{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" S  NIREFFRODNRO","gend":1,"add":"TSOP 42931DAOR KAO ","city":"SPOTSYLVANIA","state":"VA","zip":22551,"dob":"1964-07-04","age":"","mstatus":"","insh":"4603210*19","cliId":"","pno":"99\/0455633-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/825-6263","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22551,"pcpcounty":"","pcpid":"","pcpname":"","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":["J44.9","G47.33","J44.1","J96.21","J96.22","E66.2","I50.30","F17.200","Z99.81","J96.01","J96.11","R91.8","E66.01","R06.09","J96.12","I11.0","I50.32","F17.210","J96.02","R94.31","I70.213","R09.02","J30.9","R06.02","I87.2","E78.5","R60.0","I10.","E11.9","F17.221","E11.65","Z23.","E78.2","E11.42","L20.82","M62.81","R26.81","R06.9","R60.9","Z12.2","E13.9","J18.9","K57.92","Z79.51","Z79.84","Z87.891","K59.00","Z72.0","E87.2","R06.89","R05.9","B35.0","B35.4","J44.0","Z68.41","Z20.822","E78.00","Z79.4","Z90.710","R06.00","I78.1","M79.604","M79.605","J43.2","D75.1","J98.11","I73.9","Z99.89","R51.9","NO DATA","I25.10","K21.9","Z66."],"date":["2022-11-09","2022-11-09","2022-10-20","2022-06-17","2022-06-17","2022-06-02","2022-05-19","2022-11-09","2022-07-23","2022-06-17","2022-11-09","2022-11-09","2022-06-30","2022-11-09","2022-11-09","2022-06-02","2022-06-02","2022-06-02","2022-06-17","2022-06-16","2022-11-01","2022-11-09","2021-05-07","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-11-02","2022-11-02","2021-10-05","2022-11-02","2022-11-02","2022-11-09","2022-11-09","2021-12-05","2022-06-17","2021-12-28","2022-05-09","2022-05-19","2022-07-23","2022-07-23","2022-07-23","2022-07-23","2022-07-23","2022-06-17","2022-05-19","2022-05-19","2022-06-27","2022-11-02","2022-11-02","2021-12-06","2021-12-06","2022-05-07","2022-05-07","2021-12-06","2021-12-06","2022-06-17","2021-07-14","2021-07-14","2021-07-14","2022-06-17","2022-06-17","2022-06-17","2021-11-16","2021-12-01","2021-12-01","2022-05-07","2022-05-07","2022-05-07","2022-05-07"],"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":""}]}]}