{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" HENAVRAPIRIGNAHAJ","gend":1,"add":"OFLET 72724ECARRET DR","city":"ASHBURN","state":"VA","zip":20147,"dob":"1963-06-25","age":"","mstatus":"","insh":"6893210*02","cliId":"","pno":"43\/1758417-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/717-4400","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":20147,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","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":["Z00.00","E11.9","E78.49","E03.9","M17.11","M85.89","Z12.31","Z79.4","Z20.822","E78.2","Z12.11","Z09.","Z86.16","S83.91XA"],"date":["2021-07-21","2022-06-17","2021-07-21","2022-06-17","2021-07-21","2021-07-21","2021-07-21","2021-07-21","2022-07-28","2022-01-26","2022-01-26","2022-07-27","2022-07-27","2022-02-07"],"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":[]}},{"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":""}]}]}