{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JACKSON O LOVING","gend":0,"add":"5309   VIA FARM DRIVE","city":"MECHANICSVILLE","state":"VA","zip":231116945,"dob":"2011-05-19","age":"","mstatus":"","insh":7204884,"cliId":"","pno":8049944096,"cno":"","email":"","ename":"","eno":"","pphy":"WASHINGTON-ALSTON, LOUISE C","ppno":"","pcpadd":"6372 Mechanicsville Tpke","pcpcity":"MECHANICSVILLE","pcpstate":"VA","pcpzip":231114710,"pcpcounty":"","pcpid":"P0110986","pcpname":"LEE DAVIS PEDIATRICS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F43.23","J02.9","J06.9","J00","R05","H66.003","Z79.899","J02.0","R50.9","L60.0","L60.9","T75.89XA","Z20.89","Z83.1","Z88.1","Z91.040","Z91.048","Z77.22","Z79.51","Z98.890","R51","R42","L08.9","F43.0","R44.3","H66.002","J98.01","B08.1","H10.13","L03.115","J45.21","H92.02","J30.2"],"date":["2020-07-29","2019-02-18","2018-10-17","2019-07-14","2018-11-24","2018-11-24","2019-02-08","2018-12-18","2018-12-18","2019-03-13","2019-02-08","2019-02-08","2019-02-08","2019-02-08","2019-02-18","2019-02-18","2019-02-18","2019-02-18","2019-02-18","2019-02-18","2019-02-18","2019-02-18","2019-03-06","2019-03-13","2019-03-13","2019-07-14","2019-03-24","2019-05-17","2019-04-30","2019-05-17","2019-11-20","2019-11-20","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":""}]}]}