{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHAUNTE  S BEAMON","gend":1,"add":"4040 VICTORIA BLVD APT 301","city":"HAMPTON","state":"VA","zip":23669,"dob":"1994-01-19","age":"","mstatus":"","insh":"2450976*01","cliId":"","pno":"757\/952-8024","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/240-5580","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23669,"pcpcounty":"","pcpid":"","pcpname":"Riverside Center for Internal & Family Medicine","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/838-6108","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25.551","E10.65","Z79.4","I10.","E66.01","Z68.43","N92.6","N76.0","R10.13","R82.71","K59.00","E10.9","G47.33","E28.2","Z30.40","Z32.02","Z68.42","E78.01","E55.9","D50.8","R06.02","E89.40","N39.0","N93.9","M54.9","E78.5","R11.2","N30.00","E10.69","M54.5","R35.0","N91.2","Z87.42","Z68.41","E10.641","Z01.419","Z11.3","K21.9","E53.8","R10.84","D50.9"],"date":["2020-11-09","2022-09-16","2021-02-23","2022-09-16","2022-09-16","2020-11-24","2021-02-22","2021-02-22","2021-07-16","2021-07-16","2022-05-13","2021-07-16","2021-09-14","2020-09-11","2020-10-07","2020-10-07","2022-09-16","2022-09-16","2022-09-16","2022-09-16","2020-11-10","2020-11-10","2021-07-22","2021-07-22","2020-08-18","2020-11-24","2021-07-15","2021-07-15","2021-07-15","2020-05-19","2020-05-19","2020-06-03","2020-05-19","2020-05-19","2021-02-23","2020-06-03","2020-06-03","2021-02-23","2021-02-23","2022-05-13","2022-05-13"],"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":""}]}]}