{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMES L DRUMMOND III","gend":0,"add":"PO BOX 271","city":"ONANCOCK","state":"VA","zip":234170271,"dob":"2016-01-24","age":"","mstatus":"","insh":8009323,"cliId":"","pno":7577091359,"cno":"","email":"","ename":"","eno":"","pphy":"HALLS, ALBERT JOHN","ppno":"","pcpadd":"20306 Badger Ln","pcpcity":"Onancock","pcpstate":"VA","pcpzip":234171224,"pcpcounty":"","pcpid":"P9058920","pcpname":"ONLEY COMMUNITY HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J02.9","K59.01","R10.84","R74.8","K59.00","R10.9","R94.5","K82.8","Z00.129","Z91.09","K59.04","Z23","R10.10","R10.33","B37.81","H66.90","R21","R50.81","R50.9","J20.9","R05","A08.4","Z71.3","Z71.82","Z68.52","K21.9"],"date":["2018-11-05","2019-07-01","2020-06-23","2018-12-03","2018-12-11","2019-02-26","2019-02-05","2019-02-08","2020-02-14","2019-02-13","2019-02-13","2020-02-14","2019-02-26","2019-02-26","2019-04-09","2019-04-28","2019-04-28","2019-04-28","2019-09-02","2019-09-02","2019-09-02","2019-12-13","2020-02-14","2020-02-14","2020-02-14","2020-06-13"]}},{"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":""}]}]}