{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LATESHA SPELLER","gend":1,"add":"826 E 28TH ST APT 3","city":"NORFOLK","state":"VA","zip":23504,"dob":"1981-08-13","age":"","mstatus":"","insh":"2533014*01","cliId":"","pno":"757\/837-5581","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23504,"pcpcounty":"","pcpid":"","pcpname":"DEPAUL MEDICAL ASSOCIATES","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":["E11.29","E11.40","R80.9","Z79.4","F33.9","F51.04","I10.","E78.00","Z11.59","M25.511","M79.641","G89.29","M79.642","Z68.41","F32.9","G47.00","F41.9","F31.9","R63.4","L02.214","Z48.01","F41.1","L03.314","R03.0","E11.9","Z88.6","Z88.8","F33.1","R41.82","K03.81","K02.9","K04.7","R11.2","J45.909","Z48.817","Z86.19","Z79.899","Z79.51","L98.8","Z76.89","E66.01","Z12.31","Z68.39","R06.09","R00.0","F41.8","G31.9"],"date":["2022-02-24","2020-09-24","2022-02-24","2022-04-07","2022-02-24","2020-10-23","2022-02-24","2021-08-19","2021-08-19","2021-08-19","2021-08-19","2021-08-19","2021-08-19","2021-08-19","2022-06-07","2022-06-07","2022-06-07","2022-06-07","2021-11-04","2022-04-07","2022-04-07","2020-02-28","2022-04-05","2022-04-05","2022-04-05","2022-04-07","2022-04-07","2020-12-24","2020-08-18","2020-12-06","2020-12-06","2020-12-06","2020-07-07","2022-04-07","2022-04-07","2022-04-07","2022-04-07","2022-04-07","2022-04-07","2022-02-24","2022-02-24","2022-02-24","2022-02-24","2020-02-03","2020-02-03","2020-08-19","2021-04-15"],"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":""}]}]}