{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" SYDALGYAD J ","gend":1,"add":"DRAH 492DAOR EGA","city":"BOYDTON","state":"VA","zip":23917,"dob":"1959-04-02","age":"","mstatus":"","insh":"6341210*78","cliId":"","pno":"12\/4346250-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/372-0900","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23917,"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":["H10.022","Z23.","B37.2","R87.810","Z85.038","I10.","K92.2","J44.9","K21.9","E11.40","K92.1","L73.9","L25.9","L28.2","Z68.41","E66.01","R05.","J01.90","E11.65","T50.905A","T50.B95A","L60.0","B35.3","B35.1","E11.9","Z86.010","K57.30","R07.9","K62.5","Z01.89","D12.3","K62.1","K63.5","D12.5","V58.89","I77.810","C18.9","Z79.84","H25.813","D31.32","H52.4","Z13.5"],"date":["2022-01-10","2022-06-08","2022-09-15","2020-08-14","2020-10-27","2022-10-26","2022-08-24","2022-08-24","2022-11-22","2022-08-24","2022-08-24","2022-06-02","2021-10-15","2021-10-15","2021-10-15","2021-10-15","2020-02-20","2020-02-20","2021-08-18","2022-06-09","2022-06-09","2022-06-29","2022-06-29","2022-06-29","2022-07-22","2020-11-10","2020-11-10","2022-04-27","2022-11-22","2020-11-05","2020-11-10","2020-11-10","2020-11-10","2020-11-10","2022-06-10","2022-10-26","2022-11-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22"],"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":{"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":""}]}]}