{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  YRREHSHTIMS M","gend":1,"add":"ASEHC 3191EVA EKAEP","city":"CHESAPEAKE","state":"VA","zip":23324,"dob":"1967-10-11","age":"","mstatus":"","insh":"25300210*48","cliId":"","pno":"13\/7570442-3","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"757\/410-2287","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23324,"pcpcounty":"","pcpid":"","pcpname":"Velocity Urgent Care - Little Creek","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","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":["F31.12","A41.9","I21.4","J96.02","J96.01","G93.41","J18.9","I50.43","E87.2","J44.0","I11.0","I25.10","I25.5","Z95.5","E11.65","F17.210","E66.01","Z68.37","I08.1","NO DATA","R06.02","J80.","R06.01","E11.9","E78.1","E66.9","Z91.19","Z79.4","I50.21","R06.00","M79.606","G89.11","E78.2","J44.9","F25.0","D32.0","I67.82","J44.1","E66.2","F14.10","E87.6","T38.3X5A","E55.9","R94.5","M25.571","F20.9","F31.9","G89.29","I10.","K21.9","Z79.51","Z79.82","Z79.899","Z82.49","Z83.3"],"date":["2020-08-17","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-06-04","2020-05-12","2020-05-12","2020-05-12","2020-05-20","2020-05-20","2020-05-12","2020-06-04","2021-03-02","2021-03-02","2020-05-12","2020-09-16","2020-09-16","2020-06-04","2020-05-12","2020-06-04","2022-08-02","2022-08-02","2022-08-02","2022-03-07","2022-08-02","2020-06-03","2020-06-03","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-24","2022-04-14","2022-04-14","2020-05-02","2020-05-02","2020-05-02","2020-05-02","2020-05-02","2020-05-02","2020-05-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2021-03-02"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}