{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" NETSIRKENOLLEVA","gend":1,"add":"REBLUM 00617 TPA TS YR","city":"WAYNESBORO","state":"VA","zip":22980,"dob":"1976-01-27","age":"","mstatus":"","insh":"7584210*74","cliId":"","pno":"28\/4347642-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/589-9030","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22980,"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":["M54.2","NO DATA","G89.29","Z47.89","M54.16","M51.16","M46.22","E10.65","Z23.","M48.02","M47.812","G47.9","M54.9","E10.43","K12.2"],"date":["2022-09-08","2022-08-23","2022-09-08","2022-08-23","2022-08-23","2022-08-23","2022-08-23","2022-10-24","2022-09-29","2022-09-05","2022-09-05","2022-09-08","2022-09-08","2022-10-24","2022-10-31"],"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":""}]}]}