{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CINOREVANUL A","gend":1,"add":"GATIREH 41011T TPA LP E","city":"FREDERICKSBURG","state":"VA","zip":22401,"dob":"1988-01-25","age":"","mstatus":"","insh":"5573210*41","cliId":"","pno":"24\/0453254-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/816-4152","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22401,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["Z01.419","Z11.3","Z00.00","N76.0","F43.8","Z20.2","F31.9","F12.90","N30.00","E11.9","F41.0","I10.","F17.210","F39.","S09.90XA","V72.85","R51.9","E11.65","L50.9","T36.8X5A","W19.XXXA","Y92.89","Y93.89","R30.0","L50.0","T78.40XA"],"date":["2021-06-08","2021-06-08","2021-06-08","2021-06-08","2021-12-01","2021-11-02","2022-07-06","2022-07-06","2022-08-04","2022-08-16","2021-03-07","2022-08-16","2022-08-16","2021-05-26","2021-12-06","2021-12-06","2021-12-06","2022-08-05","2022-08-16","2022-08-16","2021-12-06","2021-12-06","2021-12-06","2022-08-05","2022-08-16","2022-08-16"],"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":""}]}]}