{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ANUAIKNOTSEW","gend":1,"add":"LADNELG 0221 TPA EVA E","city":"NORFOLK","state":"VA","zip":23505,"dob":"1984-01-13","age":"","mstatus":"","insh":"3667110*08","cliId":"","pno":"37\/7577618-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23505,"pcpcounty":"","pcpid":"","pcpname":"EVMS Ghent Family Medicine","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":["B37.3","R22.1","M54.10","Z20.2","E11.9","Z53.29","R20.0","G89.29","M25.511","R06.02","I10.","J45.909","F17.210","U07.1","L85.3","R07.89","F12.90","F14.90","Z79.84","R51.9","M21.932","M25.512","M25.562","R40.2410","V87.7XXA","Z00.00","E78.1","Z72.51","S13.4XXA","S23.3XXA","S63.502A","R10.9","L29.9","R21.","M54.12","Z28.310","Z28.9","R53.83","Z20.822"],"date":["2021-05-12","2022-04-26","2022-04-21","2022-04-21","2022-07-28","2022-04-21","2022-04-21","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-07-28","2022-07-28","2020-04-22","2021-11-11","2021-11-11","2021-11-11","2021-11-11","2021-11-11","2021-02-03","2021-02-03","2021-02-03","2021-02-03","2021-02-03","2021-07-22","2021-07-22","2021-07-22","2021-03-16","2021-03-16","2021-03-16","2020-09-08","2021-04-22","2021-04-22","2022-04-21","2022-07-28","2022-07-28","2022-07-28","2022-07-29"],"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":""}]}]}