{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RIFET SMAJLAGIC","gend":0,"add":"7106 WALFORD AVE","city":"RICHMOND","state":"VA","zip":23226,"dob":"1964-01-20","age":"","mstatus":"","insh":"2426361*01","cliId":"","pno":"804\/502-9432","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/272-2702","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23226,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/272-9355","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E78.5","I10.","E11.9","Z72.0","G56.01","R20.0","R20.2","Z20.828","J20.9","R51.9","E11.65","E11.29","E11.69","E78.2","Z79.84","E66.01","Z68.41","E87.5","Z87.891","E11.21","R03.0","R80.9"],"date":["2022-07-05","2022-07-05","2022-07-05","2022-03-13","2022-02-04","2022-02-04","2022-02-04","2022-04-09","2022-04-09","2022-04-09","2022-06-30","2022-06-30","2022-06-30","2022-06-30","2022-07-05","2022-02-04","2022-05-02","2022-03-20","2022-03-20","2022-03-20","2021-11-07","2022-05-02"],"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":""}]}]}