{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" B  YDNARBEKALREBMIT","gend":1,"add":"CTNUOM 1535DAOR ELTSA","city":"PROVIDENCE FORGE","state":"VA","zip":23140,"dob":"1985-01-31","age":"","mstatus":"","insh":"3612210*84","cliId":"","pno":"55\/4085983-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23140,"pcpcounty":"","pcpid":"","pcpname":"","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":["M79.89","N92.6","Z32.02","I10.","Z79.899","E66.9","D51.9","Z68.44","S60.461A","R21.","E11.9","W57.XXXA","R60.9","M79.604","R22.41","M79.606","Z23.","Z20.828","N83.292","Z31.69","E78.2","E06.9","M83.9","D50.9","E61.1"],"date":["2021-01-28","2022-03-30","2021-12-06","2022-07-25","2022-10-26","2022-10-26","2022-07-25","2022-04-21","2022-08-07","2022-08-07","2022-08-07","2022-08-07","2022-01-19","2021-01-28","2021-01-28","2021-01-29","2021-11-22","2021-03-29","2022-03-30","2022-03-30","2022-09-07","2022-09-07","2022-09-07","2022-09-07","2022-01-19"],"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":[]}},{"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":""}]}]}