{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EUNICE L MCCOY","gend":1,"add":"86 TANYARD BRIDGE ROAD","city":"ELKTON","state":"VA","zip":228279999,"dob":"1937-05-14","age":"","mstatus":"","insh":11007345,"cliId":"3KU7WY3QF48","pno":5402980650,"cno":8652504551,"email":"","ename":"","eno":"","pphy":"PERKINS, JASON F","ppno":5402981200,"pcpadd":"13737 Spotswood Trl","pcpcity":"Elkton","pcpstate":"VA","pcpzip":228273200,"pcpcounty":"ROCKINGHAM","pcpid":"P9058602","pcpname":"EAST ROCKINGHAM HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","K21.9","M54.41","F32.9","E87.6","G89.29","Z91.81","M79.641","M65.341","M65.321","M54.5","M53.3","Z79.891","Z12.31","J44.9","E78.00","F41.9","Z79.899","Z88.5","Z88.2","Z91.040","Z96.642","T81.41XA","M47.816","M25.512","S43.002A","X58.XXXA","M85.812","R42","M25.50","M51.37","H40.053","H18.55","M79.642","M25.532","M18.12","S63.052A","S63.042A","M70.61","S63.8X2D","M48.061","M54.16","M79.645","M25.551","M43.16","M41.26","M51.36","M54.17","M19.042","C53.9","Z76.89","M25.552","M25.511","R07.81","W19.XXXA","S22.41XA","M19.211","Z98.890","M75.101","S49.91XA","Z96.1","H40.1132","Z23","R41.3","E78.5"],"date":["2020-10-19","2020-04-17","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-20","2019-06-04","2019-06-04","2020-11-02","2020-09-28","2020-11-02","2019-05-31","2019-06-04","2020-04-17","2019-06-04","2020-06-29","2019-06-04","2019-06-04","2019-06-04","2020-05-18","2019-06-18","2020-02-04","2019-08-07","2019-08-07","2019-08-07","2019-08-07","2020-04-17","2019-09-12","2020-10-19","2019-10-21","2019-10-21","2019-12-27","2020-01-22","2020-03-02","2020-01-22","2020-01-22","2020-02-04","2020-03-02","2020-11-02","2020-11-02","2020-01-22","2020-03-10","2020-03-10","2020-03-10","2020-03-10","2020-03-10","2019-12-27","2020-04-17","2020-06-04","2020-05-18","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-09-24","2020-09-24","2020-10-19","2020-10-19","2020-10-19"]}},{"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":""}]}]}