{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  IENDYSSUHCAE C","gend":1,"add":"UNASSAM 5442ECARRET NETT","city":"WINCHESTER","state":"VA","zip":22601,"dob":"1998-09-23","age":"","mstatus":"","insh":"9362210*81","cliId":"","pno":"17\/0451732-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/968-5700","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22601,"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":["E10.65","O20.9","O23.41","Z3A.19","Z23.","Z96.41","Z39.1","E10.9","O24.012","Z3A.23","Z11.1","O24.013","Z30.017","S90.561A","Z20.828","E10.649","J02.9","N92.6","O24.011","E10.10","O80.","Z37.0","Z3A.37","R07.89","I24.9","O24.019","O66.0","O75.81","Z02.0","O24.02","O36.63X0","O76.","O70.3","Z79.4","Z79.82","Z88.8","Z30.46","Z30.09","R11.0","Z71.89"],"date":["2022-11-21","2021-05-22","2021-05-22","2021-05-22","2021-08-04","2021-09-23","2022-11-21","2022-11-21","2021-07-29","2021-06-17","2021-07-02","2021-08-19","2021-11-23","2020-08-03","2021-01-02","2021-11-18","2021-01-02","2021-02-22","2021-03-01","2021-11-18","2021-09-23","2021-09-23","2021-09-23","2021-04-24","2021-04-24","2021-09-01","2021-09-23","2021-09-23","2021-06-26","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2022-05-26","2022-05-09","2022-05-09","2021-07-02"],"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":""}]}]}