{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TY'LASIA J CARTER","gend":1,"add":"520   HARTFORD LANE","city":"NORTH CHESTERFIEL","state":"VA","zip":232364506,"dob":"2005-05-26","age":"","mstatus":"","insh":4250568,"cliId":"","pno":8045034140,"cno":"","email":"","ename":"","eno":"","pphy":"CROSS, ELIZABETH MCGILL","ppno":8047962300,"pcpadd":"4707 Buckingham Ct","pcpcity":"Chester","pcpstate":"VA","pcpzip":238314261,"pcpcounty":"","pcpid":"P0129115","pcpname":"CHESTER PEDIATRICS PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F34.81","F31.89","Z00.129","Z71.3","Z71.82","Z68.54","Z23","K08.89","R00.0","I49.1","I49.3","R07.89","R07.9","J21.9","R04.2","M94.0","R11.10","R42","F90.9","R63.4","N92.1","H92.01","R10.9","R11.2","R19.7","R10.84","I49.9","R05","R11.0","L03.032","F91.3","Z68.53","Z30.09","N89.8","R10.2","F90.2","F31.9","Z30.013","M79.644","L30.9","R58","Z30.42","N39.0","R35.0","R30.0"],"date":["2018-11-25","2018-10-26","2020-03-31","2020-03-31","2020-03-31","2018-09-19","2020-03-31","2018-10-24","2018-10-24","2018-11-20","2018-12-18","2019-08-06","2019-08-06","2018-11-21","2018-11-21","2018-11-22","2018-12-18","2018-12-18","2018-12-18","2019-04-29","2019-04-29","2019-05-14","2019-06-18","2019-06-18","2019-06-16","2019-06-18","2019-08-06","2019-08-06","2019-08-06","2019-08-28","2020-04-28","2020-03-31","2020-06-24","2020-08-17","2020-04-04","2020-04-28","2020-04-28","2020-05-07","2020-06-17","2020-06-24","2020-08-17","2020-08-17","2020-08-27","2020-08-27","2020-08-27"]}},{"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":""}]}]}