{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  DROFIDERRJ DYOB L","gend":0,"add":" EVIF 6213DAOR SKROF","city":"PAMPLIN","state":"VA","zip":23958,"dob":"1966-01-10","age":"","mstatus":"","insh":"9872210*43","cliId":"","pno":"95\/2533636-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/315-5340","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23958,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["C7A.012","M25.512","J44.9","G47.33","D3A.021","F17.200","S46.912A","M70.812","Z72.0","Z68.42","I10.","E78.5","E66.01","E11.9","Z68.41"],"date":["2021-04-26","2022-11-08","2022-07-29","2022-10-14","2022-07-29","2022-07-29","2022-10-14","2022-10-14","2021-09-03","2021-03-25","2022-10-14","2022-10-14","2022-10-14","2022-10-14","2021-05-28"],"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":""}]}]}