{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  REBMANNAM V","gend":1,"add":"BNELHUM N 033A1 TPA TS GRE","city":"WOODSTOCK","state":"VA","zip":22664,"dob":"1982-06-15","age":"","mstatus":"","insh":"9253210*12","cliId":"","pno":"42\/0454791-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/459-1540","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22664,"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":["L25.9","I50.20","I42.8","I10.","F41.1","I11.0","I25.10","E66.01","N93.9","R06.02","R00.2","D64.9","Z20.822","Z95.810","F33.40","Z30.430","K04.7","K08.89","R68.84","I44.7","N92.0","N84.0","I50.22","I49.3","E66.9","E07.9","K21.9","F41.9","NO DATA","Z79.1","Z79.899","Z97.5","Z82.49","Z83.3","Z82.3","Z80.0"],"date":["2021-02-19","2022-07-29","2022-07-29","2022-07-29","2021-12-27","2022-06-13","2021-11-05","2021-11-05","2022-03-21","2022-07-29","2022-07-11","2022-03-21","2022-08-24","2022-09-12","2021-07-21","2022-05-04","2022-10-05","2022-10-05","2022-10-05","2022-06-13","2022-05-05","2022-05-05","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-10-31","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-06-13"],"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":[]}},{"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":""}]}]}