{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"G YDERFZELAZNO","gend":0,"add":"EIV TFORCRAB 4163302 TPA ECARRET W","city":"FALLS CHURCH","state":"VA","zip":22041,"dob":"1969-01-15","age":"","mstatus":"","insh":"8154210*27","cliId":"","pno":"05\/1757397-1","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/680-7950","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22041,"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":["J31.0","Z23.","E11.9","NO DATA","R14.0","S50.01XA","S30.0XXA","S16.1XXA","R10.13","K92.1","E11.69","A07.2","N48.1","E29.1"],"date":["2022-10-10","2022-10-10","2022-10-10","2022-10-10","2022-01-11","2022-06-15","2022-06-15","2022-06-15","2022-05-23","2022-05-23","2022-06-02","2022-06-02","2022-06-02","2022-06-02"],"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":""}]}]}