{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JASE D BONEBRIGHT","gend":0,"add":"16   RESTFUL LANE","city":"RUSTBURG","state":"VA","zip":245883425,"dob":"2015-05-23","age":"","mstatus":"","insh":7938970,"cliId":"","pno":4348417745,"cno":"","email":"","ename":"","eno":"","pphy":"THOMAS E DOBYNS MD","ppno":4345284431,"pcpadd":"4579 S Amherst Hwy","pcpcity":"MADISON HEIGHTS","pcpstate":"VA","pcpzip":245725343,"pcpcounty":"","pcpid":"P9059102","pcpname":"THOMAS E DOBYNS FAMILY PRACTICE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J39.9","F80.2","F80.0","F88","F84.0","F90.2","F98.8","Z00.129","J30.9","J30.89","J45.20","Z68.52","J06.9","R05","H92.02","R09.81","H66.93","J02.9","H66.002","R09.89","J05.0"],"date":["2018-12-28","2019-02-27","2019-02-27","2019-02-27","2019-03-12","2019-02-27","2019-02-27","2019-03-12","2019-04-07","2019-04-10","2019-04-10","2019-04-10","2019-05-29","2019-12-03","2020-01-02","2020-01-09","2019-12-03","2020-01-02","2020-01-02","2020-01-09","2020-03-09"]}},{"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":""}]}]}