{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JESUS YANEZ","gend":0,"add":"5832 WESSEX LN 20 HARTLAKE DRIVE","city":"ALEXANDRIA","state":"VA","zip":22310,"dob":"1980-07-27","age":"","mstatus":"","insh":"20048645*01","cliId":"","pno":"703\/216-3859","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/797-6970","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22310,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"703\/922-3479","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F90.0","F42.9","E11.9","E78.2","Z00.00","Z11.1","Z13.5","Z97.3","Z68.26","F42.2","F90.2","F84.0","H92.01","L03.012","E66.3","E11.65"],"date":["2022-10-26","2022-10-26","2022-05-17","2022-05-17","2022-05-17","2022-05-17","2022-05-17","2022-05-17","2022-05-17","2022-05-17","2022-05-17","2022-05-17","2021-05-07","2020-02-15","2020-03-11","2020-03-11"],"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":""}]}]}