{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"C  NAISENIH ","gend":0,"add":"DNOMHCIR 2419353 TPA YWH ","city":"FORT BELVOIR","state":"VA","zip":22060,"dob":"1995-06-08","age":"","mstatus":"","insh":"29200210*01","cliId":"","pno":"42\/3528996-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/523-1750","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22060,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["G25.0","Z87.898","G80.9","F84.0","L60.0","M79.674","M79.675","E10.9","K22.4","K21.9","E78.5","G47.31","R05.9","J45.901","G93.0","Z23.","G47.33","Z11.4","M25.561","Z99.89","R06.83","R56.9","B07.9","R05.","Z20.822","R25.1","M86.271","S91.301A","S91.302A","M86.272","Z79.2","Z11.59","R19.7","E10.42","L03.032","L03.031"],"date":["2021-09-13","2021-08-18","2022-03-25","2021-07-26","2022-06-16","2022-06-16","2022-06-16","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2020-02-11","2021-09-13","2021-11-30","2020-02-11","2020-02-11","2021-09-13","2021-10-04","2021-08-18","2020-06-23","2020-05-27","2021-12-30","2021-03-09","2022-06-30","2022-06-30","2022-06-30","2022-06-30","2022-06-30","2021-09-13","2022-03-25","2022-06-08","2022-06-08","2022-06-08"],"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":""}]}]}