{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" EATNODNOSKCAJ","gend":0,"add":"DECAM 8246DAOR AINO","city":"WOODFORD","state":"VA","zip":22580,"dob":"1985-11-03","age":"","mstatus":"","insh":"7683210*47","cliId":"","pno":"87\/0454190-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"828\/255-7622","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22580,"pcpcounty":"","pcpid":"","pcpname":"","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":["R06.02","R42.","H53.8","R60.9","R07.9","Z98.890","R53.81","R53.1","E11.9","F41.9","E78.2","E55.9","E11.65","Z20.822","D69.6","R19.7","R50.9","R51.9","R05.8","F41.0","F17.200","Z79.84","NO DATA","R53.82","Z87.891","Z79.899","R05.9","Z76.89","Z00.00","Z13.29","Z13.0","Z13.1","Z13.220","Z13.21","Z11.4","Z09.","M75.121","M75.21","M75.41","S46.111A","S43.431A","S43.004A","R06.00","R52.","R20.2","F17.210","J32.4","G44.89"],"date":["2022-01-22","2022-10-31","2021-06-20","2021-06-20","2021-06-20","2021-06-20","2022-01-25","2022-01-25","2022-10-31","2022-10-27","2022-07-20","2022-07-20","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-10-31","2022-01-22","2022-05-07","2022-05-07","2022-10-31","2022-05-07","2022-04-05","2022-04-05","2022-04-05","2022-01-22","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2021-06-01","2021-06-01","2021-06-01","2021-06-01","2021-06-01","2021-06-01","2021-06-20","2021-06-18","2022-10-27","2022-10-27","2022-10-31","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":[]}},{"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":""}]}]}