{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENNA A DUDLEY","gend":1,"add":"5025 NORTHWOOD DRIVE NW","city":"ROANOKE","state":"VA","zip":240172015,"dob":"2004-05-11","age":"","mstatus":"","insh":4148462,"cliId":"","pno":5409154184,"cno":"","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F43.21","R11.0","J06.9","G43.709","R23.8","L83","J30.2","K21.9","R23.2","R35.0","L85.8","K59.00","G43.009","Z20.5","B00.1","M54.5","E66.9","Z68.54","Z00.129","R21","N89.8","E88.81","Z30.46","Z30.09","R63.5","G89.29","F32.9","F41.9","F43.9","I61.1","I61.9","R73.03","R79.89","Z30.41","L60.0","R51","M79.674","M79.675","H60.392","H60.333","L68.0","G43.909","N92.6","R10.32","N83.201","E66.01","Z68.41","R03.0"],"date":["2019-01-30","2019-03-12","2019-01-29","2019-02-06","2019-02-06","2020-09-17","2019-02-06","2019-03-20","2019-03-12","2019-03-12","2019-10-23","2019-03-20","2019-03-21","2019-06-10","2019-07-31","2019-11-06","2020-08-20","2020-09-17","2019-08-12","2019-08-12","2019-10-07","2020-09-17","2019-11-01","2019-11-01","2019-11-01","2019-11-06","2020-09-28","2020-09-28","2020-09-28","2019-12-12","2019-12-12","2019-12-26","2019-12-26","2020-02-12","2020-06-25","2020-09-10","2020-06-25","2020-06-25","2020-07-19","2020-07-22","2020-08-20","2020-09-10","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-29"]}},{"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":""}]}]}