{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  YNITSEDNOSNHOJ D","gend":1,"add":" NOTLIM 08271 TOL YWH","city":"RINGGOLD","state":"VA","zip":24586,"dob":"1998-11-18","age":"","mstatus":"","insh":"1883810*31","cliId":"","pno":"24\/4348113-5","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"434\/793-0700","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":24586,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R19.7","R63.4","R10.13","K21.9","E10.10","Z80.0","R11.0","R10.9","E10.43","K31.84","I11.9","F12.20","F17.210","E78.5","Z79.4","Z79.899","E16.0","E87.6","O24.012","N17.9","E87.3","R65.10","E83.41","E83.39","Z20.822","O99.342","F41.9","Z3A.16","Z87.891","O99.891","E13.10","R11.2","E08.65","Z3A.22","Q21.0","A41.9","L02.215","L03.314","R14.0","E11.00","R40.20","R47.81","E13.649","N39.0","B96.89","R41.0","R53.81","F12.90","I10.","E11.649","E16.1","E16.2","R40.4","E10.649","Z33.1","Z53.20","Z31.5","Z81.8","Z82.0","Z82.49","O24.011","Z82.69","Z3A.12","O99.810","R73.9","Z3A.13","O24.112","E11.65","O99.282","O10.012","R23.1","I95.9","R11.11","Z3A.24","E11.9","E10.9","R06.02","E08.10","D72.820","O99.111","O99.281","O99.331","D72.828","Z91.14","Z3A.01","R58.","R74.8","E78.2","O24.312","O23.42","Z3A.20","J02.9","G47.00","T38.3X5A","Z72.0","R11.10","E10.65","R32.","R10.10","K31.89","K92.2","Z32.01","O12.01","Z3A.00","Z3A.10","N17.0","Z33.3","Z3A.19","O03.9","F12.10","R41.82","T50.995A","R10.30","H02.846","Z74.3","L03.315","E86.0","R65.20","NO DATA","R06.89","E87.2","O00.01","O24.311","O10.011","E01.0","R00.0","R13.19","I51.7","I36.1","I37.1","R53.83","O24.111","R61.","O99.322","O24.429","D62.","Z37.0","O98.52","O99.344","R94.4","Z83.3","Z3A.26","O75.9","S05.02XA","R10.2","H10.30","E10.8","Z68.22","Z3A.15","B37.3","Z68.25","Z13.89","H10.31","H57.9","Z53.29","K29.70","F32.9","R46.4","O26.891","O24.812"],"date":["2022-05-18","2022-05-18","2022-01-27","2022-08-21","2022-10-06","2021-12-22","2022-07-01","2022-05-18","2022-08-21","2022-10-21","2022-04-20","2022-04-20","2022-04-20","2022-09-20","2022-10-13","2022-04-20","2022-06-07","2022-06-07","2022-10-13","2022-08-21","2022-08-21","2022-08-21","2022-08-21","2022-08-21","2022-08-21","2022-08-21","2022-10-21","2022-08-24","2022-10-21","2022-10-13","2022-10-03","2022-08-21","2022-09-03","2022-10-03","2022-07-26","2020-07-08","2020-07-08","2020-07-07","2022-01-27","2021-12-03","2022-10-13","2021-12-12","2022-05-10","2022-09-20","2022-05-10","2022-05-10","2022-05-29","2022-05-10","2022-09-20","2022-09-20","2022-10-13","2022-10-13","2022-10-13","2022-10-13","2022-07-15","2022-08-05","2022-09-12","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-08-05","2022-08-05","2022-08-05","2022-08-24","2022-08-24","2022-08-24","2022-08-24","2022-09-20","2022-09-20","2022-10-13","2022-10-13","2022-10-12","2022-03-01","2020-12-01","2022-04-21","2020-12-04","2020-12-02","2020-12-02","2020-12-02","2020-12-02","2021-12-02","2020-12-16","2020-12-16","2022-10-21","2022-01-05","2022-09-20","2022-09-20","2022-09-20","2020-01-29","2020-11-17","2022-06-07","2021-12-12","2022-04-27","2022-07-19","2022-10-12","2022-01-27","2022-01-27","2022-02-14","2022-07-19","2022-06-30","2022-09-03","2022-07-15","2022-08-23","2022-08-23","2022-09-12","2020-12-16","2022-09-03","2022-07-22","2021-12-12","2022-04-27","2020-05-08","2020-05-08","2020-07-07","2020-07-07","2020-07-07","2022-04-20","2022-08-05","2020-12-03","2020-12-03","2020-12-16","2020-12-16","2021-03-04","2021-03-04","2021-03-04","2022-04-20","2022-04-20","2022-04-20","2022-06-07","2022-07-22","2022-08-16","2022-09-03","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2020-05-08","2020-07-04","2021-07-27","2022-01-18","2022-03-01","2022-08-17","2020-08-12","2020-08-12","2020-08-12","2021-07-27","2021-07-27","2021-12-02","2022-01-27","2021-12-02","2022-06-07","2022-08-05","2022-08-17"],"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":""}]}]}