{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"B  YCNANREHCLEB ","gend":1,"add":"UOH KRALC 451DAOR MRAF ES","city":"STUART","state":"VA","zip":24171,"dob":"1970-12-17","age":"","mstatus":"","insh":"5041210*64","cliId":"","pno":"29\/8027586-1","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/694-8600","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24171,"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","N39.0","R35.0","R39.15","N76.0","B37.3","M79.671","G89.29","M79.672","L84.","S05.00XA","H57.11","H11.441","H10.13","M54.5","R50.9","N30.00","R05.","V58.89","J01.00","S05.01XA"],"date":["2020-07-09","2020-07-09","2020-01-20","2020-02-04","2020-02-04","2020-02-04","2020-02-10","2020-02-10","2020-02-10","2020-02-10","2020-02-26","2020-06-23","2020-06-23","2020-06-23","2020-04-27","2020-03-20","2020-03-20","2020-03-20","2020-03-05","2020-03-17","2020-02-27"],"priorHcc":["","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}