{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" N  REBMASKCIRDNEH","gend":1,"add":"CRAEB 0816DAOR KEER","city":"RUSTBURG","state":"VA","zip":24588,"dob":"1994-11-20","age":"","mstatus":"","insh":"6912110*31","cliId":"","pno":"25\/4340462-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/200-3366","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24588,"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":["F43.22","L02.01","H05.011","E10.9","M79.601","F41.8","R53.82","Z76.89","Z11.4","R53.83","L02.91","R23.4","F32.9","F41.9","G43.009","Z13.220","S93.401A","S63.501A","S60.221A","L03.211","B37.9","D72.829","R00.0","Z72.0","Z88.0","S83.91XA","F17.210","Z79.4","W01.198A","Y92.480","Y93.01","E10.65","J06.9","R05.9","Z20.822","X50.9XXA","S90.32XA","M79.672","W22.09XA","Z48.00","R07.89","R73.9","R51.9","M76.821","M76.71","M76.61","H40.023","H43.392","H52.203","A41.9","E87.1","E11.65","M25.561","S90.31XA","M79.671","Z20.828","A49.02","H53.8","R52.","R60.9","E83.42","R53.1","N92.6","F43.23","B95.62","Z83.3"],"date":["2021-03-30","2020-12-02","2020-11-29","2022-05-15","2020-02-06","2020-02-06","2020-02-06","2020-03-11","2020-03-11","2021-06-29","2020-03-11","2020-03-11","2021-04-20","2021-04-20","2021-04-20","2021-04-20","2022-05-17","2020-02-06","2020-02-06","2021-11-15","2020-11-29","2020-11-29","2020-11-29","2020-11-29","2021-08-19","2021-08-19","2022-04-05","2021-08-19","2021-08-19","2021-08-19","2021-08-19","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-05-15","2021-02-05","2021-02-05","2021-02-05","2020-04-30","2021-06-29","2021-09-08","2021-09-08","2022-06-01","2022-06-01","2022-06-01","2020-06-11","2020-06-11","2020-06-11","2021-09-08","2020-11-30","2022-04-05","2021-08-19","2020-03-09","2020-03-09","2020-07-17","2020-11-30","2020-11-30","2021-02-05","2021-02-05","2021-09-08","2022-04-05","2020-04-16","2020-06-05","2020-11-29","2020-11-29"],"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":[]}},{"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":""}]}]}