{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEBRA ESPRELLA","gend":1,"add":"5820 KARA PL","city":"BURKE","state":"VA","zip":22015,"dob":"1960-03-21","age":"","mstatus":"","insh":"2374823*01","cliId":"","pno":"571\/278-9208","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/982-8390","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22015,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"703\/982-8391","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z00.00","Z23.","E11.65","E78.2","I10.","F90.2","Z12.11","Z12.31","Z12.12","M25.561","M19.90","M72.2","M25.562","G89.29","R07.9","M70.52","S91.201A","M70.51","R05.","T46.4X5A","J45.21","Z20.822","F41.9","J45.909","R03.0","M17.11","M17.12"],"date":["2021-10-01","2021-11-10","2022-09-09","2022-09-09","2022-09-09","2021-10-01","2021-10-01","2021-10-01","2021-10-01","2021-05-17","2021-04-14","2021-04-14","2021-08-02","2021-05-17","2021-05-17","2022-04-27","2021-08-24","2022-04-27","2021-08-12","2021-08-12","2021-05-12","2021-05-12","2021-05-12","2021-05-17","2021-05-17","2022-11-15","2022-11-15"],"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":{"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":""}]}]}