{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LYREHSZNUL ","gend":1,"add":"EN 2233DR ALO","city":"GREENVILLE","state":"TX","zip":75402,"dob":"1945-08-06","age":"","mstatus":"","insh":"208792001","cliId":"","pno":"52-3097916-9","cno":"","email":"","ename":"","eno":"","pphy":751886583,"ppno":9727719000,"pcpadd":"1005 W Ralph Hall Pkwy,Ste 221","pcpcity":"Rockwall","pcpstate":"TX","pcpzip":75032,"pcpcounty":"","pcpid":"","pcpname":"Sandknop Health Group","plan":"UHC","program":"Southwestern Health Resources","lob":"","region":"","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":[]}]},{"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":{"indx":[["","","",""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}