{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DARRIONA J RICHARDSON","gend":1,"add":"2533 PHAUP STREET","city":"RICHMOND","state":"VA","zip":232234158,"dob":"2013-12-23","age":"","mstatus":"","insh":7787427,"cliId":"","pno":8042903351,"cno":"","email":"","ename":"","eno":"","pphy":"AGADA, RAPHAEL I","ppno":"","pcpadd":"1719 Bellevue Ave","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232273901,"pcpcounty":"","pcpid":"P0114154","pcpname":"RIVERSBEND HOSPITALISTS PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.121","N39.44","R62.50","L20.9","Z83.3","R62.51","D89.9","R63.6","R62.52","Z68.52","J06.9","R05","J34.89","R06.2","R56.00","R56.9","R73.09","F90.9","D56.4","J45.40","H10.10","J30.9","J45.909","R21","F90.1","R32","F91.9","F91.3","F91.8","Z55.3","Z71.82","Z71.3","F90.2","F81.9","F98.0","E55.9","B99.9","Z68.51"],"date":["2020-02-12","2020-10-06","2019-02-20","2019-03-04","2018-12-18","2020-07-23","2020-02-12","2018-12-18","2019-01-10","2019-06-10","2019-02-15","2019-02-11","2019-02-11","2019-02-15","2019-02-20","2019-02-20","2019-03-04","2020-07-23","2019-03-04","2019-05-02","2019-05-02","2019-05-02","2019-03-07","2019-05-02","2019-05-28","2019-06-10","2019-06-10","2020-03-15","2020-02-12","2020-02-12","2020-07-23","2020-07-23","2020-07-23","2020-07-23","2020-07-23","2020-07-23","2020-07-23","2020-07-23"]}},{"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":""}]}]}