{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ALEGNANWORB D","gend":1,"add":"XONK ETTENNA O\/CTS OCSAHATA 125 ","city":"CHESAPEAKE","state":"VA","zip":23323,"dob":"1970-04-21","age":"","mstatus":"","insh":"40000210*12","cliId":"","pno":"49\/7578450-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23323,"pcpcounty":"","pcpid":"","pcpname":"EVMS Ghent Family Medicine","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["B20.","E11.9","G57.90","E03.9","Z23.","F30.9","F70.","J06.9","Z11.3","F33.3","F79.","L85.3","E11.65","B35.1","F20.9","R10.9","Z12.11","S70.01XA","M25.539","M54.9","J45.909","L30.9","Z00.00","Z13.31","E78.1","E55.9","Z21.","E89.0","Z90.710","Z98.51","J30.89","M25.551"],"date":["2022-06-30","2022-08-08","2020-08-25","2022-08-08","2021-04-24","2022-06-30","2021-03-16","2020-01-30","2020-01-30","2020-08-05","2022-10-10","2022-07-06","2022-07-06","2022-07-06","2022-10-10","2022-05-05","2022-08-08","2022-08-10","2022-08-08","2022-08-19","2021-03-16","2021-03-16","2021-11-02","2021-11-02","2022-06-30","2020-11-30","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10"],"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":""}]}]}