{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  REGORKOOC A","gend":0,"add":"LYT 309EVA RE","city":"RADFORD","state":"VA","zip":24141,"dob":"1972-10-17","age":"","mstatus":"","insh":"5014210*68","cliId":"","pno":"58\/0456724-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/381-1882","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24141,"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":["I10.","R60.0","E78.5","E11.9","R07.9","R06.02","E78.00","Z03.818","Z20.822","Z20.9","Z20.828","S76.312A","Z23.","Z13.31"],"date":["2022-06-28","2022-06-28","2022-06-28","2022-06-28","2021-11-16","2022-02-28","2021-11-16","2021-10-25","2022-02-04","2022-02-04","2022-02-04","2021-10-05","2021-10-05","2021-10-05"],"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":{"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":""}]}]}