022-03-25","2022-03-25","2022-03-25","2022-03-25","2022-03-25"],"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":[]}},{"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":""}]}]}