{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"E D EEMIAEGDIRTSA","gend":1,"add":"DAEM GNOL 102131B TPA RD SWO","city":"LYNCHBURG","state":"VA","zip":24502,"dob":"1977-04-28","age":"","mstatus":"","insh":"30013903","cliId":"","pno":"6343428473","cno":"","email":"","ename":"","eno":"","pphy":"UNKNOWN PROVIDER QNXT PCP","ppno":4343637482,"pcpadd":"UNKNOWN ST,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23219,"pcpcounty":"","pcpid":"","pcpname":"UNKNOWN PROVIDER QNXT PCP","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"WESTERN\/CHARLOTTESVILLE","aligned":"","ano":"","add2":"1201 LONG MEADOWS DR APT B13","add3":"","madd1":"20 WESTGATE ROAD","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":[]}]},{"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":""}]}]}