{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" AISAUQESMAILLIW","gend":1,"add":"UMDE 3081EN EVA DN","city":"ROANOKE","state":"VA","zip":24012,"dob":"1980-02-26","age":"","mstatus":"","insh":"8131210*66","cliId":"","pno":"76\/0453870-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/265-1607","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24012,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["L03.012","E10.9","L53.9","M25.572","Z23.","E11.65","R11.10","E11.9","Z80.0","Z12.11","T14.8XXA","D12.6","D12.3","K63.5","S99.919A","I10.","E78.5","E87.6","Z20.822","E11.43","K31.84","R13.10","Z79.4","Z87.891","Z86.16","M54.2","M54.6","M25.60","M25.512","M62.830","M62.81","R11.2","U07.1","E87.1","S93.402A","W18.40XA","E78.00","Z20.828","F12.90","R03.0","K04.7","K62.1","S46.811A","V49.50XA","R13.19","R19.7"],"date":["2021-10-10","2021-10-10","2021-10-10","2021-10-29","2021-06-04","2022-09-15","2022-09-02","2022-02-09","2020-10-13","2020-10-13","2020-06-09","2020-10-13","2020-10-13","2020-10-13","2021-10-22","2022-09-15","2022-02-09","2022-09-17","2022-09-15","2022-09-15","2022-09-15","2022-09-17","2022-09-15","2022-09-15","2022-09-15","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2022-11-14","2022-09-17","2022-09-17","2021-10-22","2021-10-22","2020-10-13","2020-09-30","2022-09-02","2022-09-02","2020-01-05","2020-10-13","2021-05-12","2021-05-12","2022-11-14","2022-09-16"],"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":""}]}]}