{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHANNON L DENT-STAPLES","gend":1,"add":"114   PEGRAM LANE","city":"FREDIERCKSBURG","state":"VA","zip":22408,"dob":"1976-12-28","age":"","mstatus":"","insh":6302664,"cliId":"","pno":5402738663,"cno":"","email":"","ename":"","eno":"","pphy":"ANBESSIE, TEDLA B","ppno":5402738663,"pcpadd":"85 S BRAGG ST ,STE 100","pcpcity":"ALEXANDRIA","pcpstate":"VA","pcpzip":22312,"pcpcounty":"","pcpid":"","pcpname":"BLUE NILE MEDICAL CENTER PC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"114   PEGRAM LANE","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"(703) 794-2269","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":""}]}]}