{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHAD  E KUEHLE","gend":0,"add":"837 OX ROAD","city":"WOODSTOCK","state":"VA","zip":22664,"dob":"1971-05-31","age":"","mstatus":"","insh":"2198427*01","cliId":"","pno":"540\/477-3414","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/459-1383","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22664,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/459-1382","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H92.01","M10.9","I48.0","I49.3","I47.2","I49.1","E78.5","I10.","R53.83","NO DATA","Z76.0","Z79.01","E11.9","E78.2","G47.33","F41.1","M47.816","M54.32","Z00.00","S46.211A","X58.XXXA","Z11.52","J30.2","Z20.828","G89.18","I25.10","I48.91","M25.521","Z98.890","Z48.89","Z20.822"],"date":["2020-01-06","2020-08-04","2022-08-01","2021-05-21","2021-03-29","2021-05-21","2021-12-02","2021-12-02","2021-05-21","2022-07-18","2020-01-06","2020-08-14","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-09-07","2021-09-07","2020-01-28","2021-09-20","2021-06-05","2021-12-22","2020-05-14","2020-12-28","2021-06-11","2021-06-11","2021-06-11","2021-09-07","2021-09-07","2021-07-12","2021-11-30"],"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":[]}},{"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":""}]}]}