{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRYAN E GUEVARA","gend":0,"add":"4677   SOUTHWOOD PARKWAY","city":"RICHMOND","state":"VA","zip":232243022,"dob":"2006-06-23","age":"","mstatus":"","insh":4374392,"cliId":"","pno":8045019511,"cno":"","email":"","ename":"","eno":"","pphy":"ORTEGA RODRIGUEZ MEDICAL SERVICES INC","ppno":2393442367,"pcpadd":"3914 Meadowdale Blvd","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232345547,"pcpcounty":"","pcpid":"P9058924","pcpname":"ORTEGA RODRIGUEZ MEDICAL SERVICES INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J02.9","J11.1","J10.1","D57.1","E86.0","R00.0","J98.09","R50.9","D57.00","R05","R91.8","M79.622","M79.609","M25.512","R07.9","M54.9","Z79.899","M87.812","R51","R10.12","R10.9","F91.9","D64.9","D72.9","E80.6","R94.5","K80.40","R17","R74.8","K80.50","K80.70","R10.11","K83.1","K83.8","K80.10","E80.7","K80.20","K80.44","K80.81","I51.7","Z98.890","R00.1","Z90.49","Z00.121","F32.9","Z23","F91.3","F90.0","Z91.14","J06.9","U07.1","Z13.0"],"date":["2020-04-28","2019-02-14","2019-02-17","2020-04-29","2019-08-03","2019-02-14","2019-02-14","2019-02-17","2019-05-03","2020-04-29","2019-02-20","2019-02-22","2019-02-22","2019-03-05","2019-03-05","2019-03-05","2020-01-15","2019-04-17","2019-04-17","2019-05-03","2019-08-05","2019-06-06","2019-08-03","2019-08-03","2019-08-03","2019-08-03","2019-08-03","2019-08-03","2019-08-03","2019-08-03","2019-08-07","2019-08-04","2019-08-07","2019-08-03","2019-08-06","2019-08-05","2019-08-05","2019-08-06","2019-08-06","2019-08-07","2019-08-07","2019-08-07","2019-09-10","2019-10-10","2019-10-10","2019-10-31","2019-11-06","2020-06-17","2020-01-15","2020-04-28","2020-04-29","2020-04-29"]}},{"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":""}]}]}