{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CALLEY M SMITH","gend":1,"add":"4344 ALUM SPRING ROAD","city":"EDINBURG","state":"VA","zip":228242522,"dob":"2003-06-13","age":"","mstatus":"","insh":4940825,"cliId":"","pno":5403331428,"cno":"","email":"","ename":"","eno":"","pphy":"CLAUDIA H METHVIN MD PLLC","ppno":5404597757,"pcpadd":"227 S Main St","pcpcity":"Woodstock","pcpstate":"VA","pcpzip":226641451,"pcpcounty":"","pcpid":"P9058520","pcpname":"CLAUDIA H METHVIN MD PLLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F32.89","R51","J02.9","Z68.54","L70.0","R21","L42","Z09","F32.9","Z65.9","J02.0","R23.2","R07.2","K21.9","R07.89","J02.8","B97.89","J20.9","R05","R06.02","J40","J45.21","R11.0","R11.2","J06.9","B34.9","Z30.42","I10","L98.9","R03.0"],"date":["2019-05-23","2020-02-06","2020-03-13","2020-02-06","2018-12-10","2018-12-17","2018-12-21","2018-12-21","2019-01-07","2019-01-07","2020-02-06","2019-01-08","2019-02-13","2019-02-13","2019-02-13","2019-09-19","2019-09-19","2020-02-10","2019-09-24","2020-02-10","2019-10-03","2019-10-03","2019-10-29","2020-01-21","2019-12-04","2020-03-13","2020-09-29","2020-02-06","2020-02-06","2020-02-06"]}},{"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":""}]}]}