{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"H  IRUAMECREIP ","gend":1,"add":"EGNARO 56162DAOR GNIRPS ","city":"UNIONVILLE","state":"VA","zip":22567,"dob":"1980-08-24","age":"","mstatus":"","insh":"4534110*36","cliId":"","pno":"22\/0453151-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/924-1825","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22567,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["E11.65","Z79.4","E11.9","I10.","R10.9","R31.29","R35.0","R39.15","N23.","R14.2","R10.84","R19.7","Z88.0","Z88.6","Z91.013","Z88.1","Z88.8","F41.9","E78.00","J44.9","Z90.49","Z23.","D35.02","A09.","Z72.0","R11.2","R11.0","Z20.822","K52.9","R10.12","F17.200","Z79.899","Z91.02"],"date":["2022-11-17","2022-11-17","2022-10-12","2022-08-08","2022-03-14","2022-04-11","2022-03-14","2022-03-14","2022-03-14","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2021-09-20","2022-04-08","2021-10-13","2021-10-13","2021-11-22","2021-10-13","2021-10-13","2021-11-22","2021-11-22","2021-11-22","2021-11-22","2021-11-22"],"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":""}]}]}