{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TINA L BLEVINS","gend":1,"add":"404 SHIPPYS BRANCH ROAD","city":"MOUTH OF WILSON","state":"VA","zip":243639999,"dob":"1963-09-04","age":"","mstatus":"","insh":11004310,"cliId":"9GP2DH1VW07","pno":2763883704,"cno":2767688896,"email":"","ename":"","eno":"","pphy":"ROATSEY, THOMAS EUGENE","ppno":2767620770,"pcpadd":"306 SOUTH SHADY AVENUE","pcpcity":"DAMASCUS","pcpstate":"VA","pcpzip":242360001,"pcpcounty":"GRAYSON","pcpid":"P0060026","pcpname":"HOLSTON FAMILY HEALTH SERVICES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.17","G89.4","M25.552","M25.551","Z79.899","M25.562","M46.96","I10","E78.2","Z13.89","Z13.9","F33.2","F43.12","N18.3","M15.9","Z00.8","F17.200","F17.210","M15.8","F11.20","Z11.59","Z91.89","Z13.29","Z12.4","Z12.31","N17.9","N25.81","E78.5","F32.9","F41.9","G89.29","I12.9","I25.10","K59.09","N27.1","E83.41","R13.10","E55.9","M54.9","D12.0","Z12.11","M19.90","Z79.82","Z80.0","K21.9","M79.7","M25.512","M25.511","Z79.891","M54.2","S99.912A","S99.922A","M79.89","M79.672","W01.0XXA","S82.832A","S82.832D","W01.0XXD","Z23","R60.9","N17.8","M12.9","N39.0","M25.522","G62.9","Z72.0","I34.0","Z04.1","R07.9","R51","V49.9XXA","S20.219A","T50.992A","R41.0","F13.239","F33.9","F05","I95.9","F13.20","E78.00","R11.2","F12.90","T42.4X4D","N18.4","I50.9","R41.82","R47.89","G93.40","R44.3","T50.905A","E86.0","F29","R94.31","I13.0","V47.5XXA","F32.2","Q21.9","F41.1","Z13.1","Z11.4","F33.1"],"date":["2019-06-06","2020-10-13","2019-01-17","2019-01-17","2020-10-13","2019-02-18","2019-06-06","2020-09-22","2020-07-09","2020-07-09","2020-07-09","2020-03-16","2019-06-26","2020-09-22","2019-02-25","2020-07-09","2020-07-09","2020-05-27","2019-06-06","2020-10-13","2019-06-18","2019-06-18","2019-11-04","2019-06-26","2019-06-26","2020-03-17","2019-11-18","2020-03-17","2020-03-15","2020-03-15","2020-03-16","2019-06-28","2020-05-27","2019-06-27","2019-06-27","2019-06-28","2019-06-27","2019-11-18","2020-03-16","2019-07-26","2019-11-07","2019-07-26","2019-07-26","2019-07-26","2020-03-16","2019-07-26","2019-11-29","2018-12-20","2020-03-14","2018-10-30","2018-08-19","2018-08-19","2019-11-29","2018-08-19","2018-08-22","2018-08-22","2018-10-24","2018-10-24","2020-09-22","2019-11-18","2019-11-18","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2020-05-27","2019-12-20","2019-12-20","2019-12-20","2019-12-20","2019-12-20","2020-03-14","2020-03-17","2020-03-15","2020-03-17","2020-03-15","2020-03-16","2020-03-17","2020-03-16","2020-03-15","2020-03-15","2020-03-17","2020-03-17","2020-03-17","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-17","2019-12-20","2020-03-14","2020-03-14","2020-03-16","2020-07-09","2020-07-09","2020-10-13"]}},{"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":""}]}]}