{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ELIJAH S COMBS","gend":0,"add":"325 GREENWAY AVENUE","city":"MARION","state":"VA","zip":243549999,"dob":"2013-08-27","age":"","mstatus":"","insh":7741876,"cliId":"","pno":2762667883,"cno":"","email":"","ename":"","eno":"","pphy":"HENLEY, ANITA B","ppno":"","pcpadd":"590 RADIO HILL RD.","pcpcity":"MARION","pcpstate":"VA","pcpzip":243544224,"pcpcounty":"","pcpid":"P0136010","pcpname":"ROYAL OAK PEDIATRIC ASSOCIATES INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J05.0","R11.10","R05","R10.84","J09.X2","J02.0","H65.01","R50.9","J02.9","H65.02","B34.9","H92.01","I89.0","J30.89","H66.002","H10.9","H66.90","J00","J18.9","H66.001","J34.89","J98.4","B27.90","J06.9","H92.02"],"date":["2020-08-01","2019-02-11","2020-08-01","2019-02-11","2019-02-13","2019-03-27","2019-03-27","2019-12-22","2020-07-28","2019-03-27","2019-04-20","2019-04-20","2019-04-23","2019-04-26","2019-12-23","2019-05-12","2019-05-12","2019-11-17","2019-11-18","2019-12-02","2019-12-22","2019-12-22","2020-02-25","2020-07-28","2020-07-28"]}},{"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":""}]}]}