{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GABRIEL KLEE","gend":0,"add":"14301 WOOD DUCK LANE","city":"CHESTERFIELD","state":"VA","zip":238345878,"dob":"2015-07-07","age":"","mstatus":"","insh":7965576,"cliId":"","pno":8045904197,"cno":"","email":"","ename":"","eno":"","pphy":"SHAYNE, ROBERT STEVEN","ppno":"","pcpadd":"4707 Buckingham Ct","pcpcity":"CHESTER","pcpstate":"VA","pcpzip":238314261,"pcpcounty":"CHESTERFIELD","pcpid":"P0129115","pcpname":"CHESTER PEDIATRICS PC"},{"a":{"indx":["","","","","","","1",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["H66.92","R50.9","J06.9","R05","K56.7","F84.0","R11.10","G47.33","J35.3","K21.9","Z79.899","H90.0","G47.30","R09.81","Q31.5","F80.9","Q67.6","Z79.51","R06.83","R12","R62.50","R51"],"date":["2018-10-25","2019-10-11","2019-01-23","2019-01-23","2019-02-18","2019-06-28","2019-10-11","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-04-30","2019-05-17","2019-05-17","2019-05-17","2019-06-28","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-06-28","2019-10-11"]}},{"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":""}]}]}