{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WENDY  S REAL","gend":1,"add":"7612 SOUTHWIND DR APT 202","city":"CHESTERFIELD","state":"VA","zip":23832,"dob":"1968-10-19","age":"","mstatus":"","insh":"2184551*01","cliId":"","pno":"804\/908-8899","cno":"","email":"","ename":"","eno":"","pphy":"Jeffrey, Roberts","ppno":"","pcpadd":"13540 Hull Street Rd ","pcpcity":"MIDLOTHIAN","pcpstate":"VA","pcpzip":23832,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS ST. FRANCIS FAMILY MEDICINE CENTER","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":""}]}]}