{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAISHA N JOHNSON","gend":1,"add":"118   CARDINAL STREET","city":"PRINCE GEORGE","state":"VA","zip":238753445,"dob":"2005-03-01","age":"","mstatus":"","insh":4228516,"cliId":"","pno":8049269623,"cno":"","email":"","ename":"","eno":"","pphy":"KUM-NJI, PHILIP","ppno":"","pcpadd":"1000 E Broad St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232191930,"pcpcounty":"","pcpid":"P9059173","pcpname":"VCUHS CHILDRENS PAVILION"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M54.5","R07.89","H57.11","Y04.0XXA","Y92.811","Z88.8","M79.1","G89.11","R07.9","M54.9","J30.9","J30.1","J45.30","J45.901","J01.00","E66.9","Z68.54","R10.9","R68.89","L70.0","Z00.121","L70.9","R23.2","J45.909","R51"],"date":["2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-11-07","2018-11-07","2018-11-07","2018-11-07","2018-11-07","2019-08-07","2019-08-07","2019-02-13","2019-12-02","2019-08-06","2019-08-07","2019-08-07","2019-08-07","2019-08-07","2019-08-07"]}},{"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":""}]}]}