{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALBERT L BUCKNER","gend":0,"add":"14328 JEFF DAVIS HWY","city":"WOODFORD","state":"VA","zip":225809999,"dob":"1975-10-30","age":"","mstatus":"","insh":11007660,"cliId":"5U60U87CP36","pno":8044480728,"cno":"","email":"","ename":"","eno":"","pphy":"MANDELL, STEPHEN","ppno":8046335840,"pcpadd":"121 Courthouse Ln","pcpcity":"Bowling Green","pcpstate":"VA","pcpzip":224279336,"pcpcounty":"CAROLINE","pcpid":"P0124062","pcpname":"VIRGINIA PRIMARY CARE ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R00.0","R94.31","R07.89","H10.33","H81.49","R42","H10.9","F41.9","E11.9","I10","R07.9","F25.9","J06.9","T63.481A","J32.9","B96.89","E03.9","R73.9","Z68.25","Z23","R05","J00","E87.6","R11.2","E87.5","E83.39","M79.604","M79.605","E86.0","R19.7","Z79.890","R63.0","R29.898","R11.11","R53.81","M62.81","M54.5","F41.1","F20.0","E66.01","R41.3"],"date":["2019-07-05","2020-01-13","2019-07-05","2019-07-05","2019-07-05","2020-01-13","2019-07-05","2020-01-14","2020-10-15","2020-09-14","2019-09-19","2020-09-29","2019-09-04","2019-09-04","2019-09-25","2019-09-25","2020-10-15","2019-10-15","2019-10-15","2020-09-14","2019-12-05","2019-12-05","2020-03-24","2020-01-14","2020-01-13","2020-01-13","2020-01-14","2020-01-14","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-02-25","2020-01-13","2020-01-13","2020-01-14","2020-04-22","2020-04-28","2020-10-15","2020-05-26","2020-10-15"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}