{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DONNA F TAUNTON","gend":1,"add":"4305 CAMBRIA CIRCLE","city":"VIRGINIA BEACH","state":"VA","zip":234556548,"dob":"1961-07-26","age":"","mstatus":"","insh":11015670,"cliId":"5C54HM2DQ06","pno":7573625947,"cno":"","email":"","ename":"","eno":"","pphy":"ANDERSON, ROBIN N","ppno":7573186900,"pcpadd":"2017 Pleasure House Rd","pcpcity":"Virginia Beach","pcpstate":"VA","pcpzip":234552709,"pcpcounty":"","pcpid":"P0152211","pcpname":"SENTARA FAMILY MEDICINE PHYSICIANS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R41.0","R53.81","Z74.09","Z51.5","R78.81","N39.0","J15.211","A41.9","R65.21","T83.511A","J96.01","Y84.6","Z66","G93.41","A41.59","N17.0","J96.02","G03.0","B37.49","G82.20","E66.2","A86","E87.1","J96.00","G35","G89.29","F41.9","N20.1","R82.998","T17.308A","J96.90","I10","M79.7","F11.20","G82.50","F19.10","N17.9","R65.20","G89.4","F33.9","R41.82","E11.9","M62.81","Z74.1","R13.12","R41.89","K62.5","R10.84","K62.89","Z87.891","K92.1","R53.1","Z88.2","R52","Z74.3"],"date":["2020-09-23","2020-09-02","2020-09-02","2020-09-02","2020-09-03","2020-09-14","2020-09-03","2020-10-09","2020-09-14","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-10-09","2020-09-01","2020-09-01","2020-09-01","2020-09-14","2020-10-09","2020-09-14","2020-10-09","2020-09-09","2020-09-05","2020-09-02","2020-09-02","2020-10-09","2020-10-09","2020-09-07","2020-09-05","2020-09-05","2020-09-08","2020-09-06","2020-09-12","2020-10-09","2020-10-09","2020-10-09","2020-10-09","2020-10-09","2020-10-09","2020-10-09","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-23","2020-09-24"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":""}]}]}