{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"YOUNG I SONG","gend":0,"add":"634 RIVER BEND COURT","city":"NEWPORT NEWS","state":"VA","zip":236029999,"dob":"1968-08-18","age":"","mstatus":"","insh":11015832,"cliId":"8VQ5M81WG75","pno":7578423002,"cno":"","email":"","ename":"","eno":"","pphy":"GEYER WESSLER, PATRICIA LEE","ppno":7575943800,"pcpadd":"10510 Jefferson Ave Ste A","pcpcity":"Newport News","pcpstate":"VA","pcpzip":236013102,"pcpcounty":"","pcpid":"P9059005","pcpname":"RIVERSIDE BRENTWOOD MEDICAL CENTER FAMILY MEDICINE"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["ASIAN\/PACIFIC"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["C34.00","C45.7","C79.51","K52.9","L02.818","Z79.899","G89.3","Z79.52","C45.9","K52.1","R52","L70.9","C34.90","R51","Z29.8","H11.31","M25.50","T45.1X5S","K92.1","K57.30","K21.9","D64.9","R19.7","K64.8","H53.8","Z87.891","R51.9","G89.29","Z23","M62.838","Z00.00","T45.1X5A","C45.0","T50.905A","G03.0","M19.90","G44.52","Z77.090","Z79.891","Z92.3","G97.1","Y84.4","Z92.21"],"date":["2020-08-27","2020-10-14","2020-09-25","2020-08-28","2020-08-28","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-14","2020-10-07","2020-10-07","2020-10-07","2020-09-28","2020-10-07","2020-10-07","2020-10-14","2020-09-21","2020-09-17","2020-09-15","2020-10-22","2020-09-15","2020-09-17","2020-09-15","2020-10-14","2020-10-27","2020-10-27","2020-10-07","2020-10-08","2020-10-08","2020-10-08","2020-10-22","2020-10-22","2020-10-23","2020-10-23","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-27","2020-10-27","2020-10-27","2020-10-27"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["No","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":""}]}]}