{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LORA K CHURCH","gend":1,"add":"3034 CONAWAY RD","city":"BIG ROCK","state":"VA","zip":246039999,"dob":"1972-03-19","age":"","mstatus":"","insh":11002975,"cliId":"1EV1A66KP96","pno":2765307074,"cno":"","email":"","ename":"","eno":"","pphy":"CORTELLESI, THOMAS B","ppno":2769352677,"pcpadd":"3034 CONAWAY RD","pcpcity":"BIG ROCK","pcpstate":"VA","pcpzip":246039999,"pcpcounty":"BUCHANAN","pcpid":"P9058631","pcpname":"FAMILY CARE CENTER LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F43.12","F33.9","F42.2","R22.1","E04.1","E04.2","E07.89","R73.9","R51","R22.0","J32.9","E04.0","M47.817","M43.16","M54.5","F31.9","F41.9","G47.00","M54.16","Z68.41","Z79.899","Z91.81","M51.35","M51.36","Z00.00","M54.42","R53.83","R53.81","E78.5","Z12.31","R73.01"],"date":["2020-03-04","2020-03-04","2020-03-04","2018-02-27","2018-03-07","2019-03-22","2018-03-21","2018-03-21","2019-03-22","2019-03-22","2019-03-22","2018-04-04","2019-06-18","2019-06-18","2019-06-18","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2019-12-16","2018-07-24","2019-08-26","2018-10-22","2018-10-22","2018-10-22","2019-12-16","2018-10-22","2019-12-16","2019-12-31","2019-12-16"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","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 & 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":""}]}]}