{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BELVA J HANCOCK","gend":1,"add":"965 CRANBERRY RD","city":"GALAX","state":"VA","zip":243339999,"dob":"1944-06-14","age":"","mstatus":"","insh":11006549,"cliId":"8UV9WR7MY24","pno":2762365503,"cno":"","email":"","ename":"","eno":"","pphy":"FANT, VANESSA","ppno":2762388876,"pcpadd":"400 S Independence Ave","pcpcity":"Independence","pcpstate":"VA","pcpzip":243483972,"pcpcounty":"CARROLL","pcpid":"P0129331","pcpname":"OLDTOWN MEDICAL CARE LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F20.9","F79","M81.0","C18.7","M54.5","H61.23","E53.8","Z79.899","R41.89","Z00.00","I21.4","N30.00","R07.9","Z88.1","Z74.3","F78","I45.10","I07.1","I51.9","Z87.440","Z12.31","S60.222A","E61.1","D64.9","Z23","R94.6","Z85.038","E55.9","C18.9","D12.6","F41.9","Z12.11","Z86.010","Z79.82"],"date":["2020-07-10","2020-10-26","2020-10-09","2020-09-02","2019-03-07","2019-03-07","2019-10-09","2020-10-26","2019-04-04","2019-07-09","2019-04-26","2019-04-25","2019-04-25","2020-10-26","2019-04-25","2019-04-25","2019-04-25","2019-04-26","2019-04-26","2019-05-03","2019-07-12","2019-09-26","2019-10-09","2020-10-09","2020-10-09","2019-10-09","2020-10-26","2020-04-09","2020-07-10","2020-09-02","2020-10-09","2020-10-09","2020-10-26","2020-10-26"]}},{"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":[]}]},{"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":""}]}]}