{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REHPOTSIRHCMAILLIG L  ","gend":0,"add":"LIB 7021DAOR SL","city":"BEDFORD","state":"VA","zip":24523,"dob":"1975-12-08","age":"","mstatus":"","insh":"4683210*49","cliId":"","pno":"86\/0456331-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/947-5967","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24523,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","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":["E11.65","N17.9","I95.1","I10.","E78.00","J45.909","R55.","Z91.030","Z91.013","Z79.899","Z79.84","Z87.09","R06.02","R09.02","R53.1","G62.9","E11.41","M54.10","E66.01","E86.0"],"date":["2021-12-05","2021-05-13","2021-05-13","2021-05-12","2021-05-12","2021-05-12","2021-12-05","2021-05-12","2021-05-12","2021-05-12","2021-05-12","2021-05-13","2021-12-05","2021-12-05","2021-12-05","2022-04-19","2022-04-19","2022-04-19","2021-05-13","2021-12-05"],"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":""}]}]}