{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TERRILL S ROBINSON","gend":0,"add":"2010 MONTBROOK LANE","city":"HENRICO","state":"VA","zip":232272446,"dob":"2017-12-04","age":"","mstatus":"","insh":3172940,"cliId":"","pno":8042379860,"cno":"","email":"","ename":"","eno":"","pphy":"BELL, SANDRA","ppno":"","pcpadd":"101 Cowardin Ave Ste 302","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232242078,"pcpcounty":"","pcpid":"P0129007","pcpname":"MANCHESTER PEDIATRICS ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Q43.1","R62.51","K21.0","P92.6","R50.9","R11.10","R68.12","R79.89","J06.9","R05","R09.81","R19.7","K21.9","J05.0","E11.9","Q21.1","F80.9","Z83.3","Z82.5","Z82.49","R06.1","J22","J98.09","R06.00","Z23","Z71.89","J10.1","R00.0","J45.909","R01.1","E46","R62.50","R06.2","Z98.890","Z68.51","Z00.129","Z71.52","R63.6","R01.0","T17.1XXA","B34.9","Z20.828","R91.8"],"date":["2019-12-17","2020-01-23","2019-01-31","2019-01-31","2020-09-25","2020-09-25","2018-10-15","2018-10-15","2018-11-19","2020-09-25","2018-11-19","2018-11-19","2019-12-13","2019-12-15","2020-09-25","2019-12-06","2019-12-13","2019-12-06","2019-12-06","2019-12-06","2019-12-09","2019-12-09","2019-12-06","2019-12-06","2019-12-23","2020-01-23","2019-12-15","2019-12-15","2020-09-25","2019-12-13","2019-12-13","2019-12-13","2019-12-13","2019-12-17","2019-12-17","2019-12-23","2019-12-23","2020-01-23","2020-01-23","2020-09-05","2020-09-25","2020-09-25","2020-09-25"]}},{"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":""}]}]}