{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W M  ARDNAEDYENRUB-ETIH","gend":1,"add":"KCOR 5011TS MAHGNI","city":"NORFOLK","state":"VA","zip":23523,"dob":"1971-04-11","age":"","mstatus":"","insh":"3945210*82","cliId":"","pno":"93\/7571509-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/424-4300","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23523,"pcpcounty":"","pcpid":"","pcpname":"Nowcare Indian River","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":["E11.9","I10.","E78.00","E66.9","Z79.4","E11.65","NO DATA","R35.89","Z86.39","Z20.822","R05.","G44.52","T50.Z95A","H60.92","H61.22","J40.","E66.01"],"date":["2022-11-17","2022-11-02","2022-11-02","2021-08-25","2022-11-17","2022-11-17","2021-12-24","2021-12-24","2021-12-24","2021-12-24","2021-06-04","2021-06-04","2021-06-04","2022-03-07","2022-03-07","2022-02-18","2022-10-19"],"priorHcc":["","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}