{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHELLE WRUBLESKI","gend":1,"add":"577 DIPLOMAT CTS APT 3","city":"NEWPORT NEWS","state":"VA","zip":23608,"dob":"1978-05-21","age":"","mstatus":"","insh":"2454352*01","cliId":"","pno":"757\/503-8926","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"757\/928-8055","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23608,"pcpcounty":"","pcpid":"","pcpname":"Riverside Primary Care - Hidenwood","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/928-8054","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J30.9","F41.9","NO DATA","E11.9","Z79.4","H69.93","H60.63","H92.03","R09.81","H69.91","R09.82","H61.21","Z96.22","J30.89","Z79.84","Z53.20","Z20.828","F43.9","I10.","D72.829","M54.12","E78.2","Z98.2","E03.9","E66.9","Z68.39","Z86.69","M50.123","L28.2","J30.1","J30.2","J30.81","H61.22","J34.2","J34.3","M47.12","A08.4","N30.00","G43.709","Z79.899","G91.9","E11.65","Z45.82","H65.23","H74.43","K59.00","N20.1","N13.2","E87.6","N17.9","G43.019","G47.33","H60.502"],"date":["2022-10-17","2022-09-16","2022-09-16","2022-10-17","2022-03-14","2022-05-17","2022-08-31","2022-05-10","2022-08-31","2022-08-31","2022-10-24","2022-08-31","2022-08-31","2022-07-25","2022-05-26","2022-05-26","2022-01-16","2022-08-12","2022-05-17","2022-02-24","2022-05-02","2022-02-24","2022-02-24","2022-02-24","2022-02-24","2022-02-24","2022-02-24","2022-03-11","2022-10-24","2022-04-26","2022-04-26","2022-04-26","2022-04-29","2022-10-24","2022-10-24","2022-05-02","2022-01-16","2022-01-16","2022-02-23","2022-02-23","2022-04-01","2022-04-22","2022-05-17","2022-05-17","2022-05-17","2022-03-18","2022-01-17","2022-01-17","2022-01-17","2022-01-17","2022-08-10","2022-05-17","2022-10-24"],"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":""}]}]}