{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VIRGINIA HASKETT","gend":1,"currentgend":"","add":"616 4TH AVE NW","city":"GREAT FALLS","state":"MT","zip":59404,"dob":"1971-06-22","age":"","mstatus":"","insh":"H7565042300","cliId":"","pno":4063089028,"cno":"","email":"GRANNIGOOSE1@GMAIL.COM","ename":"","eno":"","pphy":"GRETCHEN FOWELL","ppno":4067617924,"pcpadd":"1400 29TH ST S,SUITE 101","pcpcity":"GREAT FALLS","pcpstate":"MT","pcpzip":594055315,"pcpcounty":"","pcpid":"","pcpname":"","plan":"Arkos Health","program":"Medicare","lob":"HMO","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4067617945,"pcpnpi":1649209867,"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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"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":{"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":""}]}]}