{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HTNAMASETIHW A","gend":1,"add":"UOHTRUOC 253C TPA RD ES","city":"SALUDA","state":"VA","zip":23149,"dob":"2000-09-14","age":"","mstatus":"","insh":"7192210*74","cliId":"","pno":"58\/4082443-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/725-5005","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23149,"pcpcounty":"","pcpid":"","pcpname":"Riverside Mathews Medical Center","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":["R11.2","E11.9","Z79.4","E11.65","Z30.011","F41.1","R05.9","J02.9","B34.9","Z20.822","Z79.84","E66.9","F17.200","L02.219","B96.89"],"date":["2021-06-18","2021-10-22","2022-05-01","2022-05-01","2021-06-11","2021-08-18","2022-05-27","2022-05-27","2021-04-08","2021-04-08","2022-02-17","2022-05-01","2022-05-01","2022-07-09","2022-07-09"],"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":""}]}]}