{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GABRIEL CAMPBELL","gend":0,"add":"1805 EAGLES NEST ROAD","city":"CASTLEWOOD","state":"VA","zip":242247223,"dob":"2019-04-19","age":"","mstatus":"","insh":10183153,"cliId":"","pno":2767620478,"cno":"","email":"","ename":"","eno":"","pphy":"ROATSEY, THOMAS EUGENE","ppno":"","pcpadd":"306 SOUTH SHADY AVENUE","pcpcity":"DAMASCUS","pcpstate":"VA","pcpzip":242360001,"pcpcounty":"","pcpid":"P0060026","pcpname":"HOLSTON FAMILY HEALTH SERVICES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z38.01","Z20.5","P00.2","P00.0","P96.9","R09.81","Z23","Z01.10","Z41.2","Q10.5","Z00.110","Z71.3","K63.89","R06.02","P22.9","D69.6","P83.5","P28.89","P80.9","P84","P28.5","R06.2","T68.XXXA","Z00.111","J39.8","Q31.5","J00","J06.9","R14.0","R05","Z00.129","Z20.828","R62.51"],"date":["2019-04-20","2019-05-20","2019-04-20","2019-04-20","2019-04-19","2019-08-15","2020-10-13","2019-04-20","2019-04-20","2019-05-30","2019-04-22","2019-04-22","2019-04-24","2019-05-27","2019-04-24","2019-04-24","2019-04-25","2019-04-24","2019-04-24","2019-04-24","2019-04-24","2019-05-27","2019-04-24","2019-05-08","2019-05-30","2019-08-15","2020-02-17","2019-05-27","2019-05-27","2019-05-30","2020-10-13","2020-02-17","2020-02-17"]}},{"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":""}]}]}