{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CYNTHIA LITTLE","gend":1,"add":"326 COMMONWEALTH CT APT D","city":"CHARLOTTESVILLE","state":"VA","zip":22901,"dob":"1962-07-28","age":"","mstatus":"","insh":"20076391*01","cliId":"","pno":"434\/477-4182","cno":"","email":"","ename":"","eno":"","pphy":"Arcidicono, Christine","ppno":"","pcpadd":"540 Belvedere Boulevard Suite 100","pcpcity":"Charlottesville","pcpstate":"VA","pcpzip":22901,"pcpcounty":"","pcpid":"","pcpname":"SMJMG - Sentara Family Medicine at Belvedere","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","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":""}]}]}