{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"D  REGORNIFFIRG ","gend":0,"add":"LIH DNUOR 022DAOR LOOHCS L","city":"FORT DEFIANCE","state":"VA","zip":24437,"dob":"1960-07-06","age":"","mstatus":"","insh":"6571210*43","cliId":"","pno":"63\/0450404-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/932-5687","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24437,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["I48.91","I20.0","I50.22","I10.","I21.4","I35.0","J44.9","I50.43","I50.23","I13.10","I50.21","Q24.5","R06.83","Z01.812","G47.33","Z20.822","J39.2","I11.0","I50.20","Z79.899","Z12.11","Z80.0","K64.2","K63.5","K57.30","B17.9","D41.02","E78.5","I35.2","I47.2","I50.9","I42.9","Z83.71","Z68.41","E11.9","K72.00","E66.01","J96.21","J96.12","K21.9","E87.5","Z87.891","I25.10","I25.84","Z11.59","R01.1","R60.9","R79.89","I51.7","I51.89","I35.1","I24.8","R06.02"],"date":["2022-10-14","2021-07-26","2021-07-26","2022-04-04","2021-07-30","2022-10-14","2021-11-02","2021-08-01","2021-07-31","2021-08-01","2022-10-14","2021-10-18","2021-10-18","2021-11-02","2022-05-24","2021-11-02","2021-11-02","2021-11-02","2021-11-02","2021-11-02","2020-06-29","2020-06-29","2020-06-29","2020-06-29","2020-06-29","2021-08-01","2022-08-26","2022-10-14","2022-01-04","2021-07-27","2021-07-30","2021-07-30","2020-06-29","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-25","2021-07-25","2021-07-25","2021-07-26","2021-07-26","2020-06-26","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-02","2021-07-25","2021-07-25"],"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":""}]}]}