{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"J  NODNARBENIFARES ","gend":0,"add":"AP NEDRAG 3817301 TPA NL KR","city":"MECHANICSVILLE","state":"VA","zip":23111,"dob":"1981-04-30","age":"","mstatus":"","insh":"4434210*26","cliId":"","pno":"84\/7573416-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23111,"pcpcounty":"","pcpid":"","pcpname":"Mechanicsville Medical Center Family Physicians, P","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":["Z03.89","I26.99","R07.9","R06.02","R00.0","G47.00","E87.6","E83.42","K76.0","R44.3","F17.210","J21.9","Z20.822","Z86.711"],"date":["2021-12-07","2021-12-08","2021-12-08","2021-12-08","2021-12-08","2022-06-08","2022-06-08","2022-06-08","2022-06-08","2022-06-08","2021-12-07","2021-12-07","2021-12-07","2021-12-07"],"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":""}]}]}