{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAISY L HILL","gend":1,"add":"22117 MCKINNEY HWY","city":"STONY CREEK","state":"VA","zip":238829999,"dob":"1927-06-22","age":"","mstatus":"","insh":11003629,"cliId":"1V80QG3HV13","pno":4342465903,"cno":"","email":"","ename":"","eno":"","pphy":"MATHERLEE, MICHAEL D","ppno":4342466100,"pcpadd":"12454 Hartley St","pcpcity":"Stony Creek","pcpstate":"VA","pcpzip":238823302,"pcpcounty":"SUSSEX","pcpid":"P0060176","pcpname":"STONY CREEK COMMUNITY HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","M47.892","M54.2","M54.12","X50.1XXA","Y92.009","S16.1XXA","M50.322","X50.0XXA","R53.81","M13.80","M79.10","M19.90","B35.1","H40.1131","R39.81","L22","E78.00","K21.9","D64.9","K62.5","Z87.19","K92.1","E78.5","K31.89","I25.10","Z79.82","Z90.49","M94.0","R00.2","R55","M54.9","R42","H26.492","J92.9","R07.9","R07.89","R63.0","Z23","Z91.81","H91.91","H61.21","G62.9","F17.210","Z68.26","C67.9","Z87.442","L98.8","Z87.440","F41.1","K64.9","B96.81","J44.9","H91.90","I45.10","M79.661","M79.89","M79.604","R60.0","F33.0"],"date":["2020-10-30","2019-11-04","2019-11-04","2019-11-04","2019-11-04","2019-11-04","2019-11-04","2019-11-04","2019-11-04","2019-09-23","2018-11-15","2019-11-18","2020-09-29","2020-06-04","2020-10-07","2020-10-18","2020-10-18","2020-07-13","2020-09-29","2020-09-29","2019-03-25","2019-04-22","2019-04-22","2020-06-30","2019-04-22","2020-09-29","2019-04-22","2019-04-22","2019-08-23","2018-05-10","2018-07-19","2018-05-22","2018-07-19","2018-07-25","2019-08-26","2019-08-26","2019-08-27","2019-10-08","2020-09-29","2018-11-01","2020-03-16","2020-03-16","2020-09-29","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2020-06-30","2020-06-30","2020-07-20","2020-07-20","2020-07-20","2020-09-29"]}},{"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":""}]}]}