{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BESSIE L BREEDEN","gend":1,"add":"3854 ROCK ISLAND RD","city":"SCOTTSVILLE","state":"VA","zip":245905225,"dob":"1948-02-19","age":"","mstatus":"","insh":11006793,"cliId":"9CG5RH6CD56","pno":4342864802,"cno":4349061773,"email":"","ename":"","eno":"","pphy":"HAWKINS, ANDREW RICHARD","ppno":4346548900,"pcpadd":"29 Jefferson Ct","pcpcity":"Zion Crossroads","pcpstate":"VA","pcpzip":229429602,"pcpcounty":"BUCKINGHAM","pcpid":"P9307508","pcpname":"SPRING CREEK FAMILY MEDICINE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.9","D61.818","Z85.42","E66.01","E07.9","R19.7","J45.909","Z85.828","F32.9","E78.5","E11.40","I10","E03.9","G35","M19.90","G47.33","M85.80","Z88.6","D69.6","D64.9","D72.819","R53.81","R26.81","Z79.4","H61.21","H90.5","E11.42","Z13.820","Z11.59","Z91.81","Z86.69","Z00.00","Z12.11","E78.00","E53.8","R21","Z12.31","Z78.0","Z82.62","Z90.710","Z23","M17.11","Z99.3","D70.8","D69.1","L21.9","N18.3","Z91.09","G51.0","I11.0","I50.9","F10.21","E10.42","G89.29","K08.409","M81.0","Z79.1","Z79.82","Z80.3","Z82.49","Z83.3","Z88.2","R39.81","R15.9"],"date":["2020-10-27","2020-03-09","2019-07-10","2020-04-07","2019-02-07","2019-02-07","2019-02-07","2019-02-07","2019-02-07","2019-02-07","2019-02-07","2019-11-27","2019-11-12","2019-02-07","2019-02-07","2020-09-14","2019-02-07","2019-02-07","2019-02-07","2019-09-23","2019-02-07","2019-09-16","2020-03-09","2020-03-09","2019-04-03","2019-04-11","2020-03-09","2019-09-09","2019-07-10","2019-11-27","2019-07-10","2019-07-10","2019-07-24","2019-09-23","2019-07-10","2019-08-16","2019-08-29","2019-09-09","2019-09-09","2019-09-09","2019-11-12","2019-11-27","2020-07-31","2020-02-19","2020-02-19","2020-03-09","2020-03-09","2020-03-09","2020-04-07","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2019-09-23","2020-07-31","2020-07-31"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}