{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" C  YRRAGDOOWTIHC","gend":0,"add":" NHOJ 6641DAOR REKAB","city":"FIELDALE","state":"VA","zip":24089,"dob":"1958-07-14","age":"","mstatus":"","insh":"4362210*12","cliId":"","pno":"22\/6724563-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/224-5170","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24089,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["M51.36","M54.16","M54.5","G89.29","Z01.810","E11.65","I10.","E78.5","F17.210","NO DATA","H72.02","H90.A32","M54.9","Z23.","M25.511","D12.6","H90.A21","M79.18","E11.9","Z12.11","Z86.010","K62.5","Z86.73","T88.7XXA","S90.851A","E66.3","M19.011","M75.51"],"date":["2022-04-25","2022-07-07","2021-07-09","2021-11-02","2021-09-16","2021-12-09","2021-12-09","2021-12-09","2020-09-28","2022-04-25","2021-09-20","2021-09-20","2022-03-21","2021-11-11","2022-03-21","2021-03-03","2021-04-01","2021-07-09","2021-09-20","2021-02-10","2021-01-25","2021-02-10","2021-09-20","2021-12-09","2021-12-09","2021-12-09","2022-04-25","2022-04-25"],"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":""}]}]}