{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ETHAN BRUCE","gend":0,"add":"538 CRIMORA MINE  ROAD","city":"CRIMORA","state":"VA","zip":244312511,"dob":"2008-09-07","age":"","mstatus":"","insh":4577196,"cliId":"","pno":5402809270,"cno":"","email":"","ename":"","eno":"","pphy":"PUMPHREY, SARAH","ppno":5409320980,"pcpadd":"57 Beam Ln Ste 202","pcpcity":"Fishersville","pcpstate":"VA","pcpzip":229392350,"pcpcounty":"","pcpid":"P9059124","pcpname":"UVA AUGUSTA PEDIATRICS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["H66.91","J06.9","L03.032","R51","Z88.0","J02.9","J02.0","J11.1","L60.0","R11.2","M41.80","R23.1","Z90.89","Z88.9","Z86.2","J10.1","Z09","R05","R11.0","R50.9","H66.92","Z20.818","H65.193","R06.2","R11.12","Z00.129","Z23"],"date":["2018-11-01","2019-10-29","2018-11-08","2019-01-09","2019-02-17","2020-02-20","2019-02-17","2019-02-17","2019-02-17","2019-02-17","2019-02-17","2019-02-17","2019-02-17","2019-02-17","2019-02-21","2020-02-25","2019-02-21","2020-02-25","2019-10-29","2019-10-29","2019-10-30","2019-11-04","2019-11-08","2019-11-08","2020-02-20","2020-05-13","2020-05-13"]}},{"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":""}]}]}