{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KENNETH G JENKINS","gend":0,"add":"8017 LEVEL RUN ROAD","city":"LONG ISLAND","state":"VA","zip":245692507,"dob":"1953-05-03","age":"","mstatus":"","insh":11004218,"cliId":"7KH2U40WT00","pno":4343354937,"cno":"","email":"","ename":"","eno":"","pphy":"BLANKS, VIRGINIA L","ppno":5402977181,"pcpadd":"4830 Rucker Rd","pcpcity":"Moneta","pcpstate":"VA","pcpzip":241215281,"pcpcounty":"PITTSYLVANIA","pcpid":"P9058526","pcpname":"CMG GRETNA"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.9","J11.1","I10","E78.00","R06.02","F41.9","R52","R60.9","R51","R42","H53.10","M62.838","H52.13","H43.812","I26.99","E53.8","J44.1","T78.49XA","R73.03","R06.6","F32.9","R10.9","Z79.84","J44.9","K21.9","Z79.899","Z88.8","Z91.013","Z91.040","N52.9","H33.312","H43.813"],"date":["2020-09-04","2019-08-23","2020-09-04","2020-09-04","2019-08-23","2020-02-16","2019-08-23","2019-08-23","2019-08-23","2019-08-23","2019-08-23","2019-02-22","2019-04-05","2019-04-05","2019-08-23","2019-08-23","2020-02-16","2019-11-15","2019-11-15","2020-02-18","2020-02-18","2020-02-16","2020-02-18","2020-02-28","2020-02-18","2020-02-18","2020-02-18","2020-02-18","2020-02-18","2020-02-28","2020-05-25","2020-05-25"]}},{"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":""}]}]}