{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TYESHA DOWDY","gend":1,"add":"13441 WARWICK BLVD APT 45","city":"NEWPORT NEWS","state":"VA","zip":23602,"dob":"1990-12-02","age":"","mstatus":"","insh":"2128164*01","cliId":"","pno":"404\/545-4900","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"757\/930-0091","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23602,"pcpcounty":"","pcpid":"","pcpname":"Commonwealth Family Practice","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/269-4406","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.41","M54.2","G89.29","M54.42","F41.9","F32.9","R19.7","K64.0","R10.30","R00.0","S09.90XA","E11.9","K21.9","I10.","Z79.899","R55.","M54.6","R10.84","M76.811","Z23.","S40.022A","Z30.09","R11.2","R63.4","R53.82","F41.8","N93.9","Z01.419","R11.10","R11.0","G43.909","J30.89","J30.1","R10.31","Z33.2","N92.1","Z30.017","Z32.02","Z97.5","D50.9","Z30.46","Z00.00","N64.4","J02.0","J35.1","O20.0","O23.41","O24.111","O99.611","O10.911","Z3A.01","O20.9","R10.2","O26.891","K55.1","R10.13","K58.9","K58.2","N92.0","Z32.00","E87.6","K85.00","Z77.120","R12.","M54.9","R10.11","R51.9","M54.40","R26.2","Z30.013","R07.9","S00.83XA","H11.32","T78.40XA","O99.321","F12.90","O21.9","R52.","Z20.822","R93.3","Z97.3","M54.32","V89.2XXS","Z3A.00","R58.","B34.9","Z53.21"],"date":["2022-03-28","2022-03-28","2022-03-28","2022-03-28","2021-03-02","2021-03-02","2021-10-29","2021-10-29","2021-10-29","2021-11-02","2022-01-06","2022-06-11","2022-09-22","2022-06-11","2022-04-05","2022-01-06","2022-03-28","2022-06-11","2022-06-15","2022-06-15","2020-04-03","2020-04-03","2022-09-20","2021-04-08","2020-11-10","2020-12-18","2022-06-11","2020-12-18","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-10-13","2022-06-11","2020-07-15","2020-04-01","2022-07-25","2020-07-15","2020-07-30","2020-07-30","2020-07-30","2022-02-18","2022-02-18","2022-03-10","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-09-22","2022-09-22","2022-09-22","2022-10-06","2022-10-06","2021-01-15","2021-03-24","2021-03-24","2021-03-24","2021-03-24","2021-05-13","2021-06-24","2021-06-24","2022-03-08","2022-03-08","2022-05-14","2022-09-20","2022-10-09","2022-10-13","2021-10-29","2022-04-05","2022-04-05","2022-04-19","2022-10-09","2022-07-25","2021-10-14","2022-10-13","2020-07-24","2020-07-24","2022-04-19","2022-06-11","2022-07-25","2022-09-21"],"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":""}]}]}