{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MATTHEW J BRANCH","gend":0,"add":"EMILY MALCOLM HIGHLAND CO. DSS","city":"MONTEREY","state":"VA","zip":244650247,"dob":"1993-08-14","age":"","mstatus":"","insh":11002981,"cliId":"1U61XY3GJ21","pno":5404682199,"cno":"","email":"","ename":"","eno":"","pphy":"LANDEN, DONNA A","ppno":4349249401,"pcpadd":"Lee Street 1st Floor","pcpcity":"Charlottesville","pcpstate":"VA","pcpzip":229080001,"pcpcounty":"HIGHLAND","pcpid":"P0124068","pcpname":"UVA PRIMARY CARE CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G25.3","Z87.820","R25.9","G80.9","R13.12","F80.89","N39.498","R39.81","L22","Z74.09","G80.1","M25.371","M25.372","G82.50","R29.6","M62.838","M25.579","M81.0","R26.89","M21.371","M21.372","B02.9","R21","J45.909","N39.0","J30.89","J45.20","J30.2","R06.2","J30.1","G47.33","M24.50","F79","G40.909","G80.0","M41.40"],"date":["2020-07-29","2019-01-02","2019-01-02","2019-12-06","2019-11-14","2019-11-14","2020-10-23","2020-10-23","2020-10-23","2020-10-20","2020-10-20","2018-08-29","2018-08-29","2018-08-29","2018-08-29","2018-08-29","2018-08-29","2018-08-29","2018-12-03","2018-11-09","2018-11-09","2019-12-06","2019-12-06","2019-12-19","2020-07-29","2019-12-19","2020-07-29","2019-12-19","2019-12-19","2019-12-19","2020-04-28","2020-10-20","2020-10-20","2020-07-29","2020-10-20","2020-10-20"]}},{"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":""}]}]}