{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  AYALAWRESSAN A","gend":1,"add":"NRUB 0484DAOR MAH","city":"RICHMOND","state":"VA","zip":23234,"dob":"1965-07-25","age":"","mstatus":"","insh":"5662210*03","cliId":"","pno":"92\/4088861-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/924-5348","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23234,"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":["E11.69","E78.5","I10.","Z79.4","E11.9","E55.9","H25.13","H04.123","H40.053","R51.9","R10.9","M54.5","R10.2","Z00.00","M54.2","R19.7","Z20.822","Z71.9","Z01.419","Z12.4","Z20.828","R50.9","J18.9","R10.84","R19.4","M25.512","D25.1","E78.2","E11.65"],"date":["2021-10-01","2021-10-01","2021-10-01","2022-09-19","2022-09-19","2021-10-01","2020-10-21","2020-10-21","2020-10-21","2021-08-26","2021-05-23","2021-05-23","2022-06-29","2022-07-06","2022-07-06","2022-07-06","2021-10-21","2021-10-21","2022-06-21","2022-06-21","2020-08-26","2020-08-26","2020-08-26","2021-07-09","2021-07-09","2021-08-26","2022-06-29","2022-09-19","2022-09-19"],"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":""}]}]}