{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEFFERY L LOVELL","gend":0,"add":"112   JOHNSON STREET","city":"WEBER CITY","state":"VA","zip":242906309,"dob":"1954-07-20","age":"","mstatus":"","insh":11004626,"cliId":"5NP7TU1RP51","pno":2766905987,"cno":"","email":"","ename":"","eno":"","pphy":"ADKINS, STEVEN M","ppno":2763869771,"pcpadd":"1754 US Highway 23 N","pcpcity":"Weber City","pcpstate":"VA","pcpzip":242907071,"pcpcounty":"SCOTT","pcpid":"P9058735","pcpname":"HOLSTON MEDICAL GROUP PC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J43.9","J44.9","Z72.0","F17.210","Z12.2","J98.11","J42","J44.1","J40","R91.8","M25.551","G89.29","K21.9","F17.200","M25.50","R05","B19.20","E78.1","R91.1","Z00.00","Z23","M15.9","H54.3","Z13.6","M25.519","M79.18","M54.2","B18.2"],"date":["2020-07-31","2019-04-11","2019-04-11","2019-04-24","2019-04-24","2019-07-01","2020-07-31","2018-11-16","2018-09-27","2020-08-07","2018-11-16","2018-11-16","2018-11-16","2020-07-31","2018-11-16","2018-11-16","2020-10-08","2020-07-31","2020-08-07","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-08-13","2020-08-13","2020-08-13","2020-10-08"]}},{"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":""}]}]}