{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DANIEL LOHR","gend":0,"add":"607 WESTVIEW AVENUE","city":"BEDFORD","state":"VA","zip":245231517,"dob":"2006-12-06","age":"","mstatus":"","insh":4868395,"cliId":"","pno":4348511544,"cno":"","email":"","ename":"","eno":"","pphy":"BEVERLY, WALTER B","ppno":"","pcpadd":"130 Enterprise Dr","pcpcity":"Danville","pcpstate":"VA","pcpzip":245404070,"pcpcounty":"","pcpid":"P9059187","pcpname":"VILLAGE FAMILY PHYSICIANS INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R10.12","K59.00","R10.32","E86.0","R10.13","E66.3","L90.6","K59.01","G89.29","R10.9","F32.9","Z79.899","K63.89","F43.21","F43.23","Z60.4","Z00.121","Z71.3","Z71.89","Z13.49","F80.9","Z28.3","Z23","M62.838","H93.8X3","J40","Z87.01","H66.004","J06.9","R10.84","R11.2","R19.7","M25.50","R11.0","B34.9"],"date":["2019-01-09","2019-02-15","2019-01-29","2019-01-29","2019-10-16","2019-02-11","2019-02-11","2019-02-12","2019-10-16","2019-10-16","2019-02-07","2019-02-15","2019-02-15","2019-03-19","2019-05-20","2019-04-19","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-08-28","2019-03-28","2019-03-28","2019-05-07","2019-05-07","2019-09-03","2019-09-03","2019-08-28","2019-11-12","2019-10-02","2019-10-02","2019-10-02","2019-10-16","2019-10-16","2019-11-20"]}},{"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":""}]}]}