{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ARIANNA COOK","gend":1,"add":"4023 GREEN VALLEY ROAD","city":"CLOVER","state":"VA","zip":245343185,"dob":"2014-05-21","age":"","mstatus":"","insh":7903257,"cliId":"","pno":4342273201,"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":["J02.9","H10.32","R50.9","R09.89","R05","Z79.899","R51","R09.81","R91.8","J98.4","S81.011A","S89.81XA","W22.8XXA","S89.91XA","M25.561","S80.01XA","L25.9","L29.9","Z23","Z00.129","L21.8","H65.02"],"date":["2019-02-25","2019-02-19","2019-02-25","2019-02-25","2019-02-25","2019-07-22","2019-02-25","2019-02-25","2019-02-25","2019-02-25","2019-07-22","2019-07-22","2019-07-22","2019-07-22","2019-07-25","2019-07-25","2019-08-13","2019-08-13","2019-11-04","2019-11-04","2019-11-04","2019-12-30"]}},{"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":""}]}]}