{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"G ASILNIVRA","gend":1,"add":"NAN 16201TC TEKCUT","city":"MANASSAS","state":"VA","zip":20110,"dob":"1964-05-31","age":"","mstatus":"","insh":"5541210*05","cliId":"","pno":"02\/1750783-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":20110,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","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":["I16.1","I50.21","I11.0","I50.9","I34.0","I07.1","NO DATA","I10.","E83.42","I50.22","R03.0","J90.","I08.1","E87.6","I42.0"],"date":["2022-08-17","2022-08-16","2022-09-02","2022-09-21","2022-09-21","2022-09-21","2022-09-21","2022-09-21","2022-09-21","2022-09-02","2022-09-02","2022-08-12","2022-08-15","2022-08-15","2022-09-30"],"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":[]}},{"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":""}]}]}