{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SCOTT BIESHEUVEL","gend":0,"currentgend":"","add":"1001 S MAIN ST STE 5280","city":"KALISPELL","state":"MT","zip":59901,"dob":"1955-05-18","age":"","mstatus":"","insh":"H6908795200","cliId":"","pno":4062616077,"cno":"","email":"THEBFVLS@GMAIL.COM","ename":"","eno":"","pphy":"JILL RIPLEY","ppno":4067567225,"pcpadd":"2181 HIGHWAY 2 E.,SUITE 9","pcpcity":"KALISPELL","pcpstate":"MT","pcpzip":59901,"pcpcounty":"","pcpid":"","pcpname":"","plan":"Arkos Health","program":"Medicare","lob":"Local PPO","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4067565523,"pcpnpi":1912918046,"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":{"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":{}}},{"a":{"indx":["","1"],"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":""}]}]}