{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHAQUITA BETHEA","gend":1,"add":"18141 PURVIS DR","city":"TRIANGLE","state":"VA","zip":22172,"dob":"1989-06-07","age":"","mstatus":"","insh":"2285681*01","cliId":"","pno":"757\/971-4024","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"703\/523-1750","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":22172,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"844\/518-0708","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.9","U07.1","R07.2","I10.","E66.01","G47.31","F51.19","R06.83","H65.93","L25.9","R03.0","E11.65","J45.909","R79.89","M41.35","M54.9","Z79.4","L60.0","J18.9","Z01.419","Z12.4","N89.8","B37.3","M54.2","M54.6","J06.9","A08.4","G47.33","J16.8","N91.2","L68.0","G47.30","Z68.44","L29.9","J01.00","R05.9","Z20.822","R68.89","J30.89","S05.02XA","L24.9","R07.9","J01.90","M25.562","M25.571","R74.8","Z53.21","Z00.00","Z23.","J96.01","E55.9","G47.39","J32.9","B96.89","J45.20","J30.9","H66.93","R51.9"],"date":["2022-10-15","2022-08-02","2022-07-27","2022-07-27","2022-10-15","2022-08-15","2022-10-15","2022-10-15","2021-06-11","2021-06-11","2021-06-11","2022-10-04","2022-10-04","2021-09-20","2021-09-20","2021-09-20","2022-10-04","2021-10-04","2021-12-30","2022-07-12","2022-07-12","2022-07-12","2022-07-12","2022-07-12","2022-07-12","2022-08-02","2022-09-14","2022-10-15","2021-12-30","2022-07-05","2022-07-05","2022-10-04","2022-10-04","2021-04-27","2022-01-31","2022-01-30","2021-12-29","2022-01-28","2022-03-16","2022-06-11","2022-06-11","2022-07-27","2021-08-18","2021-08-18","2021-08-18","2022-06-21","2021-12-28","2022-06-21","2022-06-21","2022-06-21","2022-06-21","2022-06-21","2022-06-17","2022-06-17","2022-07-18","2022-07-18","2022-10-19","2022-10-19"],"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":[]}},{"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":""}]}]}