{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAWNY MYERS","gend":1,"add":"2517 POCKET          ROAD","city":"HURT","state":"VA","zip":245632433,"dob":"2005-02-23","age":"","mstatus":"","insh":4249145,"cliId":"","pno":4342291106,"cno":"","email":"","ename":"","eno":"","pphy":"HAUPRICHT, BRADLEY J","ppno":"","pcpadd":"1971 University Blvd","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245150002,"pcpcounty":"","pcpid":"P9307470","pcpname":"PRIVIA MEDICAL GROUP LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R10.11","N15.1","R16.2","L02.211","R93.5","N94.9","N83.201","N83.9","D27.0","N83.291","N94.89","K76.0","R10.9","R51","Z87.19","M25.562","S89.92XA","R70.0","E66.8","E66.01","R10.13","Z68.54","S83.002A","S83.015A","K31.9","X58.XXXA","K21.0","T18.2XXA","Z01.818","Z00.121","Z71.3","Z71.89","Z01.00","Z13.89","L23.7","K29.90","T18.9XXS","J02.0","N83.8","N83.202","S90.01XA"],"date":["2019-08-20","2019-02-28","2019-03-06","2019-03-06","2019-03-20","2019-03-28","2020-02-18","2019-04-08","2019-04-12","2019-04-12","2020-05-12","2019-09-13","2020-05-12","2019-08-20","2019-08-20","2019-08-29","2019-08-27","2019-08-28","2019-08-28","2019-11-19","2019-12-03","2019-12-03","2019-08-29","2019-08-29","2019-09-13","2019-09-13","2019-09-13","2019-09-13","2019-09-13","2019-10-16","2019-10-16","2019-10-16","2019-10-16","2019-10-16","2019-10-26","2019-12-03","2019-12-03","2020-01-07","2020-05-12","2020-05-12","2020-08-19"]}},{"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":""}]}]}