{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JUDY F BROUGHMAN","gend":1,"add":"61 KENWOOD LANE","city":"LEXINGTON","state":"VA","zip":244509999,"dob":"1950-08-01","age":"","mstatus":"","insh":11003654,"cliId":"5MC5JN5MH76","pno":5404637300,"cno":"","email":"","ename":"","eno":"","pphy":"SNYDER, JOHN A","ppno":5402457870,"pcpadd":"2927 STUARTS DRAFT HIGHWAY","pcpcity":"STUARTS DRAFT","pcpstate":"VA","pcpzip":244772796,"pcpcounty":"ROCKBRIDGE","pcpid":"P0123881","pcpname":"AUGUSTA HEALTH PRIMARY CARE STUARTS DRAFT"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.9","H61.21","J40","M79.1","M25.50","J30.2","R11.2","R79.82","N39.0","R30.0","R73.02","Z11.59","Z13.220","Z00.00","F32.1","Z12.31","F17.200","Z23","Z87.891","Z71.89","Z12.11","Z13.89","Z13.6","R79.89","B85.0","D12.0","D12.2","K57.30","K64.1","Z83.71","E66.3","Z68.26","Z72.0","Z80.0","Z79.899","Z86.010","K63.5","Z12.2","F17.210","H43.811","H52.4","M13.0","Z80.9","Z13.79","Z80.3","Z80.41","Z31.5","F32.9","Z80.1","Z80.8","Z80.52","Z80.49","Z82.49","Z88.1","Z91.041","Z80.42","R03.0"],"date":["2020-02-06","2019-03-28","2018-06-12","2018-06-11","2020-02-12","2018-06-18","2018-06-18","2018-06-18","2019-06-24","2019-06-24","2018-08-23","2018-08-23","2019-08-27","2019-08-27","2020-02-12","2019-09-10","2020-02-12","2018-08-23","2020-02-06","2019-08-27","2018-09-18","2018-08-23","2019-08-27","2019-11-27","2019-08-27","2018-09-18","2018-09-18","2020-02-06","2018-09-18","2018-09-18","2018-09-18","2018-09-18","2018-09-18","2020-02-06","2018-09-18","2020-02-06","2018-09-18","2019-10-09","2019-10-09","2018-11-14","2018-11-14","2019-11-27","2019-11-27","2020-01-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-01-06","2020-02-12"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":""}]}]}