{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENAL  R LASSITER","gend":1,"add":"1710 MARTIN AVE PAMELA LASSITER","city":"CHESAPEAKE","state":"VA","zip":23324,"dob":"1987-05-09","age":"","mstatus":"","insh":"20006233*01","cliId":"","pno":"757\/434-7008","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"757\/543-6861","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23324,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/543-4082","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F20.9","J96.01","R11.2","J18.9","A41.9","K59.00","F25.0","F90.9","E03.9","D61.818","NO DATA","R65.20","R68.89","R06.89","R09.02","F29.","R06.02","E86.0","N17.9","F31.2","J15.0","J80.","G93.1","J15.5","K59.09","Z20.822","F25.9","Q63.1","Z79.899","Z79.890","Z88.0","I12.9","E11.22","J96.00","I10.","E11.9","D50.9","F22."],"date":["2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2020-06-24","2022-03-28","2022-03-28","2022-03-28","2022-03-18","2022-04-07","2022-04-07","2020-03-01","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2020-05-29","2020-05-29","2020-05-29","2022-04-06"],"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":""}]}]}