{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" EUQINOMZERAVLA","gend":1,"add":"23971 STPECNOC YTINUMMOC O\/C003 ETS DRAVELUOB YELARF S ","city":"DUMFRIES","state":"VA","zip":22026,"dob":"1982-07-14","age":"","mstatus":"","insh":"77100210*70","cliId":"","pno":"73\/1759758-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/968-5700","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22026,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"NORTHERN\/ WINCHESTER","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":["N39.41","E11.65","I10.","E11.9","Z79.4","L23.9","E10.51","B35.3","U07.1","R10.84","Z23.","F84.0","R07.9","B37.2","R73.9","F70.","Z91.14","E11.42","A49.9","L25.9","L85.3","E11.51","B35.1","L84.","R21.","S30.91XA","H60.91","M54.5","S39.012A","T14.8XXA","R11.0","J02.9","E11.649","M79.621","N76.0","R45.4","F63.9","Z79.1","Z79.899","R46.89","R10.9","R35.0","B37.3","Z20.828","Z03.818","E11.00","E78.5","F79.","R68.84"],"date":["2022-11-17","2022-11-16","2022-11-04","2022-11-14","2022-07-19","2020-06-19","2022-07-26","2020-06-19","2022-11-14","2020-08-15","2020-10-12","2022-11-14","2021-01-15","2021-08-20","2021-08-20","2022-11-14","2021-08-27","2020-03-18","2020-09-14","2020-09-14","2020-09-14","2022-10-25","2022-10-25","2022-10-25","2022-05-16","2022-02-15","2022-10-24","2020-02-17","2020-02-17","2020-02-19","2020-08-14","2021-10-03","2020-08-14","2022-02-15","2021-06-09","2021-08-09","2021-08-09","2021-08-09","2021-08-09","2021-08-09","2020-02-05","2021-08-20","2021-08-20","2020-06-22","2020-06-22","2022-11-04","2022-11-04","2022-11-04","2022-11-04"],"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":""}]}]}