{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" OTREBLAOCIR P ","gend":0,"add":"AED 57RD NOC","city":"BASSETT","state":"VA","zip":24055,"dob":"1994-01-18","age":"","mstatus":"","insh":"2961210*54","cliId":"","pno":"52\/6722883-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/956-2047","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24055,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["L50.9","D48.5","Z00.00","G47.33","J02.9","Z20.828","Z20.822","J34.89","E66.01","I10.","Z68.44","R11.10","R11.0","H66.91","E66.9","H66.93","R73.03","R21.","H72.91","J01.90","S67.21XA","W23.1XXA","S69.91XA","G47.30","R19.7","R10.84","A08.4","H66.90"],"date":["2020-12-29","2020-11-03","2022-06-27","2022-11-21","2022-10-06","2021-12-15","2022-04-29","2022-04-29","2022-04-29","2022-04-29","2022-04-29","2022-05-21","2022-05-21","2022-06-27","2022-06-27","2022-10-06","2022-10-06","2020-11-18","2020-12-02","2021-06-22","2022-08-11","2022-08-09","2022-08-09","2022-08-09","2022-02-17","2022-02-17","2021-12-15","2022-03-14"],"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":""}]}]}