{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAMIR T MCEACHIN","gend":0,"add":"3336 BUNCHE PLACE","city":"RICHMOND","state":"VA","zip":232235441,"dob":"2006-11-23","age":"","mstatus":"","insh":1388974,"cliId":"","pno":8045645109,"cno":"","email":"","ename":"","eno":"","pphy":"CAROLYN BOONE MD","ppno":8047838788,"pcpadd":"110 N Robinson St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232204459,"pcpcounty":"","pcpid":"P0138667","pcpname":"CAROLYN J BOONE MD PC."},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F91.3","N47.1","J45.909","E66.9","Z98.890","Z00.121","Z91.89","D89.9","Z23","Z71.82","Z71.3","S42.442A","S42.492A","S42.444A","W19.XXXA","S59.902A","W01.0XXA","Y93.61","S42.462A","M25.522","Z79.899","S42.462D","Z47.89","S59.919A","S42.402D","S59.909A","S42.442D","S42.409A","J45.40","J30.9","L83"],"date":["2019-11-03","2018-09-25","2018-09-10","2018-09-10","2018-09-25","2019-07-23","2020-02-25","2019-07-23","2019-07-23","2020-02-25","2020-02-25","2019-10-03","2019-10-03","2019-10-03","2019-10-03","2019-10-28","2019-10-03","2019-10-10","2019-10-10","2019-10-10","2019-10-10","2019-11-22","2019-11-22","2019-10-16","2019-10-28","2019-10-28","2019-11-22","2019-11-22","2020-02-25","2020-02-25","2020-02-25"]}},{"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":""}]}]}