{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NATALIA CHAVEZ","gend":1,"add":"280 TYREE CIRCLE","city":"MADISON HEIGHTS","state":"VA","zip":245725830,"dob":"2012-03-28","age":"","mstatus":"","insh":7338513,"cliId":"","pno":4343194222,"cno":"","email":"","ename":"","eno":"","pphy":"FEDORKO-OVERBY, KENDALL ELAINE","ppno":"","pcpadd":"407 FEDERAL STREET","pcpcity":"LYNCHBURG","pcpstate":"VA","pcpzip":245042459,"pcpcounty":"","pcpid":"P0129607","pcpname":"LYNCHBURG WOMEN'S AND PEDIATRIC HEALTH SERVICES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["K14.8","J06.9","Z23","B85.0","J45.901","J45.20","J02.0","J10.1","Z00.121","Z71.3","Z71.89","Z01.00","Z13.89","R46.89","Q24.5","Q21.1","Z82.0","Z82.41","Z88.1","Z91.011","Z79.899","S66.912A","J00","H66.90","J11.1","J45.909","R50.9","H66.003","H65.03","F43.23","R30.0","N76.0","R32","R19.8","K59.00","N39.0"],"date":["2018-11-15","2019-01-10","2018-11-28","2019-01-10","2019-01-22","2019-03-07","2019-04-04","2020-01-06","2019-07-12","2019-07-12","2019-07-12","2019-07-12","2019-07-12","2019-07-12","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-11-07","2019-11-25","2019-11-25","2019-12-27","2019-12-27","2019-12-27","2019-12-29","2020-01-27","2020-10-12","2020-03-02","2020-03-02","2020-05-19","2020-05-19","2020-05-19","2020-05-19"]}},{"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":""}]}]}