{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"S  ENIAROLRENTLITS ","gend":1,"add":"OB OP431 X","city":"GRUNDY","state":"VA","zip":24614,"dob":"1953-02-11","age":"","mstatus":"","insh":"56100210*78","cliId":"","pno":"39\/6724327-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"423\/990-2466","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24614,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"SOUTHWEST","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","I10.","I89.0","M54.16","Z68.43","L03.90","E11.40","E78.5","E03.9","Z79.899","E55.9","E11.8","R05.","R53.1","Z79.891","I83.813","I83.893","I87.2","L03.115","E11.9","Z23.","E66.9","E66.01","E10.610","M54.41","M46.1","G89.29","R30.0","R60.0","L03.116","M54.5","G62.9","Z03.818"],"date":["2022-01-07","2022-07-08","2021-07-29","2022-07-08","2022-07-08","2022-01-07","2022-01-07","2022-07-08","2021-09-16","2022-04-12","2021-08-09","2020-06-24","2020-03-25","2020-03-25","2020-08-24","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-04-06","2021-11-08","2021-06-03","2021-09-16","2021-11-08","2021-06-17","2020-10-23","2021-06-17","2022-04-12","2020-11-17","2020-11-17","2020-11-17","2020-01-20","2020-11-17"],"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":""}]}]}