{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AZJALON DARLING","gend":1,"add":"428   LAFAYETTE PLACE","city":"WINCHESTER","state":"VA","zip":226014922,"dob":"2010-12-21","age":"","mstatus":"","insh":7118786,"cliId":"","pno":5409318194,"cno":"","email":"","ename":"","eno":"","pphy":"CALDWELL, ESTON ROBERT","ppno":"","pcpadd":"190 Campus Blvd","pcpcity":"Winchester","pcpstate":"VA","pcpzip":226012872,"pcpcounty":"","pcpid":"P9120228","pcpname":"WINCHESTER PEDIATRIC CLINIC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["H65.493","H69.83","J30.2","H65.23","H90.0","H90.2","R68.89","J45.30","H10.45","H69.93","J30.1","J30.89","T78.49XA","J02.0","J02.9","R50.9","R53.83","T78.49XD","I88.9","H60.332","H92.02","H66.92","H92.03","H66.93","F43.10","H69.82","H66.90","A09","L98.0","L20.89","L23.7","L98.9","I88.0","Z88.0","J35.1","R29.5","R10.31","R59.0","R10.12","R10.84","B34.8","R40.4","R56.9","J06.9","J11.1","R51","Z23","Z00.129","H66.001","H66.003","H60.333","L01.01"],"date":["2019-01-04","2019-03-06","2019-03-26","2019-03-26","2018-10-30","2019-03-26","2019-03-26","2019-01-07","2019-01-07","2019-01-07","2019-01-07","2019-01-07","2018-12-06","2020-09-04","2018-12-14","2020-02-24","2018-12-14","2019-01-07","2019-03-04","2019-03-04","2019-03-06","2019-03-06","2019-03-06","2019-03-06","2019-08-12","2019-03-26","2019-03-26","2019-05-06","2019-07-12","2019-07-12","2020-07-10","2019-09-03","2019-10-20","2019-10-20","2019-10-20","2019-10-20","2019-10-20","2019-10-20","2019-10-21","2019-10-21","2019-10-24","2019-11-06","2019-11-06","2019-12-23","2019-12-26","2020-01-15","2020-01-15","2020-02-14","2020-06-10","2020-06-17","2020-06-17","2020-07-10"]}},{"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":""}]}]}