{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"H ASERETREGNILLO","gend":1,"add":"OB OP441 X","city":"BIG STONE GAP","state":"VA","zip":24219,"dob":"1959-06-12","age":"","mstatus":"","insh":"74100210*02","cliId":"","pno":"12\/6728870-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/328-8910","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24219,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"SOUTHWEST","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":["H33.002","M25.561","E11.42","E03.9","E11.9","I10.","Z79.4","M70.61","Z23.","B35.1","L85.1","M79.672","M79.671","L60.0","Z12.31","Z20.828","E10.9","E11.3293","H40.053","M17.11","R19.00","E78.5","M51.36","I69.398","R20.9","G47.33","D25.9","D21.9","M79.609","Z79.899","I69.359","H33.022","H33.22"],"date":["2021-09-22","2021-11-01","2022-11-08","2021-11-01","2022-08-25","2022-08-25","2022-11-08","2022-01-26","2021-10-12","2022-11-08","2021-04-13","2022-11-08","2022-11-08","2022-03-09","2020-06-29","2020-11-04","2020-11-04","2021-09-21","2021-09-21","2021-12-07","2022-03-02","2022-04-06","2022-04-06","2022-06-01","2022-06-01","2020-08-26","2022-08-18","2022-08-18","2022-08-25","2022-08-25","2022-04-06","2021-10-04","2021-09-21"],"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":{"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":""}]}]}