{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MAJID MAHJOUBI","gend":0,"add":"523 N ARMISTEAD ST APT T3","city":"ALEXANDRIA","state":"VA","zip":22312,"dob":"1957-05-10","age":"","mstatus":"","insh":"2300573*01","cliId":"","pno":"703\/896-6777","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/845-0700","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22312,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"703\/974-2269","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z20.828","M75.102","M25.512","M62.81","M25.612","M19.012","E11.65","I25.10","E78.2","R07.9","I25.83","I20.0","Z86.79","Z86.39","D23.5","L91.8","L81.4","L30.9","L29.8","Z01.810","R94.39","Q38.3","M25.561","Z95.5","E78.6","Z95.1","H52.03","H25.13","E11.9","Z79.4","I10.","M22.41","G89.29","Z01.818","I25.110","E78.1"],"date":["2021-01-26","2021-04-07","2021-09-24","2021-04-07","2021-04-07","2022-03-01","2022-02-23","2022-09-30","2022-02-23","2020-06-22","2022-03-15","2022-02-23","2020-07-03","2020-07-03","2020-07-16","2020-07-16","2020-07-16","2020-08-12","2020-08-12","2020-06-24","2020-07-03","2022-02-23","2022-03-01","2022-02-23","2022-02-23","2022-02-23","2020-05-12","2020-05-12","2021-08-09","2020-05-12","2021-03-31","2022-03-01","2021-09-21","2020-06-29","2020-07-03","2021-08-09"],"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":""}]}]}