{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CNAS E AIRAMSOIRREB ZEH","gend":1,"add":"ROHT 7026RD DOOWN","city":"ALEXANDRIA","state":"VA","zip":22310,"dob":"1947-12-26","age":"","mstatus":"","insh":"40019815","cliId":"","pno":"2630725492","cno":"","email":"","ename":"","eno":"","pphy":"KIM, MICHAEL","ppno":7036229452,"pcpadd":"3580 JOSEPH SIEWICK DR ,STE 306","pcpcity":"FAIRFAX","pcpstate":"VA","pcpzip":22033,"pcpcounty":"","pcpid":"","pcpname":"INOVA VIP 360 PCP SERVICES FAI","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"NORTHERN\/WINCHESTER","aligned":"","ano":"","add2":"6207 THORNWOOD DR","add3":"","madd1":"","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":""}]}]}