{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SAMIR MIRAN","gend":0,"add":"416 PELICAN  LANE","city":"VIRGINIA BEACH","state":"VA","zip":234523621,"dob":"2003-08-28","age":"","mstatus":"","insh":6984640,"cliId":"","pno":7579619474,"cno":"","email":"","ename":"","eno":"","pphy":"CHILDS, MARCELLA E","ppno":"","pcpadd":"4505 Columbus St Ste 250","pcpcity":"Virginia Beach","pcpstate":"VA","pcpzip":234625011,"pcpcounty":"","pcpid":"P9307517","pcpname":"TOWN CENTER PEDIATRICS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F90.2","F91.3","E72.12","Z00.129","F90.9","Z68.53","L70.9","Z13.31","Z13.39","Z23","Z71.3","R63.4","Z71.82","R63.5","R23.8","Z71.89","E55.9","J02.9","H92.01","R09.81","Z87.898","Z68.52","R10.0","R10.31","R10.813","L70.0"],"date":["2019-04-27","2019-04-27","2019-04-27","2019-10-28","2019-09-30","2018-10-22","2020-08-03","2019-10-28","2019-10-28","2019-12-03","2019-10-28","2019-06-19","2019-10-28","2018-10-29","2019-03-28","2019-06-04","2019-09-17","2019-09-30","2019-09-30","2019-09-30","2019-09-30","2019-10-28","2020-03-09","2020-03-10","2020-03-10","2020-08-13"]}},{"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":""}]}]}