{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ZETHIAH SMITH","gend":0,"add":"1369 HAWK AVENUE","city":"VIRGINIA BEACH","state":"VA","zip":234532911,"dob":"2009-11-10","age":"","mstatus":"","insh":4831965,"cliId":"","pno":7575895336,"cno":"","email":"","ename":"","eno":"","pphy":"SRIRAMAN, NATASHA","ppno":"","pcpadd":"601 Childrens Ln","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235071910,"pcpcounty":"","pcpid":"P9340746","pcpname":"LANDSTOWN COMMONS CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["E27.0","R62.52","R93.7","S01.111A","W54.1XXA","S01.81XA","W54.8XXA","Y93.89","Y92.89","F43.23","F90.2","F91.3","F41.1","F32.0","Z00.129","F90.9","Z68.52","R46.89","Z23","Z71.3","N39.44","Z71.82","R50.9","R10.9","Z53.21","R10.33","E30.1","Z83.3","L42","Z68.53","R39.81","R09.81"],"date":["2019-11-12","2018-08-24","2018-08-24","2018-10-18","2018-10-18","2018-10-18","2018-10-18","2018-10-18","2018-10-18","2019-05-31","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2019-11-12","2020-01-21","2018-11-12","2018-11-12","2019-11-12","2019-11-12","2020-09-26","2019-11-12","2019-03-04","2019-03-07","2019-03-04","2019-03-07","2019-07-30","2019-07-30","2019-08-27","2019-11-12","2020-09-26","2020-01-21"]}},{"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":""}]}]}