{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAMMY M WHITE","gend":1,"add":"1748 TEXAS AVE","city":"LYNCHBURG","state":"VA","zip":245019999,"dob":"1958-01-24","age":"","mstatus":"","insh":11003677,"cliId":"4PW4FP4GY94","pno":4346649622,"cno":"","email":"","ename":"","eno":"","pphy":"SMITH, LARRY F","ppno":4343523003,"pcpadd":"181 Old Courthouse Rd","pcpcity":"Appomattox","pcpstate":"VA","pcpzip":245229853,"pcpcounty":"LYNCHBURG CITY","pcpid":"P0125207","pcpname":"APPOMATTOX MEDICAL CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.9","E55.9","J45.909","M16.11","N39.0","F17.210","N18.3","N28.1","N28.89","K80.20","R14.0","E11.29","R05","E78.5","R23.8","G47.33","N39.3","Z72.0","E11.22","N18.9","I10","M25.551","M25.552","Z23","M16.0","H40.013","E11.65","Z96.1","E66.01","E78.2","R25.2","Z68.41","Z79.1","Z79.4","Z79.899","J30.9","H43.811","Z71.3","R00.2","N32.81","L22","R09.81","R11.2"],"date":["2020-01-27","2019-07-01","2019-06-06","2020-09-22","2019-03-30","2019-06-06","2019-05-02","2019-05-28","2019-05-28","2019-05-28","2019-05-28","2019-06-06","2020-07-23","2019-07-01","2019-06-06","2018-06-27","2020-10-24","2020-07-23","2019-08-05","2019-08-05","2019-08-05","2020-09-22","2019-08-05","2020-01-27","2019-08-05","2018-08-07","2020-09-10","2018-08-07","2020-09-22","2018-08-16","2018-08-16","2020-09-22","2018-08-16","2018-08-16","2018-08-16","2018-11-26","2018-12-12","2020-01-27","2020-07-02","2020-07-23","2020-10-24","2020-08-27","2020-09-10"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}