{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KYLIE M HUBER","gend":1,"add":"227 SIR OLIVER ROAD","city":"NORFOLK","state":"VA","zip":235054442,"dob":"2006-03-30","age":"","mstatus":"","insh":4344352,"cliId":"","pno":7573286809,"cno":"","email":"","ename":"","eno":"","pphy":"LEHMAN, ROBERT D","ppno":"","pcpadd":"200 Grayson Rd Ste 101","pcpcity":"Virginia Beach","pcpstate":"VA","pcpzip":234623745,"pcpcounty":"","pcpid":"P0128925","pcpname":"PEDIATRIC AFFILIATES OF HAMPTON ROADS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F90.2","Z00.121","Z68.52","Z13.31","Z13.39","F90.0","S51.012A","W22.8XXA","Y93.01","Y92.009","S59.902A","S51.022D","Z72.821","Z00.129","F91.3","T74.22XS","Z01.10","Z13.0","Z01.00","Z28.82"],"date":["2019-01-08","2018-11-27","2019-12-17","2019-12-17","2019-12-17","2019-05-23","2019-07-08","2019-07-08","2019-07-08","2019-07-08","2019-07-22","2019-07-22","2019-08-19","2019-12-17","2019-12-17","2019-12-17","2019-12-17","2019-12-17","2019-12-17","2019-12-17"]}},{"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":""}]}]}