{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LEONARD A BLAKE","gend":0,"add":"101   STONEHAVEN DRIVE","city":"FREDRICKSBURG","state":"VA","zip":224067218,"dob":"2014-02-20","age":"","mstatus":"","insh":7786986,"cliId":"","pno":6013279818,"cno":"","email":"","ename":"","eno":"","pphy":"CALLAHAN, MARY","ppno":"","pcpadd":"4552 Empire Ct","pcpcity":"Fredericksburg","pcpstate":"VA","pcpzip":224081939,"pcpcounty":"","pcpid":"P9443183","pcpname":"PREFERRED PEDIATRICS AT SNOWDEN INC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R05","J18.1","J80","J18.9","H10.023","R50.9","H61.23","J06.9","J45.21","J20.9","J10.1","J02.0","J02.9","R50.81","J45.909","R68.89","J02.8","Z00.121","R01.1","Z71.89","Z23","J45.901","R11.2","H65.191","R51","S00.80XA","S20.211A","W01.0XXA","Y93.83","Z77.22","W19.XXXA","Y92.89","Y93.89","R07.81","H10.021","J35.1","R07.0","R63.8","R53.83","R11.10","L03.213","H65.192"],"date":["2019-10-31","2018-12-13","2019-09-03","2018-12-15","2018-12-27","2019-10-31","2018-12-27","2020-08-05","2019-03-17","2019-03-17","2019-04-12","2019-04-12","2020-08-05","2019-06-12","2020-02-01","2019-06-12","2019-06-12","2019-08-08","2019-08-08","2019-08-08","2019-08-08","2019-09-03","2019-10-31","2019-10-31","2020-08-05","2019-12-02","2020-02-01","2020-02-01","2020-02-01","2020-02-01","2020-02-01","2020-02-01","2020-02-01","2020-02-02","2020-07-11","2020-07-11","2020-08-01","2020-08-05","2020-08-05","2020-08-05","2020-09-14","2020-09-14"]}},{"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":""}]}]}