{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L  REHTAEHSMAILLIW ","gend":1,"add":"C ELTTEK 0061ECARRET KEER","city":"CHESAPEAKE","state":"VA","zip":23322,"dob":"1996-07-11","age":"","mstatus":"","insh":"8622210*72","cliId":"","pno":"38\/7579014-9","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23322,"pcpcounty":"","pcpid":"","pcpname":"Associates in Primary Care, PC","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":["E10.9","Z96.41","L70.0","Z30.40","M65.311","Z23.","I89.0","E10.65","M54.2","M54.5","E16.2","Z00.00","J30.9","Z79.4","K14.6","Z02.0","J06.9","Z20.828","Z01.419","J30.2","Z12.4","Z11.51","F41.8","J01.00","R05.","F43.22","Z79.899","E11.3392","E11.3291","R52.","D72.829","R35.0","Z32.00"],"date":["2022-10-18","2022-10-18","2021-01-20","2022-07-11","2022-09-29","2021-06-17","2022-10-18","2022-01-25","2021-08-25","2021-08-25","2020-09-25","2022-07-06","2020-11-03","2022-10-18","2021-09-20","2021-10-24","2021-12-26","2021-12-26","2022-07-06","2022-07-11","2022-07-06","2022-07-06","2022-04-29","2021-06-24","2021-06-24","2022-09-08","2022-09-14","2022-10-18","2022-10-18","2021-02-18","2022-07-11","2022-07-11","2022-07-11"],"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":""}]}]}