{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KRYSTAL  D CONLEY","gend":1,"add":"568 HUNTERS BRIDGE DR","city":"CHESAPEAKE","state":"VA","zip":23320,"dob":"1985-12-19","age":"","mstatus":"","insh":"2142901*01","cliId":"","pno":"757\/572-8779","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23320,"pcpcounty":"","pcpid":"","pcpname":"Velocity Urgent Care - Chimney Hill","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":["E55.9","E78.5","E11.9","R53.83","F90.2","F41.1","Z20.828","M72.2","M67.01","M79.671","U07.1","NO DATA","J96.01","E11.65","J12.89","E66.9","I10.","Z01.419","Z12.4","B37.3","B37.0","N76.2","Z20.822","R39.9","K59.00","F41.9","R68.2","R50.9","B34.9","N30.01","E86.0","Z68.33","Z79.84","Z79.899","Z87.891","E11.69","G47.00","R41.840","R63.5","F90.9","Z76.89","Z00.01"],"date":["2022-01-20","2022-06-04","2022-06-04","2022-01-20","2022-09-15","2022-09-15","2020-11-07","2021-07-08","2021-07-08","2021-07-08","2021-09-10","2021-09-08","2021-09-10","2021-09-08","2021-09-10","2022-06-04","2021-09-10","2021-09-20","2021-09-20","2021-09-20","2021-09-18","2021-09-18","2021-08-28","2022-01-02","2022-06-04","2022-06-04","2022-06-04","2020-11-07","2020-03-13","2020-08-28","2021-09-05","2021-09-05","2021-09-05","2021-09-05","2021-09-05","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2021-12-17"],"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":""}]}]}