{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEAN FAULSTICH","gend":1,"currentgend":"","add":"1501 9TH ST S APT 508","city":"GREAT FALLS","state":"MT","zip":59405,"dob":"1940-06-07","age":"","mstatus":"","insh":"H4761291500","cliId":"","pno":4063151222,"cno":"","email":"NOTREAL@GMAIL.COM","ename":"","eno":"","pphy":"BRANDON HAWK","ppno":4067996786,"pcpadd":"603 14TH ST SW,","pcpcity":"GREAT FALLS","pcpstate":"MT","pcpzip":594042633,"pcpcounty":"","pcpid":"","pcpname":"","plan":"Arkos Health","program":"Medicare","lob":"Local PPO","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":1356793731,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":{}}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":[]},{"a":[]}]},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"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":{}}},{"a":{"indx":["","1"],"comment":["",""],"sub":{}}},{"a":{"indx":["","1"],"comment":["",""],"sub":{}}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""],[""],[""],[""],[""]],"comment":[["","","","","",""],[],[""],[""],[""],[""],[""],[""],[""],[""],[""]],"sub":{}}}},{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}