{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PORCHEA BREEDLOVE","gend":1,"add":"603 CHASE AVE APT E","city":"CHASE CITY","state":"VA","zip":23924,"dob":"1993-05-01","age":"","mstatus":"","insh":"20055200*01","cliId":"","pno":"434\/770-6792","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"434\/947-3656","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23924,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/947-3650","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R39.81","E11.9","F32.9","F41.9","I10.","J45.909","E11.8","G47.33","Z79.4","R63.4","E09.8","N39.41","R32.","Z87.440","F32.1","F21.","Z74.09","N91.2","E28.2","E66.01","M77.12","E11.69","Z68.43","K61.1","Z68.42","N39.0","E10.65","G47.10","F40.00","K21.9","V58.69","G47.30","Z20.822","R00.2","R06.09","R07.89","E78.5","E03.9","L02.214","A41.9","L02.416","E87.1","L02.415","D62.","F60.6","R00.0","B95.5","B96.1","L02.419","E66.09","Z91.81","Z79.891","E55.9","R22.42","M25.532","M65.4","H65.22","H74.02","R35.0","R39.15","N32.81","Z48.817","E11.65","E86.0","Z88.0","Z91.018","Z87.891","E66.9","Z68.41","Z23.","Z46.81","Z96.41","B37.9","Z91.19","Z91.14","I47.1","R19.4","R11.2","R10.9","K76.0","Z91.014","R89.9","Z01.89","G56.01","M62.89","R26.81","Z86.39","R31.9","R35.1","M79.89","M79.641","M79.642","Z79.899","L02.31","E10.69","S31.819A","L03.115","L03.116","K80.80","R51.9","G31.84","H90.A21","Z01.818","Z01.419","R10.2","H90.5","Z01.118","M72.6","Z79.890","E78.2","R78.81","Z71.89","J02.9","L73.9","U07.1","R05.9","Z11.3","K62.89","N76.2","R30.0","K58.1","R10.11","R73.9"],"date":["2021-11-02","2021-11-23","2021-09-09","2021-10-25","2021-11-02","2021-11-02","2021-11-02","2021-11-02","2022-09-20","2021-11-02","2021-11-02","2021-11-02","2020-10-13","2020-03-24","2021-04-22","2021-04-22","2021-11-02","2020-09-03","2021-02-23","2022-07-13","2021-01-25","2022-04-11","2022-07-13","2021-03-02","2021-10-25","2021-07-26","2021-09-09","2021-03-02","2021-03-02","2021-07-26","2021-02-23","2021-09-29","2021-07-26","2021-08-24","2021-05-06","2021-05-06","2021-09-20","2021-11-23","2021-08-20","2021-07-26","2021-09-09","2021-07-26","2021-09-09","2021-07-26","2021-07-26","2021-07-26","2021-07-26","2021-07-26","2021-07-29","2021-09-09","2021-09-09","2021-09-09","2021-09-20","2022-08-24","2022-09-27","2022-09-27","2020-01-24","2020-01-24","2022-08-31","2022-08-31","2022-08-31","2021-09-08","2022-09-20","2021-09-29","2021-09-29","2021-09-29","2022-09-20","2021-09-29","2021-09-29","2020-10-09","2021-05-25","2021-05-25","2020-10-09","2021-05-25","2021-02-23","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2022-07-13","2022-09-28","2022-09-28","2022-09-28","2020-05-20","2022-08-31","2020-11-06","2022-07-13","2020-11-06","2021-04-22","2021-03-15","2021-03-15","2021-11-02","2021-07-26","2021-07-26","2022-09-20","2022-09-20","2020-01-02","2020-01-07","2022-07-13","2022-08-16","2020-03-10","2020-01-07","2020-01-07","2021-04-22","2021-04-22","2021-05-25","2021-07-28","2021-11-23","2022-05-20","2021-01-09","2022-05-20","2022-05-20","2020-07-16","2021-02-24","2021-07-01","2021-07-01","2022-09-06","2022-09-20","2022-09-20"],"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":""}]}]}