{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GEORGE J CHRISTIAN","gend":0,"add":"171 FLOOD ROAD","city":"MADISON HEIGHTS","state":"VA","zip":245729999,"dob":"1943-12-21","age":"","mstatus":"","insh":11004371,"cliId":"1V18R07GD42","pno":4342153115,"cno":4349464287,"email":"","ename":"","eno":"","pphy":"THOMAS E DOBYNS MD","ppno":4345284312,"pcpadd":"4579 S Amherst Hwy","pcpcity":"MADISON HEIGHTS","pcpstate":"VA","pcpzip":245725343,"pcpcounty":"AMHERST","pcpid":"P9059102","pcpname":"THOMAS E DOBYNS FAMILY PRACTICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","E11.65","E78.01","N52.9","Z12.5","Z00.01","Z68.25","I67.89","E11.3592","H25.12","E11.622","L97.812","E11.51","Z79.4","Z89.511","Z86.31","I25.10","I27.81","I26.99","I73.9","L20.9","Z68.24","Z23","L98.499","T87.89","L97.829","E11.42","I70.248","E78.5","Z87.891","Z89.512","T87.9","Z47.81","I48.91","Z86.73","Z79.01","L60.0","B35.1","L60.2","M79.675","Z89.519","S80.821D","H54.414A","L98.492","M79.604","L97.912","L97.822","S80.222D","E11.621","Z79.899","I11.0"],"date":["2020-10-06","2020-07-23","2020-07-23","2019-01-16","2019-01-16","2019-01-16","2019-01-16","2019-01-31","2020-09-22","2020-09-22","2020-10-06","2020-07-31","2020-10-06","2020-10-06","2020-10-06","2020-10-06","2018-09-11","2018-09-11","2019-09-30","2019-11-14","2018-10-23","2020-07-23","2020-09-30","2019-11-14","2020-07-21","2019-11-14","2019-11-14","2019-11-14","2020-07-21","2020-09-14","2019-11-14","2019-11-14","2020-03-02","2020-09-14","2020-07-21","2020-10-06","2018-12-07","2018-12-07","2018-12-07","2018-12-07","2019-10-30","2020-07-21","2020-09-22","2020-05-27","2019-09-23","2019-09-23","2020-10-06","2020-07-21","2020-10-07","2020-09-14","2020-10-06"]}},{"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":""}]}]}