{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALEXIS R BINFORD","gend":1,"add":"2050 AIRY CIRCLE","city":"HENRICO","state":"VA","zip":232383282,"dob":"2003-06-03","age":"","mstatus":"","insh":4649302,"cliId":"","pno":8047401345,"cno":"","email":"","ename":"","eno":"","pphy":"FORTNER, JULIE WEAVER","ppno":"","pcpadd":"10571 Telegraph Rd","pcpcity":"Glen Allen","pcpstate":"VA","pcpzip":230594652,"pcpcounty":"","pcpid":"P9120191","pcpname":"PEDIATRIC CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F43.25","J98.8","R06.2","F90.9","F90.0","F43.8","R53.83","B07.9","H47.013","H52.213","H53.8","H51.9","K90.0","E55.9","R62.51","R63.4","Z00.129","R42","Z23","Z01.419","Z30.46","Z30.017","Z32.02","J02.8","J30.9","R76.8","R10.33","R14.3","Z11.3"],"date":["2018-09-24","2018-09-11","2018-09-11","2018-12-18","2018-12-20","2018-12-20","2019-09-30","2018-11-06","2019-03-26","2019-03-26","2019-05-23","2019-05-23","2020-05-27","2019-05-24","2019-05-24","2019-05-24","2020-08-17","2019-08-15","2020-08-17","2020-09-01","2019-11-01","2019-08-27","2019-08-27","2020-03-11","2020-03-11","2020-05-27","2020-05-27","2020-05-27","2020-09-01"]}},{"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":""}]}]}