{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DORIS L RAWLS","gend":1,"add":"6302 LEAFWOOD RD","city":"SUFFOLK","state":"VA","zip":234379999,"dob":"1931-11-14","age":"","mstatus":"","insh":11003832,"cliId":"4DU0GQ1AE27","pno":7576576851,"cno":"","email":"","ename":"","eno":"","pphy":"PONDER, JAMES MICHAEL","ppno":7575622158,"pcpadd":"6302 LEAFWOOD RD","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":234379999,"pcpcounty":"SUFFOLK CITY","pcpid":"P9409738","pcpname":"FRANKLIN CLINIC CORPORATION"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N39.0","N95.2","R07.89","I10","M94.0","I25.2","I51.7","I49.1","R07.9","K21.9","Z82.49","Z79.899","R42","M79.641","I65.23","M19.90","Z00.00","Z13.89","Z13.31","R06.89","R94.31","I11.9","I34.8","R26.9","R01.1","R09.89","I35.8","N32.81","M81.0","R06.2","R05","M47.814","M54.5"],"date":["2019-01-02","2019-01-02","2019-07-08","2019-10-22","2019-06-20","2019-06-20","2019-06-20","2019-06-24","2019-10-22","2019-06-24","2019-06-24","2019-10-22","2018-07-09","2018-07-06","2018-07-09","2019-07-17","2019-07-17","2019-07-17","2019-07-17","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2018-10-31","2019-10-22","2020-02-12","2020-02-12","2020-02-12","2020-02-11"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}