{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARBARA S JAROCKA","gend":1,"add":"6209 LONGDALE FURNANCE RD","city":"CLIFTON FORGE","state":"VA","zip":244229999,"dob":"1949-03-23","age":"","mstatus":"","insh":11001096,"cliId":"8NC1EY9DQ21","pno":5408620892,"cno":"","email":"","ename":"","eno":"","pphy":"HENDERSON, PATRICIA W","ppno":5408626750,"pcpadd":"1 ARH LANE","pcpcity":"LOW MOOR","pcpstate":"VA","pcpzip":244570001,"pcpcounty":"ALLEGHANY","pcpid":"P0060227","pcpname":"JACKSON RIVER FAMILY PRACTICE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["C44.529","I11.9","I48.91","J44.9","E66.01","Z68.39","Z79.01","Z87.891","I48.2","I10","R60.9","I47.1","I49.3","M65.341","E05.90","Z79.899","E55.9","Z01.810","Z01.812","I21.19","I97.190","E78.5","I25.10","R00.1","I21.A9","T82.855S","I95.9","E11.9","H91.90","E66.9","Z68.37","R41.82","R94.5","I21.11","I51.7","I08.3","I27.22","R39.9","R19.7","R11.2","R55","N39.0","I21.3","F17.210","Z79.02","Z79.82","I49.9","J80","R06.9","R42","T82.867A","T82.855A","I25.119","I24.9","R61","R11.10","R06.02","Z86.79","Z00.6","I48.20","N17.9","I49.5","R32","G93.0","M54.9","D69.6","I25.2","I82.C11","Z95.0","Z45.018","Z95.5","I25.118","E05.00","R41.0","H53.9","R47.81","G44.009","Z86.69"],"date":["2019-01-28","2019-01-24","2020-10-07","2019-01-24","2019-01-24","2019-01-24","2020-10-07","2019-01-24","2019-04-24","2020-10-07","2019-04-24","2018-06-07","2018-06-07","2018-10-25","2020-10-07","2020-07-30","2020-02-28","2018-12-06","2018-12-06","2020-02-28","2020-02-28","2020-10-07","2020-10-07","2020-10-07","2020-02-28","2020-02-28","2020-06-08","2020-03-07","2020-02-28","2020-03-07","2020-03-07","2020-02-28","2020-02-28","2020-06-08","2020-02-29","2020-02-29","2020-02-29","2020-03-03","2020-03-07","2020-03-07","2020-06-09","2020-03-07","2020-03-07","2020-03-07","2020-10-07","2020-06-08","2020-02-28","2020-02-28","2020-02-28","2020-10-07","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-09","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2020-10-07","2020-06-10","2020-07-30","2020-10-07","2020-10-07","2020-07-30","2020-09-01","2020-10-16","2020-10-16","2020-10-07","2020-10-07","2020-10-07"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}