{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ADERFLASENOJ R ","gend":1,"add":"ONAOR E 001D TPA TS EK","city":"RICHMOND","state":"VA","zip":23224,"dob":"1980-02-13","age":"","mstatus":"","insh":"40800210*42","cliId":"","pno":"42\/4087048-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23224,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS SPORTS MEDICINE & PRIMARY CARE","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":["F33.1","R22.41","F11.20","F33.2","E11.65","M79.89","E11.9","I10.","F17.210","E66.01","Z68.42","Z79.4","Z79.899","R20.2","R20.0","Z79.84"],"date":["2022-10-13","2022-03-18","2022-01-31","2022-02-21","2022-03-18","2022-03-18","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-03-18","2022-03-18","2022-03-18"],"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":""}]}]}