{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KAWSAR ZAKI","gend":1,"add":"2111   MICHIE DRIVE","city":"CHARLOTTESVILLE","state":"VA","zip":229012867,"dob":"2019-04-20","age":"","mstatus":"","insh":10200028,"cliId":"","pno":4342495679,"cno":"","email":"","ename":"","eno":"","pphy":"LOCKMAN, ANDREW R","ppno":"","pcpadd":"4916 Plank Rd Unit 205","pcpcity":"North Garden","pcpstate":"VA","pcpzip":229591613,"pcpcounty":"","pcpid":"P0060040","pcpname":"UVA PRIMARY CARE CENTER"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["ASIAN\/PACIFIC"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z38.00","P00.89","P92.1","Z23","P92.09","B37.0","L70.4","H04.532","Q10.5","P83.81","Z91.89","E80.4","R62.50","E80.6","R11.10","Q21.1","J06.9","B35.9","Z00.129","R74.0","Z29.8","H65.93","B97.89","R74.8","I37.0","Z28.3","H66.001","R68.89"],"date":["2019-04-20","2019-04-20","2019-04-20","2019-12-03","2019-04-29","2019-06-03","2019-05-17","2019-05-17","2019-06-03","2019-06-03","2019-06-03","2019-06-05","2019-10-10","2019-10-10","2019-06-13","2020-07-24","2020-01-24","2019-09-04","2019-11-06","2019-10-10","2019-10-10","2019-11-06","2020-01-24","2020-07-24","2020-07-24","2020-07-24","2020-08-11","2020-09-11"]}},{"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":""}]}]}