{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AYYIKAZMIKCM H","gend":1,"add":"HTAC NEEUQ 71024 TPA TC ENIRE","city":"VIRGINIA BEACH","state":"VA","zip":23454,"dob":"1990-09-02","age":"","mstatus":"","insh":"7405210*51","cliId":"","pno":"57\/7575812-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23454,"pcpcounty":"","pcpid":"","pcpname":"EVMS Ghent Family Medicine","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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":["F31.4","F41.1","F90.0","G47.33","N76.0","B37.3","NO DATA","E11.9","F17.210","Z79.84","Z88.0","Z23.","F98.8","F32.9","M62.830","R82.90","Z20.828","Z32.02","J02.9","H66.92","R40.0","R06.83","E66.01","Z71.6","E55.9","F33.1","R05.","Z03.818","Z01.419","N89.8","B97.89","F17.200","Z09.","N61.1","Z11.1","E11.65","K08.89","R51.9","K04.01"],"date":["2022-10-25","2022-10-25","2022-10-25","2022-09-12","2021-08-28","2021-08-28","2021-11-12","2022-10-18","2022-10-16","2021-11-12","2022-10-16","2022-10-18","2020-05-04","2020-05-04","2020-03-09","2020-03-09","2020-10-14","2021-01-01","2020-07-31","2020-07-31","2022-09-12","2022-09-12","2022-09-12","2021-12-15","2021-12-15","2020-01-03","2020-10-14","2020-04-12","2021-07-29","2020-07-15","2020-07-15","2022-08-22","2021-08-11","2022-10-18","2022-04-27","2021-08-08","2022-10-16","2022-06-21","2022-10-16"],"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":""}]}]}