{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"F R  TREBORRJ RENKLUA","gend":0,"add":"CALP ENIV 942402 TPA LP E","city":"STAFFORD","state":"VA","zip":22554,"dob":"1965-12-09","age":"","mstatus":"","insh":"36500210*65","cliId":"","pno":"44\/0453761-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22554,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["E11.9","H16.223","I48.0","J45.20","R06.02","R06.83","I25.10","G47.33","F51.19","E66.9","I48.91","Z20.828","I25.2","E78.00","I10.","R55.","L30.1","E78.5","Z00.01","J45.40","F17.210","J45.30","S20.211A","R73.03","F17.200","R06.00","Z03.818","Z87.891"],"date":["2022-09-12","2020-10-07","2022-06-06","2020-12-03","2020-11-19","2020-12-05","2022-09-12","2020-12-11","2020-12-11","2020-12-05","2020-12-05","2021-02-24","2022-06-06","2022-09-12","2022-09-12","2022-01-18","2022-09-28","2020-07-21","2021-12-09","2022-03-28","2021-12-09","2020-12-11","2020-08-15","2020-12-03","2020-12-03","2020-10-30","2021-02-24","2022-06-06"],"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":""}]}]}