{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"E  LRACSENOJ ","gend":0,"add":"HSRAM E 7053A TPA TS LLA","city":"RICHMOND","state":"VA","zip":23223,"dob":"1961-10-17","age":"","mstatus":"","insh":"8303210*03","cliId":"","pno":"08\/4081611-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23223,"pcpcounty":"","pcpid":"","pcpname":"Dominion Medical Associates, INC.","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["R97.20","Z01.812","Z20.822","Z04.9","R00.2","Z23.","I10.","N40.0","N52.9","M54.9","C61.","R39.9","N32.0","R31.9","Z98.890","R31.0","R39.198","E88.81","N13.9","R19.00","T83.9XXA","E11.9","E78.00","F17.210","Z85.46","L03.311","K65.0","Z90.79","N32.89","F17.200","Z79.4","C63.7","D18.03","G89.29","R33.9","T83.091A"],"date":["2022-08-05","2021-06-29","2021-06-29","2022-09-21","2020-07-20","2021-11-23","2022-11-02","2021-11-22","2022-06-08","2022-04-04","2022-11-03","2022-11-03","2022-05-01","2022-05-01","2022-05-01","2022-11-03","2022-05-03","2021-02-11","2022-04-30","2022-11-02","2022-10-29","2022-11-02","2022-10-29","2022-10-29","2022-10-29","2022-11-02","2022-11-02","2022-11-02","2022-11-02","2022-11-02","2022-11-02","2022-10-26","2022-10-26","2022-10-26","2022-10-26","2022-10-29"],"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":""}]}]}