{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" REVILOREMTIHW","gend":0,"add":"SEKON 90731DAOR ELLIV","city":"NOKESVILLE","state":"VA","zip":20181,"dob":"1978-08-14","age":"","mstatus":"","insh":"82800210*45","cliId":"","pno":"43\/3071666-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/369-5000","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":20181,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["N52.01","Z89.512","I10.","E11.65","E11.21","G47.00","E78.5","Z00.00","E11.40","F41.9","Z02.9","E55.9","R06.83","E11.8","Z68.36"],"date":["2022-05-13","2022-04-27","2022-11-21","2022-11-21","2022-08-18","2022-11-21","2022-11-21","2022-09-20","2022-11-21","2022-05-17","2022-05-17","2022-11-21","2022-10-28","2022-10-28","2022-10-28"],"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":""}]}]}