{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" AIVLYSEWOR J","gend":1,"add":"IAM 0171TEERTS N","city":"CLIFTON FORGE","state":"VA","zip":24422,"dob":"1971-08-31","age":"","mstatus":"","insh":"50013227","cliId":"","pno":"6904579598","cno":"","email":"","ename":"","eno":"","pphy":"MONROE, JULIE A","ppno":5409689597,"pcpadd":"322 W RIVERSIDE ST,","pcpcity":"COVINGTON","pcpstate":"VA","pcpzip":24426,"pcpcounty":"","pcpid":"","pcpname":"BATH COMMUNITY PHYSICIANS GROU","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"","aligned":"","ano":"","add2":"1710 MAIN STREET","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":[]}},{"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":""}]}]}