{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"B LEINADSUDDAOR","gend":0,"add":"TTOB 487DAOR MO","city":"SAINT STEPHENS CHURCH","state":"VA","zip":23148,"dob":"1973-08-08","age":"","mstatus":"","insh":"4402210*00","cliId":"","pno":"52\/4082591-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/333-6400","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23148,"pcpcounty":"","pcpid":"","pcpname":"Riverside Warsaw Medical Arts","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":["T63.441A","F17.200","F11.20","Z12.11","L03.116","R41.82","Z74.3","I10.","E11.9","F19.10","Z00.00","J20.9","S39.011A","A05.9","S80.812A","W22.8XXA","R60.0","J06.9","B97.89","M54.5","M54.9","M54.2","M79.601","V49.9XXA","R23.8","T63.444A","S09.90XA","S16.1XXA","S20.219A","S39.012A","V49.40XA","M79.89","Z79.1","Z79.899"],"date":["2020-09-11","2022-09-09","2022-01-03","2022-08-05","2022-09-07","2022-04-14","2022-04-14","2022-09-09","2022-09-09","2022-04-21","2022-04-21","2020-01-20","2020-08-06","2020-07-03","2022-09-02","2022-09-02","2022-09-09","2020-02-13","2020-02-13","2020-02-13","2021-12-03","2021-12-03","2021-12-03","2021-12-03","2022-09-09","2020-09-11","2021-11-30","2021-11-30","2021-11-30","2021-11-30","2021-11-30","2022-09-09","2022-04-14","2022-04-14"],"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":""}]}]}