{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  LEZAHGNUOY L","gend":1,"add":"KCORMAHS 841D TPA TRUOC ","city":"KILMARNOCK","state":"VA","zip":22482,"dob":"1950-03-05","age":"","mstatus":"","insh":"8524110*94","cliId":"","pno":"34\/4088712-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22482,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS HEATHSVILLE FAMILY PRACTICE","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["E11.3293","H52.223","H52.03","E11.65","E11.9","Z00.00","Z13.39","E11.21","I10.","Z68.27","Z23.","Z79.4","E78.00","H61.23","Z20.828","H25.11","H25.12","Q14.1","H25.813","H52.4"],"date":["2022-11-04","2022-10-26","2022-10-26","2022-07-11","2022-10-26","2022-03-02","2022-03-02","2022-03-02","2022-07-11","2022-03-02","2022-01-18","2022-07-11","2022-07-11","2022-07-11","2020-07-13","2022-11-04","2022-11-04","2022-11-04","2022-10-26","2022-10-26"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}