{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Y  ADNILEBREKATTIHW ","gend":1,"add":"LE 9101TS NIK","city":"NORFOLK","state":"VA","zip":23523,"dob":"1970-05-26","age":"","mstatus":"","insh":"7917310*70","cliId":"","pno":"-3455566","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"757\/625-3777","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","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":["N76.0","E11.9","I10.","E55.9","R55.","M65.311","Z20.822","E86.0","E87.6","Z00.00","E78.2","F12.129","NO DATA","F41.9","R10.30","M79.641","F17.210","H66.001","J06.9","K21.9","E78.5","Z79.899","Z98.51","Z79.1","H92.01","Z80.0","Z86.010","D12.3"],"date":["2020-03-17","2022-03-01","2022-07-28","2021-10-13","2022-06-26","2020-11-19","2021-09-13","2022-07-28","2022-07-28","2022-01-31","2020-06-16","2022-06-26","2020-10-28","2020-12-15","2021-06-15","2020-09-24","2022-03-01","2022-03-01","2022-03-01","2022-03-01","2022-03-01","2022-03-01","2022-03-01","2022-03-01","2022-03-01","2020-07-28","2020-07-28","2020-07-28"],"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":""}]}]}