{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMEELAH  R CHAVERS","gend":1,"add":"814 LASALLE AVE APT 8D","city":"HAMPTON","state":"VA","zip":23669,"dob":"1979-08-12","age":"","mstatus":"","insh":"9637796*01","cliId":"","pno":"757\/325-0478","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23669,"pcpcounty":"","pcpid":"","pcpname":"HAMPTON FAMILY MEDICINE","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":["R20.2","Z13.1","Z01.419","Z12.39","Z13.0","N92.0","Z12.4","Z20.828","Z23.","Z11.1","M25.642","M62.81","R20.0"],"date":["2020-11-04","2020-10-23","2022-01-19","2022-01-19","2022-01-19","2022-01-19","2022-01-19","2021-01-02","2022-02-22","2022-02-22","2020-11-04","2020-11-04","2020-11-04"],"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":[]}},{"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":""}]}]}