{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JORDAN WYATT","gend":0,"add":"20857 E COLONIAL TRAIL  HIGHWAY","city":"BLACKSTONE","state":"VA","zip":238244401,"dob":"2017-08-18","age":"","mstatus":"","insh":8190042,"cliId":"","pno":2762661082,"cno":"","email":"","ename":"","eno":"","pphy":"GILLIAM, KARI","ppno":"","pcpadd":"7023 Old Jahnke Rd","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232254126,"pcpcounty":"","pcpid":"P9058517","pcpname":"COMMONWEALTH PEDIATRICS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R62.50","F82","K59.00","Z28.21","Z00.129","Z29.3","Z23","Z41.8","N13.30","N13.70","N13.0","H92.02","H65.23","J35.03","Q67.3","Z79.2","H93.293","M43.6","Z71.3","Z71.82","Z68.52","R68.89","Z13.88","Z87.448","N26.1","R31.9","M95.2","J35.2","N18.1","K56.41","Z98.890","H53.043","F84.9","N13.5","Q60.0","Z87.718","H02.402","Z00.121","F80.1","F98.9","L01.03","Z60.9","K59.09","F88","F80.9","L01.00","L25.9","T76.02XD"],"date":["2020-10-02","2020-10-01","2020-10-02","2019-02-18","2019-08-23","2019-08-23","2019-08-23","2019-08-23","2019-12-11","2019-12-11","2019-03-06","2019-01-09","2019-05-30","2019-02-18","2019-12-11","2019-06-24","2019-06-27","2019-07-17","2019-08-23","2019-08-23","2019-08-23","2019-08-23","2019-08-23","2020-07-08","2020-07-08","2019-09-11","2019-10-14","2019-10-14","2019-12-11","2020-02-05","2020-07-08","2020-08-17","2020-02-10","2020-07-08","2020-07-08","2020-07-08","2020-08-17","2020-09-16","2020-09-16","2020-09-16","2020-10-02","2020-09-21","2020-10-01","2020-09-29","2020-10-01","2020-10-01","2020-10-01","2020-10-02"]}},{"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":""}]}]}