{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ERICKA C HERNANDEZ","gend":1,"add":"PO BOX 354","city":"CHILHOWIE","state":"VA","zip":243190354,"dob":"2002-12-02","age":"","mstatus":"","insh":7909571,"cliId":"","pno":2767804213,"cno":"","email":"","ename":"","eno":"","pphy":"HARDEN, AMY J","ppno":"","pcpadd":"1204 N Main St","pcpcity":"Marion","pcpstate":"VA","pcpzip":243544312,"pcpcounty":"","pcpid":"P9307417","pcpname":"MOUNTAINVIEW PEDIATRICS PC"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["ASIAN\/PACIFIC"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F34.1","R07.89","R51","R44.1","R44.0","F41.8","R93.89","N39.0","R10.9","R30.0","R11.0","F32.9","F41.9","Z79.899","D35.2","R93.0","E23.6","E23.7","N91.2","Z23","D35.3","J00","M54.6","F33.3","N92.6","M54.9","M54.89","F33.1","F33.8","Z04.6","R45.851","F33.2","E34.9","G43.909","R68.89","E66.9","Z91.5","Z01.812","H40.013","J02.9","R11.10","R05","J20.8","R07.1","K59.00","R10.31","R10.11","R07.9","E28.2","N64.3","R35.0","R35.8","M54.5","R07.81","R63.1","K29.70","M54.40","A08.39","N92.1","E66.01","Z72.820","Z68.54","R10.13"],"date":["2020-09-09","2018-12-07","2020-04-20","2018-12-18","2018-12-18","2018-12-18","2020-06-08","2018-12-27","2018-12-22","2018-12-22","2020-10-13","2019-05-09","2019-05-09","2019-08-26","2020-10-07","2019-01-10","2019-02-06","2019-02-06","2019-02-06","2019-02-06","2019-02-06","2019-10-01","2019-03-04","2019-05-07","2020-04-14","2019-04-15","2019-04-22","2019-05-18","2019-04-30","2019-04-30","2019-05-10","2019-05-10","2019-05-01","2019-05-11","2019-05-20","2020-05-18","2019-05-10","2019-07-03","2019-07-26","2019-08-03","2019-12-06","2019-08-16","2019-08-16","2019-08-16","2019-08-26","2019-08-27","2019-08-26","2019-10-15","2020-09-25","2019-10-15","2019-11-04","2020-05-18","2020-07-08","2019-12-06","2020-05-18","2020-05-18","2020-07-08","2020-08-17","2020-08-17","2020-09-25","2020-09-25","2020-09-25","2020-10-13"]}},{"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":""}]}]}