{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARBARA A FAULKNER","gend":1,"add":"526   LOWRY DRIVE","city":"ABINGDON","state":"VA","zip":242103068,"dob":"1954-08-28","age":"","mstatus":"","insh":11006991,"cliId":"5V68FV4HX43","pno":2762747549,"cno":2762069996,"email":"","ename":"","eno":"","pphy":"CAMARGO, EDGAR","ppno":2766281106,"pcpadd":"212 E 106TH ST SETTLEMENT HEALTH","pcpcity":"NEW YORK","pcpstate":"NY","pcpzip":100294007,"pcpcounty":"WASHINGTON","pcpid":"P9058311","pcpname":"ABINGDON INTERNAL MEDICINE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","C54.1","K76.0","M19.90","G89.29","F32.9","E11.40","E78.2","I10","E66.9","E55.9","Z08","Z85.44","F17.210","Z92.3","Z90.710","I48.91","N76.0","B37.2","L30.4","Z90.49","R30.0","N39.0","I48.21","G89.4","M15.0","E66.01","Z68.43"],"date":["2020-10-30","2020-05-04","2019-08-05","2020-04-15","2020-04-15","2019-09-23","2020-10-23","2020-10-23","2020-10-23","2020-06-10","2020-10-23","2019-04-04","2019-03-08","2019-03-08","2019-03-08","2019-03-08","2020-04-15","2019-05-16","2019-05-16","2019-06-19","2020-02-04","2020-06-10","2020-06-12","2020-10-22","2020-10-22","2020-07-21","2020-10-23","2020-10-23"]}},{"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":""}]}]}