{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LOGAN NEWCOMB","gend":0,"add":"206   PENDGRASS ROAD","city":"BRISTOL","state":"VA","zip":242019999,"dob":"2018-11-01","age":"","mstatus":"","insh":10125141,"cliId":"","pno":4344540882,"cno":"","email":"","ename":"","eno":"","pphy":"MAKRES, THOMAS D","ppno":"","pcpadd":"320 Steeles Rd","pcpcity":"Bristol","pcpstate":"TN","pcpzip":376209532,"pcpcounty":"","pcpid":"P9307277","pcpname":"BRISTOL PEDIATRIC ASSOCIATES PC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.121","Z23","J00","Z91.011","Z00.129","J21.0","R06.03","R06.2","R06.82","R63.3","J21.9","R06.02","J20.5","R06.89","Z99.81","J96.90","Z93.1","Z46.82","J96.00","J98.11","R62.51","H66.91","R05","J18.9","J45.909","H66.41","J06.9","R68.12","K00.7","H66.43","Z71.3"],"date":["2018-12-04","2019-11-21","2018-12-28","2018-12-28","2019-11-21","2019-09-28","2019-03-18","2019-09-30","2019-01-10","2019-01-10","2019-09-30","2019-01-10","2019-01-11","2019-01-11","2019-01-11","2019-01-11","2019-01-11","2019-01-11","2019-01-16","2019-01-16","2019-01-29","2019-03-18","2019-09-28","2019-03-25","2019-03-25","2019-09-30","2019-09-30","2019-09-10","2019-09-10","2019-10-15","2019-11-21"]}},{"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":""}]}]}