{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHRISTOPHER SCHLAGER JR","gend":0,"add":"14231   BERMUDA AVENUE","city":"CHESTER","state":"VA","zip":238366008,"dob":"2004-10-06","age":"","mstatus":"","insh":4191814,"cliId":"","pno":8044580831,"cno":"","email":"","ename":"","eno":"","pphy":"LICEN, VICENTE S","ppno":"","pcpadd":"308 N 4th Ave","pcpcity":"HOPEWELL","pcpstate":"VA","pcpzip":238602506,"pcpcounty":"HOPEWELL CITY","pcpid":"P9307299","pcpname":"CHILDREN AND ADOLESCENTS CLINIC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F90.2","R51","E66.9","G44.41","L60.0","B36.0","L81.0","J09.X2","Z00.121","Z68.54","L83","Z01.10","Z01.00","R07.1","K76.0","R07.89","R07.9","R06.02","R05","Z09","L70.0","M25.571","F90.9","J02.9","H60.92"],"date":["2020-10-19","2020-01-02","2019-11-25","2018-11-28","2019-01-15","2019-01-29","2019-01-29","2019-02-11","2019-11-25","2019-11-25","2019-11-25","2019-11-25","2019-11-25","2019-12-09","2019-12-09","2019-12-09","2019-12-09","2019-12-09","2019-12-09","2020-01-02","2020-02-05","2020-02-05","2020-02-05","2020-04-29","2020-10-15"]}},{"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":""}]}]}