{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"M YRROTERYTNIC","gend":0,"add":"NOTTIL 0001D9 TPA NL ","city":"SUFFOLK","state":"VA","zip":23434,"dob":"1965-08-27","age":"","mstatus":"","insh":"48500210*51","cliId":"","pno":"08\/7573480-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/388-3198","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23434,"pcpcounty":"","pcpid":"","pcpname":"Select Specialty Hospital","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","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":["E11.9","Z79.84","H10.45","I42.9","Z95.810","I11.0","E78.5","E11.69","I50.42","E11.65","B35.3","F17.201","Z79.4","Z79.899","Z12.11","Z68.36","I50.9","Z72.0","R26.89","Z00.00","Z45.02","I42.8","I10.","Z09.","Z71.3","I50.22","E66.01","R12.","E78.00","Z23."],"date":["2022-10-18","2020-08-04","2020-08-04","2022-08-29","2022-10-11","2022-08-29","2022-08-29","2022-08-29","2022-08-29","2022-07-28","2022-04-20","2020-11-17","2022-05-02","2020-11-17","2021-07-12","2021-07-12","2021-07-12","2021-07-12","2022-05-02","2022-07-28","2021-08-20","2022-10-11","2020-05-26","2020-04-23","2020-10-13","2020-05-26","2020-05-26","2020-02-03","2021-03-11","2021-05-26"],"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":""}]}]}