{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" L  DLANODRJ TTEGDIM","gend":0,"add":"TAVONNISC EVI","city":"NEW CASTLE","state":"VA","zip":24127,"dob":"1965-12-14","age":"","mstatus":"","insh":"45100210*67","cliId":"","pno":"86\/0451849-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/380-3722","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24127,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["F60.5","E11.8","E78.5","J30.2","F50.89","F79.","G40.909","E11.41","B35.1","Z00.01","F84.0","F72.","Z86.59","K59.00","G51.0","E78.00","E11.65","F78.","F98.3","E11.42","R10.9","J20.9","K52.9","E11.37X9"],"date":["2021-02-02","2022-10-06","2022-10-06","2022-10-06","2022-10-17","2021-11-29","2022-10-06","2021-10-21","2022-10-25","2021-11-29","2022-10-17","2022-10-17","2022-10-17","2022-10-06","2020-04-22","2020-04-22","2020-04-22","2020-04-22","2020-04-22","2022-10-25","2022-05-10","2020-10-21","2021-02-16","2021-09-28"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}