{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  TREBORYELIAB L","gend":0,"add":"ILRA 4013LP NOTGN","city":"PORTSMOUTH","state":"VA","zip":23707,"dob":"1961-05-12","age":"","mstatus":"","insh":"4361210*82","cliId":"","pno":"02\/7571115-2","cno":"","email":"","ename":"","eno":"","pphy":"DERBER, PAUL","ppno":"804\/327-4046","pcpadd":"STE 611 7101 JAHNKE ROAD","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23707,"pcpcounty":"","pcpid":"","pcpname":"First Colonial Medical Associates","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":[]}]},{"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":""}]}]}