{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ARTEPNOSAM","gend":1,"add":"YARG 0313EVA DNAL","city":"RICHMOND","state":"VA","zip":23221,"dob":"1962-05-28","age":"","mstatus":"","insh":"7051210*59","cliId":"","pno":"53\/4084371-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/324-9150","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23221,"pcpcounty":"","pcpid":"","pcpname":"","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":["G47.33","J01.00","Z72.0","I10.","E11.65","E78.00","E66.01","M25.561","M25.562","M17.0","M21.161","Z12.31","Z00.00","Z68.41","R06.2","Z12.11","Z76.0","J34.89"],"date":["2020-05-07","2020-11-17","2022-03-31","2022-09-12","2022-09-12","2022-09-12","2022-09-12","2022-10-07","2022-10-07","2022-10-07","2022-10-07","2022-09-12","2022-09-12","2020-05-07","2022-03-31","2022-09-12","2022-09-12","2021-07-17"],"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":""}]}]}