{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SETH OKYERE","gend":0,"add":"3385 DRY POWDER CIR APT 102","city":"DUMFRIES","state":"VA","zip":22026,"dob":"1968-10-01","age":"","mstatus":"","insh":"2308994*01","cliId":"","pno":"347\/370-7176","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/523-1750","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22026,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"844\/518-0708","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z12.11","D12.2","D12.3","D12.4","M75.101","E11.9","E11.69","N52.9","Z20.828","R94.31","I10.","Z01.818","E78.5","V58.89","M75.41","Z47.89","M25.611","Z23.","Z01.810","E78.00","E66.9","M25.511","G89.29","G89.18","R06.00","Z12.5","Z00.00","Z11.4","E78.2","H11.002","B35.1","R82.90","D64.9","N52.1","Z11.59","R53.83"],"date":["2020-08-12","2020-08-12","2020-08-12","2020-08-12","2021-03-05","2022-05-27","2021-07-16","2022-05-27","2021-03-02","2021-10-19","2022-05-27","2021-02-16","2022-05-27","2021-05-17","2021-05-17","2021-05-17","2021-05-17","2022-05-27","2021-02-10","2021-02-10","2021-02-10","2021-03-17","2021-03-17","2021-03-05","2021-10-19","2022-03-09","2020-12-02","2020-12-02","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2022-03-09","2021-07-09"],"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":""}]}]}