{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ACNALBSAVAN L","gend":1,"add":"ALDOOW 2155TC RONAM NW","city":"ALEXANDRIA","state":"VA","zip":22309,"dob":"1967-04-23","age":"","mstatus":"","insh":"8093210*17","cliId":"","pno":"94\/3070726-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/535-5568","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22309,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","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":["C50.911","Z17.1","D64.9","Z17.0","C50.411","C77.3","E11.65","E78.5","I10.","E55.9","Z51.0","R91.8","J18.9","E03.9","C50.919","Z15.01","Z15.02","Z15.09","Z51.11","R59.0","J98.4","Z98.890","T50.905A","Z23.","Z45.2","Z51.81","Z79.899","R53.1","R53.83","R91.1","E11.9","Z79.4","Z79.84","C50.011","Z92.3","R05.8","Z01.818","Z92.89","Z92.21","I07.1","J47.9"],"date":["2022-10-06","2022-10-24","2022-11-02","2021-11-11","2022-10-06","2022-05-18","2022-11-02","2022-04-28","2022-11-02","2022-04-28","2022-01-06","2022-08-26","2022-09-15","2022-11-02","2022-10-24","2022-11-17","2022-11-17","2022-11-17","2022-09-15","2021-11-22","2022-05-04","2022-09-15","2022-06-10","2022-07-21","2021-12-23","2021-10-15","2022-05-04","2021-09-17","2022-09-15","2022-05-04","2022-09-29","2022-09-29","2021-10-27","2022-08-11","2022-09-15","2022-03-11","2022-11-02","2021-10-04","2021-12-13","2022-11-02","2022-11-02"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}