{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"V  NIWDEZERROT ","gend":0,"add":"LPAM 1146RD DOOWE","city":"FALLS CHURCH","state":"VA","zip":22041,"dob":"1971-07-17","age":"","mstatus":"","insh":"7113210*87","cliId":"","pno":"66\/1753050-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/968-5700","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22041,"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":["E11.40","E78.5","K21.9","R21.","R07.9","Z20.828","E11.65","R51.","E78.1","R30.0","E11.42","M79.671","M79.672","E11.3393","S46.911A","H40.023","M75.01","M25.511","E11.9"],"date":["2022-02-21","2022-02-21","2022-02-07","2022-02-07","2021-09-16","2021-09-16","2022-02-21","2020-08-17","2022-02-21","2020-07-30","2020-12-03","2020-09-02","2020-09-02","2022-11-16","2022-05-14","2022-11-16","2022-11-15","2022-11-15","2022-11-15"],"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":""}]}]}