{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ANITSIRHCEMOSWEN A ","gend":1,"add":" BBOC 512D TPA TS","city":"FRANKLIN","state":"VA","zip":23851,"dob":"1984-06-15","age":"","mstatus":"","insh":"4757210*34","cliId":"","pno":"87\/7578220-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/923-4500","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23851,"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":["R00.2","I10.","E11.9","E78.00","E66.9","Z68.36","R63.0","N89.8","R30.0","R42.","R00.0","I88.9","R59.0","R87.612","Z79.899","Z79.82","R07.9","N87.0"],"date":["2022-05-29","2022-05-29","2022-05-29","2022-05-29","2022-05-29","2022-05-29","2022-05-29","2022-03-28","2022-03-28","2022-02-18","2020-01-23","2020-01-30","2020-01-24","2022-07-08","2022-02-18","2022-02-18","2022-03-31","2022-08-04"],"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":""}]}]}