{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KING J WHITE","gend":0,"add":"3223   MASCOTT  STREET","city":"PORTSMOUTH","state":"VA","zip":237074535,"dob":"2011-08-06","age":"","mstatus":"","insh":10095091,"cliId":"","pno":7575507326,"cno":"","email":"","ename":"","eno":"","pphy":"TIDEWATER PEDIATRICS PC","ppno":7573995300,"pcpadd":"301 Goode Way","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":237042266,"pcpcounty":"PORTSMOUTH CITY","pcpid":"P9120221","pcpname":"TIDEWATER PEDIATRICS PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J35.1","J30.9","J05.0","R05","R50.9","J98.8","J03.90","R06.2","R06.03","I47.1","I45.81","B97.89","B97.10","Z77.22","B34.9","R00.0","J45.909","G47.33","G47.61","R06.83","J35.3","E66.01","E66.9","Z68.54","Z00.121","Z71.3","Z71.82","F98.9","F43.23","J45.901","R06.02","R51","J45.902","F41.9","R07.9","R06.00","F90.2","S00.451A","T16.9XXA","Z79.899","Z03.89","Z48.00","J06.9","R10.9","R11.2","R63.0","J98.11","R09.89","F90.9","J45.20","Z00.129"],"date":["2018-12-03","2019-01-31","2018-11-19","2019-10-21","2018-11-19","2019-01-31","2019-01-31","2019-10-21","2018-12-11","2019-11-04","2018-12-10","2018-12-10","2018-12-10","2018-12-10","2018-12-11","2019-10-21","2019-10-14","2019-03-01","2019-01-31","2019-01-31","2019-03-01","2019-03-01","2019-05-02","2020-02-14","2019-11-04","2019-11-04","2019-11-04","2019-06-10","2020-02-06","2019-07-06","2019-07-05","2019-07-05","2019-07-05","2019-07-05","2019-07-05","2019-07-05","2019-07-18","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-21","2019-10-21","2019-10-21","2019-10-21","2019-10-21","2019-10-21","2019-11-04","2019-11-04","2020-02-14"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}