{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TYLER CAMP","gend":0,"add":"221   POPLAR  TRACE","city":"DANVILLE","state":"VA","zip":245407445,"dob":"2007-06-16","age":"","mstatus":"","insh":4758044,"cliId":"","pno":4347094200,"cno":"","email":"","ename":"","eno":"","pphy":"KADREE, MARGARET A","ppno":"","pcpadd":"320 Federal St","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245042306,"pcpcounty":"","pcpid":"P9058759","pcpname":"JOHNSON HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["G50.1","F90.9","R51","M41.9","J06.9","R10.84","R11.2","R10.9","Z79.899","Z83.49","B85.0","R89.9","R53.83","F98.8","R63.5","K59.01","Z91.89","E27.40","R00.0","Z00.121","R07.0","R94.31","S52.501D","M79.601","X58.XXXD","J02.0","R05","J20.9","M25.531","S52.381A"],"date":["2019-01-18","2019-03-12","2019-04-03","2019-02-13","2019-02-22","2020-03-05","2019-03-12","2019-03-12","2019-03-12","2019-08-28","2019-04-03","2019-04-03","2019-08-28","2019-10-16","2019-09-06","2019-09-06","2019-09-06","2019-09-06","2019-10-24","2019-10-24","2019-10-24","2019-10-24","2020-07-10","2020-07-10","2020-07-10","2020-07-22","2020-07-22","2020-07-22","2020-08-06","2020-08-06"]}},{"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":""}]}]}