{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RAYMOND J ANDERSON JR","gend":0,"add":"361 WILDERNESS TRAIL","city":"LURAY","state":"VA","zip":228359999,"dob":"1944-04-12","age":"","mstatus":"","insh":11003628,"cliId":"4GW5D40NU71","pno":5402449380,"cno":5407434269,"email":"","ename":"","eno":"","pphy":"ROSS, GEORGE GREGORY","ppno":5407432887,"pcpadd":"135 Memorial Dr","pcpcity":"Luray","pcpstate":"VA","pcpzip":228351016,"pcpcounty":"PAGE","pcpid":"P9058927","pcpname":"PAGE MULTI SPECIALTY CLINIC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G89.4","I10","F41.9","I50.22","F03.90","K43.9","R10.84","F33.41","E03.8","Z90.49","R10.9","H90.5","I25.750","M48.061","M54.2","J44.9","E78.2","Z87.891","E53.8","I44.7","I25.10","M85.88","M54.6","Z85.46","J02.0","R50.9","R05","C61","G47.33","E55.9","E03.9","Z00.00","E11.9","E78.5","N18.5","Z98.61","N18.9","N40.0","F41.8","I25.5","Z95.1"],"date":["2020-08-10","2020-08-26","2019-03-08","2020-08-26","2019-06-26","2018-05-01","2018-05-01","2018-05-01","2020-08-10","2018-05-01","2018-05-01","2019-05-14","2018-05-18","2020-08-05","2020-08-05","2019-07-11","2020-08-26","2019-07-11","2020-07-13","2019-06-25","2020-08-26","2018-11-02","2018-11-02","2018-12-31","2020-03-18","2020-03-18","2020-03-18","2020-06-08","2020-06-17","2020-07-13","2020-08-10","2020-06-08","2020-08-10","2020-07-13","2020-07-01","2020-06-17","2020-07-01","2020-07-13","2020-07-13","2020-08-26","2020-08-26"]}},{"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":""}]}]}