{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" NITSUJKCISUM","gend":0,"add":"DNALREHTUS HSIRT O\/CRD ECNEDNEPEDNI 021 ","city":"COEBURN","state":"VA","zip":24230,"dob":"2000-07-30","age":"","mstatus":"","insh":"4662210*39","cliId":"","pno":"13\/6729851-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/258-3780","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24230,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","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":["R04.2","R41.82","R07.89","R56.9","L02.31","E11.9","Z79.4","F17.210","L02.91","Z53.21","E10.65","F17.290","E55.9","R12.","N45.4","K56.1","E10.9","R07.9","R00.2","I10.","E10.649","Z72.0","I07.1","F17.220","F12.90","Z46.81","Z96.41","Z79.899","D58.2"],"date":["2020-12-24","2020-12-24","2022-10-20","2020-12-24","2021-03-19","2021-10-07","2022-10-20","2021-10-07","2021-03-22","2021-03-22","2022-10-20","2022-10-20","2022-10-20","2022-10-20","2021-01-26","2021-03-19","2022-01-21","2020-05-11","2020-05-14","2020-05-11","2020-05-11","2020-05-11","2021-10-14","2021-11-11","2021-11-11","2021-10-07","2021-10-07","2021-10-07","2022-10-20"],"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":""}]}]}