{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"C  ANNAIDNAMLEHSA ","gend":1,"add":" KCOR 933161 TOL DR","city":"CHRISTIANSBURG","state":"VA","zip":24073,"dob":"1958-09-17","age":"","mstatus":"","insh":"9143210*94","cliId":"","pno":"05\/0452719-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/381-0820","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24073,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["F43.21","E11.9","I10.","E78.2","E66.9","F32.9","Z68.38","E11.3311","E11.3392","H25.13","R94.31","V54.12","Z00.00","E53.8","J06.9","R13.10","R63.8","R00.0","Z79.4","Z79.82","Z79.899","R06.02","R63.0","R50.9","R53.81","R42.","R05.9","R11.0","Z23.","M79.642","M25.532","S62.357A","Z13.31"],"date":["2022-06-24","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2021-01-20","2021-07-08","2021-07-08","2021-07-08","2022-02-12","2022-05-11","2021-06-09","2021-07-07","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2022-02-12","2021-11-16","2022-04-20","2022-04-08","2022-04-08","2022-03-23"],"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":[]}},{"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":""}]}]}