{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RAHEL ASSEFA","gend":1,"add":"12116 MONUMENT DR APT 222","city":"FAIRFAX","state":"VA","zip":22033,"dob":"1970-12-16","age":"","mstatus":"","insh":"2139907*01","cliId":"","pno":"703\/865-5535","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/435-1223","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22033,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"703\/435-1868","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J06.9","E11.9","E78.2","E53.8","L30.9","Z23.","Z00.00","E11.69","E55.9","Z79.899","Z01.00","L65.9","R79.89","Z12.31","Z12.11","Z12.12","R53.83"],"date":["2020-05-08","2022-11-07","2022-11-07","2022-11-28","2020-07-21","2021-05-14","2021-09-07","2021-09-07","2022-11-07","2021-09-07","2021-09-07","2022-05-10","2022-02-03","2021-05-27","2021-05-27","2021-05-27","2022-11-07"],"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":""}]}]}