{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRYANNAH ROBINSON","gend":1,"add":"114   HOWARD  STREET","city":"PORTSMOUTH","state":"VA","zip":237074759,"dob":"2003-02-14","age":"","mstatus":"","insh":7094934,"cliId":"","pno":7576063924,"cno":"","email":"","ename":"","eno":"","pphy":"GRAVES, NIKKI L","ppno":"","pcpadd":"13609 Carrollton Blvd Ste 11","pcpcity":"Carrollton","pcpstate":"VA","pcpzip":233143214,"pcpcounty":"","pcpid":"P0060043","pcpname":"HARBOUR VIEW FAMILY PRACTICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J06.9","J02.9","J45.41","R19.7","R06.02","F41.0","J45.909","R73.03","Z91.040","Z91.048","Z82.5","J30.2","E55.9","F43.0","Z68.54","R07.89","R07.9","R05","R12","J45.21","F41.9","J98.4","R91.8","M62.81","R06.89","M54.9","N61.1","L98.9","Z79.899","J45.40","J30.89","R06.83","J35.3","Z23","L30.9","J30.1","G47.21","Z72.821","R06.81","N94.6","L72.9","G47.30","G47.10","J35.1","Z73.819","L05.91","N60.01","L72.0","N64.1","K21.9","K13.6","B00.9"],"date":["2019-02-19","2019-08-22","2019-02-19","2019-02-19","2019-02-19","2019-06-26","2019-11-19","2019-03-28","2019-05-09","2019-03-28","2019-03-28","2020-08-21","2019-06-26","2019-06-26","2020-08-21","2019-06-21","2019-06-21","2019-09-13","2019-05-13","2019-12-30","2019-06-06","2019-06-21","2019-06-21","2019-06-21","2019-06-21","2019-06-21","2019-12-20","2019-07-27","2019-11-19","2019-09-13","2019-09-13","2019-12-17","2019-09-13","2019-08-22","2019-08-22","2020-10-16","2019-09-27","2019-12-17","2019-09-27","2020-08-21","2019-11-07","2019-11-27","2019-11-27","2019-11-27","2019-11-27","2019-12-20","2019-12-20","2019-12-20","2019-12-20","2019-12-30","2019-12-30","2020-06-22"]}},{"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":""}]}]}