{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ARVIN ZAMIRY","gend":0,"add":"1914   CEDAR HILL ROAD","city":"CHARLOTTESVILLE","state":"VA","zip":229012722,"dob":"2019-04-02","age":"","mstatus":"","insh":10177592,"cliId":"","pno":4344662148,"cno":"","email":"","ename":"","eno":"","pphy":"CASTALDO, DAVID J","ppno":"","pcpadd":"885 Kempsville Rd","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235023800,"pcpcounty":"","pcpid":"P9057724","pcpname":"AMELIA MEDICAL ASSOCIATES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z38.00","P70.0","P12.81","K09.8","Z23","Z38.2","Z65.9","P83.88","Q82.6","Z41.2","Z00.110","E80.6","P59.9","P96.89","R63.4","N50.89","R21","A49.02","P39.4","L98.9","B95.62","R23.8","R78.81","Z22.322","Z09","Z00.129","B37.0","R14.3","L70.4","L20.83","L01.00","J06.9","Z00.121","Z29.3"],"date":["2019-04-02","2019-04-02","2019-04-02","2019-04-02","2020-09-30","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-03","2019-04-06","2019-04-05","2019-04-07","2019-04-07","2019-04-07","2019-04-17","2019-08-01","2019-04-17","2019-04-17","2019-04-17","2019-04-17","2019-04-17","2019-04-18","2019-04-22","2019-04-22","2020-04-06","2019-08-01","2019-06-16","2019-08-01","2019-12-03","2019-12-08","2019-12-08","2020-01-06","2020-04-06"]}},{"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":""}]}]}