{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" AIELYATNOSNIBOR","gend":1,"add":"OCTIHW 51911 TPA TS BM","city":"RICHMOND","state":"VA","zip":"23223-9998","dob":"2003-06-30","age":"","mstatus":"","insh":"4240110*26","cliId":"","pno":"39\/4083008-9","cno":"","email":"","ename":"","eno":"","pphy":"HAGAN, SHANNON S NP","ppno":"804\/527-4711","pcpadd":"2305 PARHAM ROAD","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23298,"pcpcounty":"","pcpid":"","pcpname":"MCV ASSOCIATED PHYSICIANS","plan":"OHP","program":"MEDICAID","lob":"M4","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":["H10.45","E10.9","L74.510","Z23.","A64.","J30.9","M79.606","Z53.21","F91.3","E11.9","N76.0","N39.0","R73.9","A54.9","E10.65","R59.0","Z30.09","Z00.00","Z11.3","F32.9","F31.5","R51.","Z00.129","K08.89","R68.89","Z53.29","Z20.822"],"date":["2021-05-20","2022-11-17","2021-10-27","2021-10-27","2022-05-02","2022-05-02","2022-06-05","2022-06-05","2022-05-16","2022-08-04","2020-12-29","2020-12-29","2020-12-29","2022-02-01","2022-08-04","2022-07-05","2020-12-15","2022-01-26","2022-01-26","2022-01-26","2022-02-22","2020-04-01","2021-01-06","2022-10-11","2022-11-08","2022-11-08","2022-11-08"],"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":{"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":""}]}]}