{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ARTEMIS BISHOP","gend":0,"add":"280 ANDERSON HIGHWAY","city":"CUMBERLAND","state":"VA","zip":230402107,"dob":"2019-02-10","age":"","mstatus":"","insh":10166302,"cliId":"","pno":8044899410,"cno":"","email":"","ename":"","eno":"","pphy":"BASHORE, RANDALL T","ppno":"","pcpadd":"2217 Princess Anne St","pcpcity":"Fredericksburg","pcpstate":"VA","pcpzip":224013359,"pcpcounty":"","pcpid":"P9058488","pcpname":"CENTRAL VIRGINIA COMMUNITY HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z38.00","P12.89","P83.5","P59.9","Z23","Z01.10","Z00.110","N64.59","Z00.111","R21","Z71.89","Z71.3","Z00.129","B08.5","A08.4","L70.4","I49.8","S02.0XXA","R51","W06.XXXA","Y93.84","Y92.013","S09.90XA","W17.89XA","S02.81XA","S09.8XXA","W17.89XD","S29.9XXA","W08.XXXA","S02.91XA","S02.91XD","Z68.52"],"date":["2019-02-12","2019-02-10","2019-02-10","2019-02-10","2020-03-10","2019-02-11","2019-02-13","2019-02-13","2019-02-26","2019-02-26","2020-03-10","2020-03-10","2020-03-10","2019-03-20","2019-03-20","2019-03-20","2019-08-24","2019-08-25","2019-08-24","2019-08-24","2019-08-24","2019-08-24","2019-08-24","2019-08-24","2019-08-24","2019-08-25","2019-08-24","2019-08-24","2019-09-10","2019-09-10","2019-09-10","2020-03-10"]}},{"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":""}]}]}