{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AYIANAHSNIFFIRG ","gend":1,"add":"OWSSERPYC 653102 TPA TC DO","city":"VIRGINIA BEACH","state":"VA","zip":"23454-9998","dob":"2000-09-29","age":"","mstatus":"","insh":"5426610*35","cliId":"","pno":"53\/7571028-4","cno":"","email":"","ename":"","eno":"","pphy":"MOUZON, NAKESHIA L NP","ppno":"757\/204-1901","pcpadd":"1216 GRANBY ST STE 20","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23510,"pcpcounty":"","pcpid":"","pcpname":"INTEGRAL HEALTH AND WELLNESS","plan":"OHP","program":"MEDICAID","lob":"M4","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":["O13.5","D64.9","O99.02","O41.03X0","O99.344","F41.0","O99.824","O42.02","D50.9","O70.0","O16.5","Z37.0","Z3A.39","Z91.040","Z91.013","Z82.5","Z81.8","Z82.49","R00.2","R07.89","F41.9","J45.20","E11.9","Z76.0","E55.9","Z68.36","K59.00","E66.9","S61.210A","O80.","S39.012A","R39.15","R51.","Z20.828","N92.6","R11.2","R71.8","R52.","Z32.02","R42.","O47.03","Z3A.35","I34.0","I70.0","NO DATA","Z79.899","M54.9","N76.0","B37.3"],"date":["2020-04-07","2020-03-11","2020-03-05","2020-03-06","2020-03-05","2020-06-20","2020-03-05","2020-03-05","2022-01-19","2020-03-06","2020-03-05","2020-03-06","2020-03-06","2022-03-13","2022-03-13","2020-03-05","2020-03-05","2020-03-05","2020-08-13","2020-07-29","2021-11-05","2020-07-29","2022-01-19","2021-12-15","2022-01-19","2022-01-19","2022-01-19","2022-01-19","2022-03-13","2020-03-06","2021-11-05","2020-04-07","2020-06-20","2020-11-19","2021-03-26","2020-11-19","2020-11-19","2020-11-19","2020-11-19","2020-11-19","2020-02-04","2020-02-04","2020-08-13","2020-08-13","2021-11-05","2021-11-05","2021-11-05","2022-03-28","2022-03-28"],"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":""}]}]}