{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEANETTE WOLLERSHEIM","gend":1,"currentgend":"","add":"3908 8TH AVE S","city":"GREAT FALLS","state":"MT","zip":59405,"dob":"1941-06-01","age":84,"mstatus":"","insh":"H4635295900","cliId":"","pno":4064531919,"cno":4064531919,"email":"","ename":"","eno":"","pphy":"KEVIN MCCREA","ppno":4067318888,"pcpadd":"1401 25TH ST S,","pcpcity":"GREAT FALLS","pcpstate":"MT","pcpzip":594055183,"pcpcounty":"","pcpid":"","pcpname":"","plan":"Arkos Health","program":"Medicare","lob":"Local PPO","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4067318318,"pcpnpi":1326081860,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Previously Documented Conditions","q":[{"a":[]},{"a":[]}]},{"t":"COVID Screening","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","",""],"comment":["","","","","","","","","","","","",""],"sub":[]}}]},{"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":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""],[""],[""],[""],[""]],"comment":[["","","","","",""],[],[""],[""],[""],[""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}}]},{"t":"Vital Signs","q":[{"a":["","","","","","","",false,false]},{"a":["","","","",{"txt":""},{"malnutrition":{"indx":["","","","","","",""],"sub":{"indx":[],"comment":[],"sub":[]}}}]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"2025-12-16T10:30","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"In Person","a10":[],"a11":"","a12":"","a13":"","a14":"","a16":"","a18":"","a20":"","a21":""}]}]}