{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANNIE P HALL","gend":1,"add":"1197 STRAIGHT STONE ROAD","city":"GRETNA","state":"VA","zip":245579999,"dob":"1924-05-07","age":"","mstatus":"","insh":11004384,"cliId":"8T83YM4WP80","pno":4342591888,"cno":4343355135,"email":"","ename":"","eno":"","pphy":"SHAH, MINESH R","ppno":4347994488,"pcpadd":"19144 HIGHTWAY 29 NORTH","pcpcity":"CHATHAM","pcpstate":"VA","pcpzip":245310001,"pcpcounty":"PITTSYLVANIA","pcpid":"P9058501","pcpname":"CHATHAM FAMILY MEDICAL CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I11.0","I50.9","I42.9","E78.5","E11.9","I10","E05.90","M10.9","H90.3","H69.91","N18.9","M20.11","M20.12","M20.41","M20.42","N18.4","D64.9","E03.9","R41.89","Z23","J18.9","I51.7","R05","R91.8","J98.4","H35.033","Z96.1","M51.36","M54.9","L81.9","R07.9","M43.16","M54.5","B02.9","L72.3","R00.2","N18.3","M17.0","M10.00","L60.0"],"date":["2020-02-24","2020-10-21","2020-02-24","2020-02-24","2020-02-24","2020-08-04","2020-08-04","2019-02-26","2019-03-22","2019-03-22","2020-08-04","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2018-10-23","2018-10-23","2020-03-04","2018-10-23","2019-11-06","2018-12-01","2018-12-01","2018-12-01","2018-12-01","2018-12-01","2019-12-05","2019-12-05","2020-02-15","2020-02-15","2020-02-15","2020-02-15","2020-02-15","2020-02-15","2020-02-20","2019-11-19","2020-02-24","2020-03-04","2020-08-04","2020-08-04","2020-08-19"]}},{"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":""}]}]}