{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SIMONE BRIGHT","gend":1,"add":"506 PARK ST","city":"LAWRENCEVILLE","state":"VA","zip":238689999,"dob":"1991-10-03","age":"","mstatus":"","insh":11001608,"cliId":"5DD8PX1NU26","pno":4345325336,"cno":8045399441,"email":"","ename":"","eno":"","pphy":"ACKERMAN, CHRISTOPHER J","ppno":4348480771,"pcpadd":"203 Sharp St","pcpcity":"Lawrenceville","pcpstate":"VA","pcpzip":238681615,"pcpcounty":"Brunswick","pcpid":"P0060059","pcpname":"LAWRENCEVILLE PRIMARY CARE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M15.9","I11.9","S32.401D","Z47.89","S32.409A","S32.421D","M25.571","Z87.81","M16.11","S82.51XD","S81.011D","M25.559","I10","E03.9","E78.5","E78.00","J02.9","K04.7","F17.210","Z71.6","E55.9","M25.551","R10.2","E66.09","Z68.32"],"date":["2018-02-12","2018-03-30","2019-03-20","2019-03-20","2018-03-20","2018-03-20","2020-07-10","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2020-07-10","2018-03-30","2018-03-30","2020-07-10","2019-12-03","2019-12-03","2019-12-03","2019-12-03","2020-07-10","2020-07-10","2020-07-10","2020-07-10","2020-07-10"]}},{"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":""}]}]}