{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ERDNA'DNOTSNIW","gend":0,"add":"DRAW 4744DAOR NWOT","city":"EXMORE","state":"VA","zip":23350,"dob":"1987-04-15","age":"","mstatus":"","insh":"4513210*90","cliId":"","pno":"22\/8295387-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/442-6600","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23350,"pcpcounty":"","pcpid":"","pcpname":"Riverside Eastern Shore Family Medicine","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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":["Z23.","F41.1","K52.9","K21.9","Z86.010","R10.2","G89.29","E66.01","Z68.43","I48.91","M54.16","F64.0","Z79.899","Z51.81","NO DATA","K63.5","K64.8","K57.30","K35.80","R10.0","R11.0","R30.0","I10.","G47.33","Z71.89","N94.10","K57.92","R10.32"],"date":["2021-04-10","2021-08-17","2021-03-10","2021-11-10","2020-12-10","2021-02-23","2021-02-23","2020-11-20","2020-11-20","2021-01-22","2021-01-21","2021-02-23","2021-01-22","2021-01-22","2021-11-10","2020-11-20","2020-11-20","2020-11-20","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2020-10-16","2021-02-23","2021-03-10","2021-03-10"],"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":""}]}]}