{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"M  SOLRACSATREUH ","gend":0,"add":" SNESUER 006721L TPA DR","city":"LYNCHBURG","state":"VA","zip":24503,"dob":"1991-10-14","age":"","mstatus":"","insh":"6814210*57","cliId":"","pno":"58\/4344503-1","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/947-5967","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24503,"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":["E11.9","I10.","Z23.","NO DATA","G47.00","R53.83","R07.89","R00.2","R06.02","Z87.891","J02.0","Z20.822","R07.9","R06.89","R06.81","G62.9","I83.92","R06.83"],"date":["2022-10-07","2022-10-07","2022-10-07","2022-10-07","2022-10-07","2022-10-07","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2021-10-04","2021-10-04","2022-02-23","2022-07-08","2022-07-08","2022-07-08","2022-02-23","2022-07-08"],"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":""}]}]}