{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" AISA'INRELYT L ","gend":1,"add":"KRABGAHS 7095A2204 TPA TC ","city":"RICHMOND","state":"VA","zip":23227,"dob":"2000-06-19","age":"","mstatus":"","insh":"7222210*91","cliId":"","pno":"75\/4089897-1","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23227,"pcpcounty":"","pcpid":"","pcpname":"Virginia Physicians for Women","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":["O24.012","O24.013","Z3A.28","Z3A.34","Z23.","Z3A.36","E10.65","Z30.42","Z3A.23","O24.019","Z3A.00","Z20.828","E10.9","Z79.4","Z30.09","Z98.890","Z32.02","Z37.0","Z3A.37","J09.X2","Z20.822","J10.1","E11.9","R68.83","Z34.81","Z3A.10","Z3A.19","O80.","J06.9","K04.7","R22.0","O99.284","E10.649","Z78.9","Z72.89","Z88.8","K13.79","R87.619","Z32.01","E11.65","Z64.0","Z3A.32","Z01.419","Z11.3","Z68.21"],"date":["2020-11-02","2021-01-23","2020-11-19","2021-01-04","2021-01-19","2021-01-19","2022-03-28","2022-09-06","2020-10-17","2020-11-19","2020-11-19","2021-08-28","2022-03-22","2021-12-22","2022-05-31","2022-05-31","2022-05-31","2021-01-23","2021-01-23","2021-12-22","2021-12-22","2021-12-22","2021-12-22","2021-12-22","2020-07-21","2020-07-21","2020-09-16","2021-01-23","2021-08-28","2021-04-14","2021-04-14","2021-01-22","2021-01-22","2021-01-22","2021-01-22","2021-01-22","2021-04-14","2022-04-13","2022-04-13","2022-04-13","2022-04-13","2020-12-21","2022-03-22","2022-03-22","2022-03-28"],"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":""}]}]}