{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LEVI T ABERNATHY","gend":0,"add":"245   WILDFLOWER LANE","city":"DILLWYN","state":"VA","zip":239362816,"dob":"2009-11-17","age":"","mstatus":"","insh":7262166,"cliId":"","pno":4344144275,"cno":"","email":"","ename":"","eno":"","pphy":"MULLER, RICHARD A","ppno":"","pcpadd":"65 Brickyard Dr","pcpcity":"Dillwyn","pcpstate":"VA","pcpzip":239363361,"pcpcounty":"","pcpid":"P9307279","pcpname":"BUCKINGHAM FAMILY MEDICINE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R07.9","E66.9","Z09","Z23","S62.502A","M79.645","X58.XXXA","Y93.02","K21.0","Z68.54","H72.02","H90.12","S93.491A","J02.9","J11.1","R10.9","Z91.018","Z83.3","Z00.129","R10.84","M72.2","R42","T07.XXXA","R10.33","Z13.811","J30.2","H90.0","K29.70","R13.10","K63.89","M79.601","R07.89","R10.13","R50.9","T82.848A","Y82.8","Z79.899","Z87.11","Z98.890","D50.9","L50.9","H69.90","S93.401A","S99.911A","Y93.44","W19.XXXA","Y92.39","S99.912A","S99.921A","S99.922A","M79.641","S61.451A","W55.01XA","S61.451D","W55.01XD","S61.250D","J06.9","B86"],"date":["2019-07-30","2018-12-27","2019-06-04","2019-09-05","2018-11-19","2018-11-16","2018-11-16","2018-11-16","2018-12-27","2018-12-27","2020-02-05","2019-01-15","2019-02-07","2020-08-24","2019-02-18","2020-01-21","2019-05-16","2019-03-18","2020-04-15","2020-01-21","2019-05-04","2019-10-01","2019-05-27","2019-06-14","2019-06-14","2019-06-14","2019-07-24","2019-07-29","2019-07-30","2019-07-29","2019-07-30","2019-07-30","2019-07-30","2019-07-30","2019-07-30","2019-07-30","2019-07-30","2019-07-30","2019-07-30","2019-09-05","2019-09-10","2019-10-01","2019-11-17","2019-11-17","2019-11-17","2019-11-17","2019-11-17","2019-11-17","2019-11-17","2019-11-17","2019-12-31","2020-01-09","2020-01-02","2020-01-01","2020-01-09","2020-01-09","2020-08-24","2020-06-19"]}},{"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":""}]}]}