{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILLIAM J HENSON III","gend":0,"add":"1153   EVERGREEN ROAD","city":"LOUISA","state":"VA","zip":23093,"dob":"1988-04-03","age":"","mstatus":"","insh":6825820,"cliId":"","pno":5409675288,"cno":"","email":"","ename":"","eno":"","pphy":"SALOMON, ALEXANDER","ppno":5409675288,"pcpadd":"LEE ST AND 11TH ST SW,","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":22908,"pcpcounty":"","pcpid":"","pcpname":"UVA HOSPITAL","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"WESTERN\/CHARLOTTESVILLE","aligned":"","ano":"","add2":"1153   EVERGREEN ROAD","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"(540) 213-2631","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":""}]}]}