{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ESTER L YATES","gend":1,"add":"4159 LICKCREEK ROAD","city":"HAYSI","state":"VA","zip":242569999,"dob":"1963-05-10","age":"","mstatus":"","insh":11007701,"cliId":"5YF1K01QC14","pno":2768650350,"cno":"","email":"","ename":"","eno":"","pphy":"KEENE, MELISSA NICOLE","ppno":2769351760,"pcpadd":"4159 LICKCREEK ROAD","pcpcity":"HAYSI","pcpstate":"VA","pcpzip":242569999,"pcpcounty":"DICKENSON","pcpid":"P0144641","pcpname":"HAYSI CLINIC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["H25.812","H25.811","E78.2","I10","Z00.8","Z13.9","Z13.89","Z71.89","K21.9","D51.9","M81.0","Z23","M54.5","Z79.891","H02.831","H02.834","H02.413","M79.604","I73.9","R60.9"],"date":["2019-08-01","2019-08-26","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2019-09-27","2020-03-11","2020-03-11","2020-02-20","2020-03-16","2020-03-16","2020-03-16"]}},{"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":""}]}]}