{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"M  NEKSAVNAINITRA ","gend":0,"add":"UD 9677STC RER","city":"SPRINGFIELD","state":"VA","zip":22153,"dob":"1960-06-11","age":"","mstatus":"","insh":"8931210*94","cliId":"","pno":"65\/3075789-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/440-0107","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22153,"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":["I10.","E11.9","R60.9","R21.","Z12.11","Z00.00","R35.0","E78.2","J45.20","Z82.49","Z79.84","L21.9","J06.9","R05.9","M54.9","M79.661","M79.662","M79.89","M54.42","Z68.36","G89.29","R60.0"],"date":["2022-02-23","2022-02-23","2020-03-04","2020-03-04","2021-11-24","2021-11-24","2021-11-24","2022-02-23","2021-06-30","2021-06-30","2020-04-01","2020-08-26","2021-12-28","2021-12-28","2021-12-28","2020-03-04","2020-03-04","2022-02-23","2021-06-30","2021-06-30","2021-06-30","2020-03-04"],"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":""}]}]}