{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CURTIS J MASON","gend":0,"add":"2769 OLD BUENA VISTA RD","city":"BUENA VISTA","state":"VA","zip":244169999,"dob":"1964-07-10","age":"","mstatus":"","insh":11000788,"cliId":"7MJ0CM1XY25","pno":5402616764,"cno":"","email":"","ename":"","eno":"","pphy":"SAILOR, JANE P","ppno":5404648700,"pcpadd":"25 Northridge Ln Ste 1","pcpcity":"Lexington","pcpstate":"VA","pcpzip":244503399,"pcpcounty":"BUENA VISTA CITY","pcpid":"P9058816","pcpname":"MAURY RIVER FAMILY PRACTICE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z00.00","E55.9","E78.5","I10","R73.01","Z12.5","K21.9","E66.9","M54.9","F11.20","M96.1","Z79.891","R16.0","K76.6","K76.9","R93.2","K76.89","R19.4","K22.2","D12.4","K44.9","K57.30","K29.80","K64.8","K31.89","R19.7","F70","R10.9","R19.5","R93.89","Z13.29","R25.2","Z01.818","K76.0","H11.012","H52.03","H52.4","K42.9","R10.84","R10.33","G89.29","F11.90","R63.8","K42.0","K75.81","R56.9","Z01.810","T85.615A","Z23","T85.695A","T85.113A","Y75.1","Z68.27","Z79.899","T85.192A","T85.193A"],"date":["2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2018-09-24","2019-12-06","2018-01-15","2020-07-28","2019-01-15","2020-07-23","2019-01-28","2019-09-19","2019-02-08","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2020-01-21","2019-12-06","2020-01-21","2019-03-29","2019-03-29","2019-03-29","2018-09-24","2019-07-30","2020-07-16","2019-07-15","2019-07-15","2019-07-15","2018-08-02","2018-07-27","2020-01-21","2019-12-06","2018-07-28","2018-07-28","2018-08-02","2019-08-05","2019-08-05","2019-08-05","2018-09-24","2018-10-05","2019-12-06","2019-12-06","2019-12-06","2019-12-06","2019-12-06","2019-12-06","2019-12-06"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}