{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHRISTOPHER J KING","gend":0,"add":"860 PINEY GROVE RD","city":"GRETNA","state":"VA","zip":245579999,"dob":"1981-01-03","age":"","mstatus":"","insh":11006418,"cliId":"3D01A84QA19","pno":4345656881,"cno":4346562222,"email":"","ename":"","eno":"","pphy":"SCANLON-ROWLETT, NICOLE R","ppno":4343091165,"pcpadd":"1280 Main St Ste A","pcpcity":"Altavista","pcpstate":"VA","pcpzip":245171465,"pcpcounty":"PITTSYLVANIA","pcpid":"P0110917","pcpname":"ALTAVISTA MEDICAL CENTER"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","H50.10","F42.8","F70","Z86.69","G40.301","Q68.8","G91.9","Z98.2","E55.9","E78.2","D69.6","R79.89","Z90.81","E53.8","R56.9","N39.41","D64.9","F71","F33.1","Z12.11","M79.671","L97.509","G40.909","G47.33","R09.02","F42.9","F41.9","D12.5","G47.30","Z80.0","Z86.010","D12.6","Z68.33","Z78.9","R53.81","G62.9","G47.09","G40.009","R16.1","R26.89","Z09","F39","R26.9","G40.109","F42.2"],"date":["2019-01-14","2019-01-31","2020-08-07","2020-08-07","2020-08-07","2019-04-29","2020-04-30","2020-04-30","2020-06-08","2020-06-08","2020-07-17","2020-06-08","2020-07-17","2020-01-31","2020-07-17","2020-07-17","2019-07-08","2020-07-17","2020-01-08","2020-01-08","2019-11-12","2019-08-08","2019-08-09","2020-06-08","2020-09-19","2020-04-30","2020-05-19","2020-08-07","2019-11-12","2019-11-12","2019-11-12","2019-11-12","2019-11-12","2020-01-08","2020-01-08","2020-01-31","2020-05-06","2019-10-23","2020-06-08","2020-06-08","2020-06-08","2020-04-30","2020-05-19","2020-06-08","2020-06-08","2020-09-10"]}},{"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":""}]}]}