{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TIMOTHY  S PROVO","gend":0,"add":"12750 NETTLES DR APT 13","city":"NEWPORT NEWS","state":"VA","zip":23606,"dob":"1958-10-11","age":"","mstatus":"","insh":"20065086*01","cliId":"","pno":"757\/977-7688","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23606,"pcpcounty":"","pcpid":"","pcpname":"HIDENWOOD FAMILY MEDICINE","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":["R53.1","R00.0","I44.4","NO DATA","E11.65","N17.9","N40.1","R35.0","R39.14","R39.12","R39.11","F32.9","F33.1","M16.11","M25.551","E10.65","Z96.41","F10.21","R73.9","R11.2","R10.84","E10.649","V62.84","F32.89","M51.36","M48.07","E66.9","R69.","Z74.3","E11.9","E87.2","R65.10","I10.","Z79.4","E10.9","E11.69","E11.59","E16.2","E78.5","E10.10","E10.69","I15.2","E78.00","K21.9","F41.9","R33.9","E66.09","I95.9","E87.6","Z59.0","Z91.11","Z87.891","M54.16","M62.830","Z23.","E11.649","R55.","Z01.812","Z20.822","V58.69","E11.42","E86.0","E83.42","E83.39","Z91.14","R51.","E10.42","K20.9","V72.85","R51.9","R11.15","E11.43","L25.9","M19.90","R10.9","F17.200","Z91.19","Z79.899","R42."],"date":["2020-04-10","2020-05-31","2020-05-31","2020-09-23","2022-08-05","2022-06-23","2020-09-23","2020-09-09","2020-09-23","2020-09-09","2020-09-09","2020-11-10","2022-06-21","2021-10-05","2021-08-05","2022-09-27","2021-07-30","2022-06-21","2022-06-25","2022-08-23","2022-08-23","2020-09-15","2020-11-10","2020-11-16","2021-09-29","2021-09-29","2022-08-05","2022-06-23","2022-06-23","2022-08-05","2020-06-02","2020-06-02","2021-01-08","2020-11-16","2021-01-08","2021-01-08","2021-01-08","2021-10-04","2021-01-08","2020-09-25","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2021-09-29","2020-05-16","2021-04-10","2021-10-04","2021-10-04","2021-10-05","2021-10-05","2020-04-10","2020-08-22","2020-08-22","2020-08-22","2020-05-31","2020-04-10","2020-04-10","2020-05-31","2020-05-31","2020-05-31","2022-06-23","2020-09-23","2020-11-10","2020-11-16","2020-11-10","2020-05-31","2020-08-22","2020-08-22","2020-08-22","2021-10-05"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}