{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAWRENCE BUCK JR","gend":0,"add":"652 DE LAURA LANE","city":"VIRGINIA BEACH","state":"VA","zip":234555719,"dob":"2017-09-26","age":"","mstatus":"","insh":8210943,"cliId":"","pno":7574902149,"cno":"","email":"","ename":"","eno":"","pphy":"VELAZQUEZ, NIVEA T","ppno":"","pcpadd":"6345 Center Dr Bldg 14","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235024126,"pcpcounty":"","pcpid":"P9307432","pcpname":"PDC PEDIATRICS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.129","Z23","Z13.0","L85.3","L20.9","L01.09","Z00.121","L01.00","Z71.3","B96.89","L20.84","L22","L30.0","R59.0","Z13.41","Z13.42","K42.9","L81.0","L20.89","J30.89","J30.81","T44.1X1A","R53.83","R26.2","R45.4","M62.81","I49.8","T50.991A","Z68.52","Z28.83","R50.9","R09.81","J10.1","F80.1"],"date":["2019-09-30","2019-04-02","2019-04-02","2019-02-15","2019-01-25","2018-12-06","2020-03-30","2019-02-15","2019-04-02","2019-02-15","2019-04-05","2019-02-15","2019-02-15","2019-03-08","2019-09-30","2020-03-30","2019-04-02","2019-04-05","2019-05-24","2019-05-24","2019-05-24","2019-08-30","2019-08-30","2019-08-30","2019-08-30","2019-08-30","2019-08-30","2019-08-30","2020-03-30","2019-09-30","2020-02-07","2020-02-07","2020-02-07","2020-09-03"]}},{"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":""}]}]}