{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ANAHOJADNARIM","gend":1,"add":"MAT 63741LP KCARA","city":"WOODBRIDGE","state":"VA","zip":22191,"dob":"1996-11-24","age":"","mstatus":"","insh":"8923210*70","cliId":"","pno":"12\/0451571-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/910-7390","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22191,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","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":["E28.2","E11.37X9","Z71.3","Z68.43","Z71.82","Z31.69","Z00.01","E55.9","K21.9","B96.81","G47.30","E66.01","E78.5","R94.5","R73.03","Z01.419","Z20.2","M54.9","N39.0","R10.32","Z20.828","E11.9","H60.91","Z03.818"],"date":["2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2020-10-08","2021-02-18","2020-10-08","2020-10-08","2020-10-08","2021-02-16","2021-02-18","2021-02-16","2021-02-16","2020-10-15","2020-10-15","2020-10-29","2020-10-29","2020-10-29","2020-11-13","2021-02-18","2022-08-13","2020-11-13"],"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":{"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":""}]}]}