{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VALINDA HAWKS","gend":1,"add":"112A W STUART DRIVE","city":"GALAX","state":"VA","zip":243339999,"dob":"1961-06-25","age":"","mstatus":"","insh":11007347,"cliId":"3W75EQ8NQ58","pno":2762339595,"cno":"","email":"","ename":"","eno":"","pphy":"FANT, VANESSA","ppno":2762388876,"pcpadd":"112A W STUART DRIVE","pcpcity":"GALAX","pcpstate":"VA","pcpzip":243339999,"pcpcounty":"CARROLL","pcpid":"P0129331","pcpname":"OLDTOWN MEDICAL CARE LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["C50.111","Z17.0","I10","M25.50","Z79.899","R73.9","Z13.1","Z00.00","R51","K21.9","R42","J44.9","F41.8","M25.512","M54.89","W18.30XA","Y93.9","Y92.009","Z91.09","Z91.02","Z79.51","F17.210","F10.20","S46.912A","M79.602","W18.39XA","M79.661","M79.604","F41.9","Z90.89","Z90.10","M19.90","Z85.3","Z88.8","Z72.89","S89.91XA","H61.23","H25.13","L73.9","F17.200","F32.9","L03.90","H25.11","K80.50","R10.9","R11.2","J45.909","Z86.73","Z87.891","K81.0","K58.0","H25.043","H43.393","Z23","K83.8","K76.0","E27.8"],"date":["2019-08-08","2019-08-08","2020-02-13","2019-08-12","2020-03-08","2019-08-12","2019-08-12","2019-08-12","2019-08-12","2020-03-31","2019-08-12","2020-03-31","2020-03-31","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2020-03-08","2020-03-08","2019-09-19","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-09-19","2019-09-19","2020-02-13","2020-03-08","2019-09-19","2020-03-08","2020-03-09","2020-03-08","2020-03-08","2019-09-19","2019-11-03","2019-11-27","2020-01-14","2020-01-14","2020-02-13","2020-02-23","2020-02-27","2020-03-08","2020-03-31","2020-03-08","2020-03-08","2020-03-08","2020-03-08","2020-03-10","2020-03-10","2019-09-17","2019-09-17","2020-02-23","2020-03-08","2020-03-08","2020-03-08"]}},{"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":""}]}]}