{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HAYSTON MCCOY","gend":0,"add":"PO BOX 569","city":"COEBURN","state":"VA","zip":242300569,"dob":"2004-09-21","age":"","mstatus":"","insh":8165102,"cliId":"","pno":2762029531,"cno":"","email":"","ename":"","eno":"","pphy":"ELLINI, AHMAD","ppno":"","pcpadd":"7501 Little River Tpke Ste 202","pcpcity":"Annandale","pcpstate":"VA","pcpzip":220032923,"pcpcounty":"","pcpid":"P9307256","pcpname":"ANNANDALE PEDIATRICS ASSO"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["L81.4","D22.9","D22.62","J02.9","J30.9","J30.1","J30.89","J45.20","H10.45","R51","J02.0","R09.81","R05","F41.9","J32.9","R11.0","R10.84","K76.0","Z87.898","J45.909","E66.9","Z00.129","H66.93","K21.9","L23.7","J01.00","R52","R19.7"],"date":["2018-12-20","2018-12-20","2018-12-20","2020-03-09","2019-09-23","2019-02-26","2019-02-26","2019-02-26","2019-02-26","2019-04-03","2020-03-09","2019-09-23","2020-03-09","2019-04-22","2019-04-22","2020-06-30","2020-06-30","2020-06-30","2019-05-31","2019-08-19","2019-08-10","2019-08-10","2019-08-19","2020-06-30","2019-08-19","2020-01-18","2020-03-09","2020-06-30"]}},{"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":""}]}]}