{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CAMILLA M PREECE","gend":1,"add":"6EQ0EE7MV07","city":"WEYERS CAVE","state":"VA","zip":244869999,"dob":"1958-04-15","age":"","mstatus":"","insh":11004314,"cliId":"6EQ0EE7MV07","pno":5402808614,"cno":5402922751,"email":"","ename":"","eno":"","pphy":"GUEDES DE MORAIS, AMANDA","ppno":"","pcpadd":"22 N Medical Park Dr","pcpcity":"Fishersville","pcpstate":"VA","pcpzip":229392344,"pcpcounty":"AUGUSTA","pcpid":"P0109823","pcpname":"AUGUSTA HEALTH INTERNAL MEDICINE FISHERSVILLE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J43.9","K74.60","K76.6","Z12.89","R55","F17.200","I95.9","I51.7","F60.3","Z12.31","Z78.0","Z13.820","M81.0","Z72.0","Z86.19","F31.9","M79.10","D47.2","F20.9","Z23","D69.6","D89.2","K74.69","D89.0","E78.2","K62.5","J44.9","F10.10","Z00.00","M19.90","R00.0","I47.1","R94.31","I48.92","I21.A1","I50.21","F25.9","B19.20","R91.1","M79.89","Z79.899","Z82.49","M79.605","I34.0","I36.1","I21.4","I42.9","I48.3","I50.22","I50.9","I50.20","Z79.01","R91.8"],"date":["2019-12-17","2020-08-13","2020-02-25","2019-02-19","2019-07-31","2020-09-10","2020-08-13","2019-07-31","2019-07-31","2019-08-21","2018-08-30","2018-08-30","2020-03-18","2020-08-13","2018-12-19","2019-12-17","2018-10-19","2018-10-19","2018-10-19","2020-09-17","2018-10-19","2018-12-19","2018-12-19","2018-12-19","2020-01-22","2020-02-25","2020-09-04","2020-02-28","2020-09-17","2019-12-17","2020-08-13","2020-08-14","2020-03-18","2020-10-13","2020-09-04","2020-08-17","2020-08-13","2020-08-13","2020-09-10","2020-08-13","2020-09-17","2020-08-13","2020-08-13","2020-08-14","2020-08-14","2020-08-14","2020-08-17","2020-09-04","2020-09-10","2020-08-26","2020-09-04","2020-09-04","2020-09-10"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}