{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" J  EVADLLAVOTS","gend":0,"add":"ENRAB 2217YWH ELLIVS","city":"RED OAK","state":"VA","zip":23964,"dob":"1972-04-21","age":"","mstatus":"","insh":"7214210*41","cliId":"","pno":"37\/4348018-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/738-6420","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23964,"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":["M79.662","R53.1","R26.2","S90.31XA","Z87.891","R45.1","U07.1","Z23.","W07.XXXA","I10.","F14.90","N18.2","E78.2","E11.9","Z90.49","R05.9","S99.921A","W19.XXXA","R06.09","I51.7","N18.9","Z79.899","R51.9"],"date":["2021-10-08","2021-10-08","2021-10-08","2022-10-08","2022-10-08","2022-10-08","2022-08-31","2022-08-31","2022-10-08","2022-08-28","2021-09-26","2021-10-21","2021-10-21","2022-08-28","2022-08-28","2022-08-28","2022-10-08","2022-10-08","2021-09-23","2021-09-23","2021-09-23","2021-09-26","2021-09-26"],"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":""}]}]}