{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AVEONNA V BOOKER","gend":1,"add":"107  W 34TH STREET","city":"RICHMOND","state":"VA","zip":232254823,"dob":"2007-12-06","age":"","mstatus":"","insh":4490999,"cliId":"","pno":8045621465,"cno":"","email":"","ename":"","eno":"","pphy":"CAROLYN BOONE MD","ppno":8047838788,"pcpadd":"110 N Robinson St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232204459,"pcpcounty":"","pcpid":"P9443323","pcpname":"CAROLYN J BOONE MD PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.121","F90.9","J45.40","R51","K59.00","K75.9","Z68.52","R32","R39.81","R62.52","Q96.1","Q96.9","Z65.8","R10.9","R63.4","J02.9","R05","R10.84","D89.9","Z23","Z71.82","Z71.3","F32.9","F41.9","M25.571","N76.0","R62.51","H10.9","Q87.1","F91.8","J30.9","F90.0","S99.911A","M25.559","F91.9","N39.0","R11.10","R50.9","H92.09","H66.003","R35.0","S69.90XA","M79.89","S69.91XA","X58.XXXA","M20.011","M25.551","M79.609","Z91.89","M25.579","Z55.9","F90.1","S60.021A"],"date":["2020-01-13","2020-09-11","2019-09-09","2018-09-21","2018-09-25","2018-09-25","2020-09-11","2018-10-31","2018-10-31","2018-10-05","2018-11-12","2020-08-11","2018-12-21","2019-01-22","2019-08-08","2020-01-13","2019-01-22","2020-08-11","2020-01-13","2019-12-12","2020-09-11","2020-09-11","2019-04-03","2019-10-10","2019-04-10","2020-09-11","2019-08-08","2019-05-22","2019-05-22","2019-06-06","2019-08-08","2020-08-26","2019-10-10","2019-10-10","2020-08-11","2019-12-18","2019-12-18","2019-12-18","2019-12-18","2019-12-26","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-04-01","2020-04-20","2020-06-01","2020-06-01","2020-09-11","2020-09-11","2020-10-15","2020-10-09"]}},{"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":""}]}]}