{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JASMINE  L TAYLOR","gend":1,"add":"2924 VIMY RIDGE AVE","city":"NORFOLK","state":"VA","zip":23509,"dob":"1999-11-08","age":"","mstatus":"","insh":"5948851*01","cliId":"","pno":"757\/580-0773","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23509,"pcpcounty":"","pcpid":"","pcpname":"CMG - Children's Hospital of The King's Daughters - General Academic Pediatrics","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":["O66.5","Z37.0","Z3A.35","E10.65","E10.10","B37.3","R11.2","N76.1","E86.0","N17.9","A59.01","N73.9","D64.9","E55.9","V58.69","Z79.4","Z79.899","Z91.19","F32.1","R07.89","NO DATA","Z91.128","V23.89","O24.313","Z23.","Z3A.31","R82.90","N76.89","A41.9","N92.1","R10.13","I47.1","O24.012","O21.1","Z3A.15","O36.5930","Z3A.32","O24.013","Z3A.33","O60.03","Z3A.34","Z30.017","R00.0","E87.6","F43.21","R11.0","E10.43","K31.84","I95.9","D50.9","K59.00","Z97.5","O21.0","E10.8","O24.02","Z11.59","O99.824","O99.89","O99.344","F32.9","O76.","Z91.11","V23.9","Z20.2","N89.8","N73.0","A74.9","L60.0","Z83.3","E87.2","R80.9","F32.89","E83.39","Z79.3","N93.9","D72.829","R82.81","Z11.3","Z11.4","R10.32","R10.31","O60.14X0","B37.0","K14.6","E10.9","Z00.00","Z71.3","Z13.31","B00.9","Z09.","N92.0","R06.02","R11.10","R64.","Z68.1","K21.9","F43.23","Z83.0","Z91.14","O24.011","Z3A.00","O21.9","R10.9","Z3A.14","E87.1","Z20.822","Z14.8","O36.5990","O24.312","Z3A.22","N12.","A54.9","R16.0","R94.31","E07.81","A56.8","Z91.138"],"date":["2020-06-19","2020-06-19","2020-06-19","2022-10-14","2022-10-18","2022-08-21","2022-10-14","2021-01-20","2022-08-21","2021-01-31","2021-01-31","2021-01-31","2021-01-31","2022-08-21","2022-10-16","2022-08-21","2022-10-16","2021-10-20","2022-03-20","2022-03-22","2022-10-16","2022-10-16","2020-06-05","2020-05-29","2020-05-19","2020-05-19","2020-05-19","2022-04-25","2021-02-03","2021-10-23","2022-03-17","2022-07-01","2020-01-28","2020-01-28","2020-01-28","2020-05-29","2020-05-29","2020-06-19","2020-06-05","2020-06-18","2020-06-12","2020-06-21","2022-10-13","2022-08-21","2022-07-01","2022-07-02","2022-10-16","2022-10-16","2022-08-21","2022-08-21","2022-08-21","2022-08-21","2020-01-25","2020-01-25","2020-06-05","2020-06-05","2020-06-05","2020-06-05","2020-06-05","2022-07-12","2020-06-05","2020-06-05","2020-06-05","2021-01-26","2021-01-14","2021-02-03","2021-07-21","2021-07-21","2021-07-21","2021-10-21","2022-07-02","2022-07-02","2022-10-16","2022-10-16","2021-10-17","2021-10-17","2021-12-22","2021-12-22","2021-12-22","2022-02-10","2022-02-10","2020-06-19","2020-10-17","2020-10-17","2020-10-17","2020-12-30","2020-12-30","2020-12-30","2021-01-14","2021-02-11","2021-10-20","2021-10-20","2021-10-20","2022-06-27","2022-06-27","2022-07-12","2022-06-27","2022-06-27","2022-07-12","2020-01-07","2020-01-07","2020-01-23","2022-10-16","2020-01-23","2022-02-11","2022-02-11","2020-01-25","2020-03-17","2020-03-17","2020-03-17","2020-07-10","2022-07-12","2022-07-12","2022-07-12","2022-07-12","2022-08-16","2022-10-14"],"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":""}]}]}