{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BLAKE J JOHNSON","gend":0,"add":"409 POLK DRIVE","city":"SPOTSYLVANIA","state":"VA","zip":225518763,"dob":"2018-09-24","age":"","mstatus":"","insh":10119147,"cliId":"","pno":5408482933,"cno":"","email":"","ename":"","eno":"","pphy":"RICHMAN, SUZANNE","ppno":"","pcpadd":"10411 Courthouse Rd","pcpcity":"SPOTSYLVANIA","pcpstate":"VA","pcpzip":225531798,"pcpcounty":"SPOTSYLVANIA","pcpid":"P9120166","pcpname":"KIDS CHOICE PEDIATRICS PC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z38.01","P07.15","P22.0","P07.30","P28.4","P59.0","P92.2","P52.3","P83.30","P02.1","P61.2","P07.33","P70.4","P83.5","Z23","Z05.1","P81.9","Q35.3","R01.1","P52.0","Z45.1","R91.8","P28.9","Z91.89","R63.5","P27.1","P74.8","R63.3","H35.113","Q82.8","P61.4","Z01.10","Z00.129","Q35.9","P92.6","N43.3","R62.51","Z62.21","Q37.0","R62.50","K21.9","H50.32","H52.213","R05","H66.002","H10.33","H10.32","J21.9","J96.90","R06.00","R09.02","Z87.730","R06.03","R50.9","R06.82","L03.213","Q35.1","R50.81","H66.011","H65.93","R56.9","H66.001","R06.2","R25.1","P07.32","Z86.69","R25.9","L20.83","W57.XXXA","H66.003","R19.7","H65.493","Q38.0","H69.90","Q38.1","Z98.890","Z96.22","Q37.9","H65.23","Z82.49","Z83.3","Z91.018","J96.01","H90.0","J06.9","M62.81","H92.01","J01.90","R09.81","H92.10","R06.83","H92.13","L22","B37.2","J02.9","R07.0","J02.0","B08.4","H52.03","J35.2"],"date":["2018-09-24","2019-04-02","2018-11-13","2019-05-04","2018-10-06","2018-10-21","2018-10-22","2018-09-24","2018-09-24","2018-09-24","2018-09-24","2018-09-24","2018-09-24","2018-09-24","2019-11-26","2018-09-24","2018-10-21","2018-10-22","2018-09-26","2018-11-10","2018-10-31","2018-10-31","2018-10-31","2018-10-21","2018-10-22","2018-10-24","2018-10-24","2018-10-24","2018-12-20","2018-10-31","2018-10-31","2018-11-06","2020-10-06","2020-09-21","2018-11-13","2018-11-13","2018-12-13","2018-12-13","2018-11-27","2020-10-06","2019-09-11","2019-04-03","2019-04-03","2020-03-12","2019-04-18","2019-04-18","2019-04-30","2020-02-07","2019-05-02","2019-05-03","2019-05-03","2020-09-21","2019-05-04","2020-06-25","2019-05-03","2019-05-18","2019-05-16","2019-05-16","2019-05-18","2019-06-05","2019-06-05","2019-12-27","2019-06-17","2019-10-16","2019-09-12","2019-06-28","2019-07-17","2019-07-25","2019-07-25","2020-01-06","2019-09-09","2019-09-30","2019-09-11","2019-09-11","2019-09-12","2019-09-12","2020-09-21","2019-09-11","2019-09-13","2019-09-11","2019-09-11","2019-09-11","2019-09-13","2019-09-30","2019-10-04","2019-10-16","2020-01-27","2020-09-22","2020-09-21","2020-04-27","2020-09-21","2020-09-21","2020-05-07","2020-05-07","2020-06-22","2020-06-25","2020-06-25","2020-06-25","2020-07-07","2020-09-21"]}},{"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":""}]}]}