{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMARI CANADA","gend":0,"add":"1067 BROWNS TRAIL","city":"CLOVER","state":"VA","zip":245343097,"dob":"2014-11-19","age":"","mstatus":"","insh":7893207,"cliId":"","pno":4342216507,"cno":"","email":"","ename":"","eno":"","pphy":"EBALO, NONNA LYN L","ppno":"","pcpadd":"2202 Beechmont Rd","pcpcity":"South Boston","pcpstate":"VA","pcpzip":245921614,"pcpcounty":"","pcpid":"P9307506","pcpname":"SOUTH BOSTON PEDIATRICS"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J18.1","J45.22","R05","R50.9","B97.89","J02.8","J11.1","J22","R11.10","B97.4","J45.909","Z88.0","Z91.040","Z91.010","R91.8","R06.03","J05.0","J02.0","Z00.121","Z23","J30.9","F80.2","F88","G47.9","R46.89","F90.9","Z81.8","F84.0","J45.901","H65.92","J01.00","A38.9","L01.00","R45.87","F41.9","F82","R13.11","R63.3","R09.81","Z90.89","R06.83","R06.81","R06.5","J35.1","Q38.1","G47.30","G47.10","G47.8","R45.4","R45.86","J30.2","G47.09","Z72.821"],"date":["2018-11-02","2019-05-10","2019-05-09","2019-05-09","2019-05-10","2019-05-09","2020-02-24","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2019-01-05","2019-01-05","2020-03-13","2020-03-13","2019-10-28","2020-04-30","2020-03-23","2020-06-24","2020-03-23","2020-03-23","2019-05-14","2019-05-14","2019-09-25","2020-02-24","2019-10-28","2019-12-02","2019-12-02","2020-01-02","2020-01-02","2020-02-12","2020-02-12","2020-02-12","2020-06-24","2020-04-30","2020-06-24","2020-04-30","2020-04-30","2020-06-24","2020-04-30","2020-06-24","2020-06-24","2020-06-24","2020-06-24","2020-06-24","2020-06-24","2020-06-24","2020-06-24"]}},{"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":""}]}]}