{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ETTENAEJREPOOC A ","gend":1,"add":"52 276TS HT","city":"NEWPORT NEWS","state":"VA","zip":23607,"dob":"1968-07-10","age":"","mstatus":"","insh":"55700210*68","cliId":"","pno":"46\/7579776-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/380-8709","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23607,"pcpcounty":"","pcpid":"","pcpname":"","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":["N18.5","E11.9","I50.9","I10.","E78.00","E55.9","E66.9","N18.6","Z99.2","N25.81","T82.898A","I13.2","E11.22","Z68.41","E11.42","E66.01","Z79.4","Z79.899","Z79.84","R20.0","S82.891A","T82.9XXA","V54.16","R94.31","D63.1","K43.6","I95.3","I50.32","E11.43","K31.84","Z79.82","R00.0"],"date":["2022-01-28","2022-01-28","2022-07-13","2022-01-28","2022-09-15","2022-01-28","2022-01-28","2022-09-15","2022-09-15","2021-07-22","2022-07-13","2022-09-15","2022-09-15","2022-09-15","2022-07-13","2022-09-15","2022-09-15","2022-09-15","2022-07-13","2022-07-13","2021-08-31","2021-09-08","2021-08-31","2022-07-06","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15"],"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":""}]}]}