{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHAWN  C FEELEY","gend":0,"add":"436 WORSTER AVE","city":"HAMPTON","state":"VA","zip":23669,"dob":"1979-03-13","age":"","mstatus":"","insh":"2369098*01","cliId":"","pno":"201\/240-0565","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/380-8709","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23669,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/928-0902","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z20.828","R73.9","Z88.8","Z91.018","R35.89","E11.65","Z20.2","E11.9","S39.82XA","Z20.822","L73.9","R59.1","Z79.4","Z79.84","Z76.0","E78.00","M79.672","E11.41","M24.572","L84.","M20.21","M20.22","M54.32","K40.90","Z13.9","M54.41","R82.4"],"date":["2021-09-15","2022-03-18","2022-03-18","2022-03-18","2022-03-18","2022-10-18","2021-04-22","2022-08-12","2022-10-18","2021-08-13","2021-12-06","2021-12-06","2022-10-18","2021-12-06","2021-12-06","2022-08-12","2022-09-06","2022-09-06","2022-09-06","2022-09-06","2022-09-06","2022-09-06","2022-09-06","2022-06-10","2022-06-10","2022-10-18","2022-10-18"],"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":""}]}]}