{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"A E  LEAFARZITRO SREL","gend":0,"add":" TS XOTTAMOPPA 429EVIRD EROMTA 0096","city":"NORFOLK","state":"VA","zip":23523,"dob":"1966-08-20","age":"","mstatus":"","insh":"7854210*73","cliId":"","pno":"94\/4085198-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23523,"pcpcounty":"","pcpid":"","pcpname":"","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":["F33.1","R06.02","E11.9","Z79.84","E78.5","G40.909","F31.32","R20.2","I10.","Z86.73","Z79.4","K76.0","M62.830","M79.602","R06.00","M62.838","R07.9","R07.89","R55.","E11.65","E10.65","I63.9","NO DATA","Z79.899","E83.51","Z63.4","E86.1","F41.9"],"date":["2022-05-20","2022-08-20","2022-08-20","2022-05-19","2022-05-19","2022-05-19","2022-06-02","2022-08-20","2022-10-02","2022-08-20","2022-10-01","2022-08-20","2022-08-20","2022-08-20","2022-08-20","2022-08-19","2022-10-01","2022-10-04","2022-10-04","2022-10-02","2022-10-01","2022-10-01","2022-10-01","2022-10-01","2022-10-01","2022-10-01","2022-10-01","2022-10-01"],"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":[]}},{"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":""}]}]}