{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HERBERT W MAYS","gend":0,"add":"105 DOEWOOD PLACE","city":"CONCORD","state":"VA","zip":245389999,"dob":"1971-02-13","age":"","mstatus":"","insh":11007052,"cliId":"7MW9PD8TU41","pno":4348468992,"cno":"","email":"","ename":"","eno":"","pphy":"SMITH, LARRY F","ppno":4343523003,"pcpadd":"181 Old Courthouse Rd","pcpcity":"Appomattox","pcpstate":"VA","pcpzip":245229853,"pcpcounty":"CAMPBELL","pcpid":"P0125207","pcpname":"APPOMATTOX MEDICAL CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R32","R39.81","R15.9","K21.9","R10.9","Z71.9","Z76.89","Z99.3","R56.9","Z86.69","G80.9","R41.89","Z00.00","F99","G40.409","G80.1","G40.802","R46.89","A41.9","N45.2","N39.0","F79","N50.89","F72","N45.3","B96.5","E78.5","Z66","Z88.5","Z79.899","Z80.0","Z83.3","Z82.49","Z82.3","J06.9","N50.811","R11.10","N43.3","Z91.89","K59.00"],"date":["2020-06-27","2020-10-04","2020-10-04","2020-07-21","2020-07-21","2020-07-21","2019-06-05","2019-06-05","2019-06-05","2019-08-19","2019-06-05","2019-06-05","2019-06-12","2020-10-04","2020-06-27","2020-06-27","2020-02-04","2020-02-04","2020-06-27","2020-06-26","2020-06-27","2020-06-27","2020-06-26","2020-06-26","2020-07-27","2020-06-26","2020-06-27","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-06-27","2020-07-21"]}},{"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":""}]}]}