{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" D  YNNHOJYRATELGNIS","gend":0,"add":"RETEP 71103DAOR GRUBS","city":"WAVERLY","state":"VA","zip":23890,"dob":"1981-07-31","age":"","mstatus":"","insh":"4727110*78","cliId":"","pno":"98\/4084354-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23890,"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":["M79.671","E11.65","E66.01","R60.0","L97.529","I73.9","F10.10","E11.621","M17.12","M25.562","M25.561","I70.245","M70.61","M25.551","Z71.3","R19.7","R11.2","Z20.822","U07.1","S09.93XA","Y09.","G62.9","J06.9","S92.301A","S92.414A","S92.811A","L97.522","E11.59","E66.09"],"date":["2020-06-01","2021-08-11","2021-08-11","2020-12-16","2021-08-11","2021-08-11","2021-06-03","2021-07-21","2021-04-13","2021-04-13","2021-04-13","2021-08-05","2021-04-06","2021-04-06","2021-07-21","2021-08-26","2021-08-26","2021-08-26","2021-09-15","2020-05-30","2020-05-30","2021-09-01","2020-03-16","2020-06-22","2020-06-22","2020-06-22","2021-08-12","2021-08-12","2021-08-12"],"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":""}]}]}