{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROSE FRALEY","gend":1,"currentgend":"","add":"21 11 WEST SUSSEX AVENUE","city":"MISSOULA","state":"MT","zip":59801,"dob":"1960-01-12","age":"","mstatus":"","insh":"H6686747300","cliId":"","pno":4068807333,"cno":4068807333,"email":"STARGOOFUSS@YAHOO.COM","ename":"","eno":"","pphy":"ERIC RAVITZ","ppno":4067211646,"pcpadd":"610 N CALIFORNIA ST,","pcpcity":"MISSOULA","pcpstate":"MT","pcpzip":598023950,"pcpcounty":"","pcpid":"","pcpname":"","plan":"Arkos Health","program":"Medicare","lob":"HMO","region":"","aligned":"N","ano":"","add2":"APT B","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4065439890,"pcpnpi":1215034681,"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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}