{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAYDEN A WALKER","gend":0,"add":"8306   FORGE ROAD","city":"HENRICO","state":"VA","zip":232283128,"dob":"2013-08-31","age":"","mstatus":"","insh":7963386,"cliId":"","pno":8046513080,"cno":"","email":"","ename":"","eno":"","pphy":"YAPLE, ELIZABETH A","ppno":"","pcpadd":"10571 Telegraph Rd","pcpcity":"Glen Allen","pcpstate":"VA","pcpzip":230594652,"pcpcounty":"","pcpid":"P9120190","pcpname":"PEDIATRIC CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J18.1","R50.9","Z68.52","J98.01","R05","Z87.01","H66.001","J06.9","R11.10","R63.4","R19.7","J02.9","R50.81","Z00.129","J16.8","Z77.22","Z82.49","J98.4","Z23","H10.9","H57.10","Z11.59","Z20.828"],"date":["2019-10-06","2019-10-06","2019-11-04","2019-02-09","2019-12-12","2019-02-09","2019-03-05","2019-12-12","2019-03-05","2019-03-05","2019-03-05","2019-03-27","2019-03-27","2019-06-04","2019-10-06","2019-12-23","2019-12-23","2019-10-06","2019-11-04","2019-12-23","2019-12-23","2020-07-02","2020-07-02"]}},{"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":""}]}]}