{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"FARHYA  S AHMED","gend":1,"add":"8200 ROLLING ROAD","city":"SPRINGFIELD","state":"VA","zip":22153,"dob":"1994-05-28","age":"","mstatus":"","insh":"2469996*01","cliId":"","pno":"703\/440-5180","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/689-1110","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22153,"pcpcounty":"","pcpid":"","pcpname":"SRMHMG - Sentara Hospital Medicine Physicians-RMH","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/689-1119","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F20.9","F10.20","F12.20","E10.8","F16.20","F41.1","F90.2","F32.9","F41.9","V62.84"],"date":["2022-10-26","2022-10-26","2022-10-26","2022-10-26","2022-10-26","2022-05-03","2022-05-03","2022-05-03","2022-05-03","2022-05-03"],"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":{"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":""}]}]}