{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DI'ARI F MANGRAM","gend":1,"add":"1337   COALTER STREET","city":"RICHMOND","state":"VA","zip":232235037,"dob":"2018-11-30","age":"","mstatus":"","insh":10128100,"cliId":"","pno":8042961075,"cno":"","email":"","ename":"","eno":"","pphy":"AVULA, JONATHAN S","ppno":"","pcpadd":"4620 S Laburnum Ave","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232312424,"pcpcounty":"","pcpid":"P0060124","pcpname":"ST JOSEPHS OUTREACH CLINIC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z38.00","P61.2","P07.34","P28.4","P22.9","P59.0","P80.9","P92.09","P29.12","P05.06","Z23","P29.11","P07.16","P59.9","P92.9","R14.0","J21.9","R06.2","J21.0","J96.02","R00.0","K42.9","B97.89","R63.3","J96.00","J21.8","B97.19","R06.82","Z97.8","R06.03","B97.4","R06.89","Z00.129","R13.12","J69.0","Z87.898","Z13.40","R05","B34.9"],"date":["2018-11-30","2018-12-24","2019-02-04","2019-01-07","2018-11-30","2018-11-30","2018-12-18","2019-01-04","2019-01-06","2018-11-30","2019-05-13","2018-12-01","2019-01-08","2018-12-17","2018-12-20","2018-12-26","2019-02-11","2019-02-01","2019-02-05","2019-02-02","2019-02-03","2019-02-02","2019-02-02","2019-02-22","2019-02-03","2019-02-04","2019-02-04","2019-02-03","2019-02-03","2019-02-04","2019-02-04","2019-02-04","2019-05-13","2019-02-22","2019-03-12","2019-05-13","2019-05-13","2019-07-28","2019-07-28"]}},{"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":""}]}]}