{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RUTH A DUBRAY","gend":1,"add":"1961 LEAFLINE LANE","city":"CULPEPER","state":"VA","zip":227014018,"dob":"1947-06-02","age":"","mstatus":"","insh":11006289,"cliId":"5P48VQ6XU67","pno":5402227058,"cno":"","email":"","ename":"","eno":"","pphy":"SINGER, GRACE T","ppno":5408256263,"pcpadd":"1961 LEAFLINE LANE","pcpcity":"CULPEPER","pcpstate":"VA","pcpzip":227014018,"pcpcounty":"CULPEPER","pcpid":"P0111019","pcpname":"UVA PRIMARY CARE COMMONWEALTH MEDICAL"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","Z23","E03.9","E78.2","J45.30","E66.01","K59.00","Z79.899","Z68.41","H33.052","H43.391","Z96.1","M17.11","Y92.239","J45.909","G40.A09","Z91.041","R00.1","T41.45XA","R42","Z47.1","Z96.651","R68.89","R53.1","R26.89","J45.31","B91","R06.02","Z91.81","Z79.891","Z87.81","Z90.710","Z09"],"date":["2019-08-05","2019-01-09","2019-06-29","2019-06-29","2019-01-09","2019-06-29","2019-01-09","2019-06-29","2019-06-25","2019-05-21","2019-05-21","2019-05-21","2019-07-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-08-07","2019-09-26","2019-06-27","2019-06-29","2019-06-29","2019-06-29","2019-06-29","2019-06-29","2019-06-29","2019-06-29","2019-06-29","2019-06-29","2019-09-26"]}},{"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":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}}]},{"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":""}]}]}