{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W  HTENNEKRS SILLE ","gend":0,"add":"S YBSOM 805DAOR PMAC ","city":"STANLEY","state":"VA","zip":22851,"dob":"1958-03-08","age":"","mstatus":"","insh":"98500210*55","cliId":"","pno":"77\/0452099-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/443-2000","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22851,"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":["C44.212","I10.","Z85.828","L21.9","Z12.83","Z51.89","Z48.3","D48.5","L57.0","E11.9","E78.2","E53.8","C44.519","C44.41"],"date":["2020-08-12","2020-11-17","2022-04-05","2022-05-12","2021-04-05","2020-08-12","2020-08-12","2022-04-05","2022-04-05","2020-11-17","2020-11-17","2020-11-17","2022-05-12","2020-08-07"],"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":""}]}]}