{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" LRACSPPE","gend":0,"add":"HAJ 1517DAOR EKN","city":"RICHMOND","state":"VA","zip":23225,"dob":"1980-10-20","age":"","mstatus":"","insh":"6564210*27","cliId":"","pno":"96\/7330583-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23225,"pcpcounty":"","pcpid":"","pcpname":"Whole Health Physicians","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":["R07.89","F19.10","F17.200","Z88.0","R07.9","E83.42","V62.84","R00.0","R53.1","Z59.00","F25.9","Z72.0","Z20.822","F10.20","F15.10","Z76.5","Z79.84","Z79.899","R44.3","NO DATA","I10.","E11.9","R44.0","F41.9","Z86.59","K21.9","R53.83","R45.0","Z04.9","F10.239","F17.210","Z91.14","Z91.51","E55.9","F25.0","F11.20"],"date":["2022-03-17","2022-03-17","2022-03-09","2022-03-09","2022-03-10","2022-03-10","2022-03-10","2022-03-10","2022-03-10","2022-03-10","2022-03-05","2022-03-03","2022-03-03","2022-03-15","2022-03-09","2022-03-09","2022-03-09","2022-03-09","2022-03-17","2022-03-10","2022-03-11","2022-03-11","2022-03-17","2022-03-17","2022-03-17","2022-03-05","2022-03-05","2022-03-10","2022-03-11","2022-03-05","2022-03-05","2022-03-05","2022-03-05","2022-03-05","2022-03-15","2022-03-15"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}