{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ADAM W CHITTUM","gend":0,"add":"121 A FRONT ST","city":"SALEM","state":"VA","zip":241539999,"dob":"1965-09-28","age":"","mstatus":"","insh":11007170,"cliId":"8TQ1C83FJ98","pno":5405664672,"cno":"","email":"","ename":"","eno":"","pphy":"AGYEIWAAH, MAVIS A","ppno":5402781051,"pcpadd":"121 A FRONT ST","pcpcity":"SALEM","pcpstate":"VA","pcpzip":241539999,"pcpcounty":"ROANOKE","pcpid":"P0055264","pcpname":"VIRGINIA PREMIER NEIGHBORHOOD HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F20.9","Z00.00","Z76.89","Z13.31","Z11.1","Z13.9","Z78.9","Z28.3","Z13.220","H53.9","Z12.11","Z71.6","F25.9","Z23","E78.5","I10","L60.8","L21.9","Z79.899","D75.1","D45","D75.89"],"date":["2019-12-27","2019-05-31","2019-06-18","2019-05-31","2019-05-31","2019-05-31","2019-05-31","2019-09-10","2019-05-31","2019-05-31","2019-09-10","2019-10-08","2019-09-10","2019-10-21","2019-09-10","2019-10-08","2019-06-18","2019-10-08","2019-12-04","2019-12-16","2019-12-20","2019-12-20"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}