{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RADFORD L HENDERSON","gend":0,"add":"165 TWYMAN ST","city":"MADISON MILLS","state":"VA","zip":229601566,"dob":"1960-04-05","age":"","mstatus":"","insh":11000361,"cliId":"8WY1CK3FU33","pno":3013359073,"cno":5403604984,"email":"","ename":"","eno":"","pphy":"FLICKINGER, TABOR E","ppno":5406613004,"pcpadd":"661 University Ln","pcpcity":"Orange","pcpstate":"VA","pcpzip":229602243,"pcpcounty":"Orange","pcpid":"P0060357","pcpname":"UNIVERSITY PHYSICIAN ORANGE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G72.81","M62.82","J81.0","I10","N17.9","G72.89","E78.2","G72.49","R29.898","N18.2","R26.9","R53.81","F84.0","M79.604","M79.605","R60.0","R29.6","M60.9","T46.6X5A","E78.5","F73","M60.89","M62.81","N28.9","T79.6XXD","Z79.01","Z91.81","R00.0","R73.9","D64.9","Z79.52","Z80.42","Z23","M35.9","E11.9","R74.0","M62.89","D72.829","F79","G72.9","R39.81","G62.81","Z91.89","E78.1","I25.10","G72.0","R79.89","M79.671","I12.9","E11.22","Z79.84","R26.2","R82.998","Z12.11","R07.89","R31.9","R07.9","R06.09","X58.XXXA","Y92.9","Y93.9","S43.109A","G40.909","R26.89","Z79.82","Z88.8","R68.89","R53.1","S70.02XA","M25.552","W18.30XA","Y92.002","S70.12XA","W01.0XXA","S79.912A","S70.02XD","K76.0","R10.84","R10.9","R10.13","R63.4","E11.65","Z79.4","K62.5","Z09","Z86.010","K63.89","K64.8","K64.4","R32","Z12.5","Z11.59"],"date":["2019-08-22","2019-05-15","2018-01-30","2020-08-28","2019-08-22","2018-01-02","2020-07-09","2020-08-28","2020-08-28","2020-01-23","2018-01-20","2018-01-20","2020-06-19","2018-01-12","2018-01-12","2018-01-11","2018-01-20","2018-01-11","2018-01-11","2019-05-30","2018-01-12","2018-01-30","2020-05-06","2018-01-12","2018-01-12","2018-01-12","2018-01-30","2018-01-15","2020-06-19","2019-01-16","2019-01-16","2019-01-16","2020-01-23","2019-08-22","2020-07-09","2018-01-26","2018-08-01","2018-01-26","2020-06-19","2018-05-25","2018-03-30","2018-04-03","2019-05-15","2019-08-22","2020-01-03","2019-05-30","2019-08-22","2019-11-01","2020-01-03","2020-01-03","2020-02-06","2020-10-16","2020-01-23","2020-05-01","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-08-06","2020-02-06","2020-02-08","2020-02-06","2020-04-27","2020-04-27","2020-04-27","2020-04-27","2020-04-27","2020-04-27","2020-04-27","2020-05-01","2020-06-19","2020-06-19","2020-06-19","2020-08-06","2020-08-06","2020-08-28","2020-08-28","2020-06-26","2020-08-06","2020-08-06","2020-08-06","2020-08-06","2020-08-06","2020-08-28","2020-08-28","2020-08-28"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-assessment & 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","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":[null,null,null,null,null,null,""]},{"a":[0,"","",0,{"txt":""},{"malnutrition":[]}]}]},{"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","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"icd-10","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a9":"","a10":[],"a11":""}]}]}