{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" EILSELRETRAC","gend":1,"add":"SREFFEJ 4029 TPA TS NO","city":"ORANGE","state":"VA","zip":22960,"dob":"1971-11-11","age":"","mstatus":"","insh":"8304210*73","cliId":"","pno":"93\/0456716-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22960,"pcpcounty":"","pcpid":"","pcpname":"AHG - Orange Family Physicians","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["M76.61","E11.9","I10.","E78.5","Z79.899","Z98.890","N70.11","R10.32","E78.2","E55.9","Z12.11","R73.03","E04.9","M25.571","G89.29","M21.6X1","K57.90","Q50.4","Z87.39","Z79.84","M62.461","K86.89","L72.9","K57.30","Z00.00","K57.31","N83.201","K31.89","R93.3","Z03.818"],"date":["2021-11-04","2022-08-02","2022-08-02","2021-11-04","2021-11-04","2021-11-04","2021-10-26","2021-10-26","2022-04-07","2022-04-07","2022-08-02","2022-05-10","2022-05-10","2022-03-23","2021-10-12","2021-10-12","2021-10-12","2021-10-12","2021-10-12","2021-10-12","2021-10-12","2022-06-06","2022-07-12","2022-08-02","2021-10-05","2021-10-05","2021-10-05","2022-06-06","2022-06-06","2022-08-26"],"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":""}]}]}