{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CAMERON A TAYLOR","gend":0,"add":"28207 LITTLETON ROAD","city":"BLOXOM","state":"VA","zip":233081169,"dob":"2007-03-27","age":"","mstatus":"","insh":10102464,"cliId":"","pno":7578548475,"cno":"","email":"","ename":"","eno":"","pphy":"BALMORIA, SANDRA K","ppno":"","pcpadd":"5219 LANKFORD HIGHWAY","pcpcity":"NEW CHURCH","pcpstate":"VA","pcpzip":234153332,"pcpcounty":"","pcpid":"P9058920","pcpname":"ONLEY COMMUNITY HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["E10.65","Z79.4","Z91.14","E10.10","G93.6","E10.649","E86.0","E87.5","J02.9","R11.2","R10.9","E10.11","R42","R06.02","L03.039","L60.0","Z00.129","E10.9","H52.13","Z71.3","Z71.82","Z68.52","Z23"],"date":["2020-01-09","2020-01-09","2019-05-28","2019-12-11","2019-07-23","2019-07-23","2019-12-10","2019-12-10","2019-12-11","2019-12-10","2019-12-10","2019-12-10","2019-12-10","2019-12-14","2020-01-09","2020-02-06","2020-02-19","2020-02-19","2020-02-19","2020-02-19","2020-02-19","2020-02-19","2020-02-19"]}},{"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":""}]}]}