{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  AHTREBRENRUT G","gend":1,"add":"ELLIUQ LICEC 824774 XOB OP RD N","city":"DUFFIELD","state":"VA","zip":24244,"dob":"1947-04-19","age":"","mstatus":"","insh":"86100210*81","cliId":"","pno":"36\/6728110-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/523-6715","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24244,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"SOUTHWEST","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":["F20.9","F32.9","R39.81","Z74.09","R41.82","R44.3","M62.81","N39.3","R26.89","S01.01XA","S06.0X9A","I10.","E11.9","R55.","R40.4","Z86.59","R27.0","NO DATA","G93.41","N39.0","E86.0","E86.1","E53.8","Z78.1","Z79.84","Z79.899","S00.01XA","S00.03XA"],"date":["2022-08-30","2022-08-30","2022-07-21","2022-01-24","2022-01-27","2022-01-27","2022-07-21","2022-07-21","2022-01-11","2021-09-26","2021-09-26","2022-05-07","2022-05-07","2021-09-26","2022-01-11","2022-01-11","2022-01-11","2021-07-03","2021-07-03","2021-07-03","2021-07-03","2021-07-03","2021-07-03","2021-07-03","2022-01-27","2022-01-27","2022-05-07","2022-05-07"],"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":""}]}]}