{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"QUONTE B BULLOCK JR","gend":0,"add":"GLENN AND JOYCE CARTER- F P","city":"RUTHER GLEN","state":"VA","zip":225463481,"dob":"2017-01-23","age":"","mstatus":"","insh":8119327,"cliId":"","pno":8046467525,"cno":"","email":"","ename":"","eno":"","pphy":"HUOT, RACHEL","ppno":"","pcpadd":"1508 K V Rd","pcpcity":"Victoria","pcpstate":"VA","pcpzip":239742624,"pcpcounty":"","pcpid":"P0060340","pcpname":"CAROLINE FAMILY PRACTICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R50.9","B34.9","I88.9","L04.0","J06.9","E86.0","C76.1","J98.11","M04.8","Z00.121","Z62.21","R62.50","K42.9","Z78.9","Z00.129","J21.9","J30.9","J01.00","R06.2","R62.0","Z63.8"],"date":["2019-02-18","2018-12-10","2019-02-05","2019-02-03","2019-02-05","2019-02-05","2019-02-18","2019-02-18","2019-02-20","2019-10-28","2020-03-02","2019-10-28","2019-10-28","2019-10-28","2020-01-24","2020-02-12","2020-02-12","2020-03-02","2020-03-02","2020-03-02","2020-03-02"]}},{"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":""}]}]}