{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MAELYNN E GUIRRERI","gend":1,"add":"42 BOGGS MOUNTAIN LOOP","city":"ELLISTON","state":"VA","zip":240874378,"dob":"2016-08-04","age":"","mstatus":"","insh":8069408,"cliId":"","pno":5408154030,"cno":"","email":"","ename":"","eno":"","pphy":"PREEDOM, AMANDA E","ppno":"","pcpadd":"202 8th St","pcpcity":"RADFORD","pcpstate":"VA","pcpzip":241412426,"pcpcounty":"RADFORD","pcpid":"P9341132","pcpname":"NEW RIVER VALLEY PEDIATRICS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M25.161","M25.551","W19.XXXA","M25.561","M79.604","V19.9XXA","Y93.55","Y92.9","H60.392","B30.9","H92.01","J31.0","H66.93","J47.1","S52.522A","S52.502A","W06.XXXA","S52.592A","S52.552A","B34.9","R21","R11.2","R50.9","Z23","Z00.129"],"date":["2019-01-03","2019-01-03","2019-01-03","2019-01-03","2019-01-03","2019-01-03","2019-01-03","2019-01-03","2019-02-22","2019-02-22","2019-04-02","2019-06-06","2019-06-06","2019-09-30","2019-10-13","2019-10-13","2019-10-13","2019-10-13","2019-11-07","2019-10-27","2019-10-27","2019-10-27","2019-10-27","2020-09-23","2020-08-03"]}},{"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":""}]}]}