{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JANIYAH EDMONDS","gend":1,"add":"2304   HARWOOD  STREET","city":"RICHMOND","state":"VA","zip":232247412,"dob":"2005-02-10","age":"","mstatus":"","insh":4223972,"cliId":"","pno":8043088908,"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":["J45.909","J45.998","Z00.121","J02.9","D89.9","N91.2","Z91.89","J45.40","J30.9","J18.9","Z02.5","M79.642","S63.617A","M79.89","W19.XXXA","Y92.481","M25.571","S82.62XA","M79.671","S82.891A","M25.572","W18.31XA","S93.602A","Z79.899","K21.9","W18.39XA","S93.324A","S82.832A","S93.321A","S93.331A","X58.XXXA","M25.871","S93.325A","S92.321A","S82.892A","E66.9","G89.18","S82.65XD","S93.324D"],"date":["2020-08-07","2019-03-12","2019-03-12","2019-03-12","2019-03-12","2019-03-12","2019-03-12","2019-03-12","2019-03-12","2019-03-12","2019-11-13","2020-01-28","2020-01-28","2020-01-28","2020-01-28","2020-01-28","2020-07-12","2020-07-12","2020-08-07","2020-07-12","2020-07-12","2020-07-12","2020-07-12","2020-07-12","2020-07-12","2020-07-12","2020-08-07","2020-07-31","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2020-08-05","2020-08-07","2020-08-07","2020-08-07","2020-08-07","2020-09-18","2020-10-16"]}},{"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":""}]}]}