{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"C  YELAHNOREMAC ","gend":1,"add":"DRIHT 423D TPA TS ","city":"NORTH TAZEWELL","state":"VA","zip":24630,"dob":"1995-07-15","age":"","mstatus":"","insh":"9575110*57","cliId":"","pno":"69\/6729996-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/964-6649","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24630,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","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":["E10.10","E10.65","H53.9","Z76.89","F17.200","Z72.0","R00.0","R10.13","R94.31","NO DATA","I21.09","E87.6","Z20.822","E86.0","F17.210","Z83.3","Z91.030","K08.89","K04.7","E10.9","Z79.4"],"date":["2022-07-26","2022-09-19","2022-07-26","2022-07-26","2022-11-07","2022-09-19","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-07-15","2022-01-15","2022-01-15","2022-11-07","2022-11-07"],"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":{"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":""}]}]}