{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" YENDORNOTXARB","gend":0,"add":"OB OP21 X","city":"MILLERS TAVERN","state":"VA","zip":23115,"dob":"1970-06-18","age":"","mstatus":"","insh":"9643110*65","cliId":"","pno":"92\/4080105-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/594-3600","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23115,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS HARTFIELD MEDICAL CENTER","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["I10.","B34.9","Z20.822","L03.116","S39.012A","R10.13","R53.83","E11.9","E78.00","F17.210","Z79.84","Z79.899","R07.81","M79.3","E66.9","R21.","S06.9X9A","S16.1XXA","S29.012A","R07.9","M47.816","E11.65","R25.2","Z79.4","K21.9","R73.03","E78.5","Z11.59","Z71.1","Z12.11","N52.9","Z68.36"],"date":["2022-06-16","2021-01-20","2021-01-20","2021-08-18","2022-03-09","2020-10-17","2021-05-30","2021-09-16","2021-05-30","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2020-05-03","2020-05-03","2020-05-03","2020-09-23","2020-09-23","2020-09-23","2021-09-17","2022-03-30","2021-07-28","2021-07-28","2021-07-28","2021-09-16","2022-06-16","2022-06-16","2022-06-16","2022-06-16","2022-06-16","2022-06-16","2022-06-16"],"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":{"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":""}]}]}