{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ODNANREFOLLITSAC G","gend":0,"add":"C RODUT 99101 TPA T","city":"HAMPTON","state":"VA","zip":23669,"dob":"1962-03-15","age":"","mstatus":"","insh":"9103210*39","cliId":"","pno":"49\/7577792-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/380-8709","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23669,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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":["E11.9","E78.5","I10.","G43.019","F41.8","E11.65","F15.10","Z71.89","G43.909","J32.0","R51.9","R07.89","Z79.4","Z79.84","F17.210","E78.2","S09.90XA","S01.81XA","Y00.XXXA","F10.929","Z72.0","Z13.89","R07.9","Z12.11","Z12.5"],"date":["2022-07-27","2022-07-27","2022-08-08","2022-07-20","2022-07-27","2022-08-08","2022-05-18","2022-01-13","2022-06-20","2022-06-20","2022-07-27","2020-07-18","2022-08-08","2022-08-08","2022-08-08","2022-08-08","2021-06-20","2021-06-20","2021-06-20","2021-06-20","2021-08-09","2022-01-21","2020-06-17","2022-02-23","2021-08-09"],"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":[]}},{"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":""}]}]}