{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EZRA TURNER","gend":0,"add":"124   HARLOWEDGE LANE","city":"BARBOURSVILLE","state":"VA","zip":229232818,"dob":"2014-12-26","age":"","mstatus":"","insh":7894393,"cliId":"","pno":4344095755,"cno":"","email":"","ename":"","eno":"","pphy":"WILLIAMS, ELIZABETH K","ppno":"","pcpadd":"1011 E JEFFERSON STREET","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":229025354,"pcpcounty":"","pcpid":"P9120186","pcpname":"PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE PLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R42","J06.9","J02.9","R50.9","R05","I45.6","R00.0","I47.1","I49.8","Z00.121","Z71.89","R46.89","K59.04","Z62.820","J20.9","Z98.890","R00.2","I95.9","I49.9","I10","F41.9","F90.9","Z91.89","J11.1","T24.211A","X10.1XXA","T31.0"],"date":["2018-12-03","2018-12-14","2019-03-07","2019-03-07","2019-10-11","2019-11-04","2018-12-28","2019-08-26","2019-01-21","2019-02-12","2019-02-12","2019-11-04","2019-02-12","2019-02-12","2019-03-07","2019-06-10","2019-06-10","2019-06-10","2019-06-10","2019-06-10","2019-11-04","2019-11-04","2019-11-04","2020-01-30","2020-09-17","2020-09-17","2020-09-17"]}},{"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":""}]}]}