{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AIMEE D EASTRIDGE","gend":1,"add":"1201 LONG MEADOWS DR","city":"LYNCHBURG","state":"VA","zip":245029999,"dob":"1977-04-28","age":"","mstatus":"","insh":11007867,"cliId":"2AF4EG8XX71","pno":4343637482,"cno":4343631271,"email":"","ename":"","eno":"","pphy":"BOLLIG, JOHN J","ppno":4349465532,"pcpadd":"291 McBride Ln","pcpcity":"Gretna","pcpstate":"VA","pcpzip":245572773,"pcpcounty":"LYNCHBURG CITY","pcpid":"P0147338","pcpname":"CENTRA MEDICAL GROUP"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","I10","E03.9","F41.8","Z99.81","G47.33","R73.03","M17.12","R20.0","Z68.45","D64.9","Z13.21","Z71.3","E53.8","E55.9","E61.1","R26.81","M25.562","R60.0","E66.2","E04.1"],"date":["2019-11-09","2020-10-07","2020-10-30","2020-07-01","2020-07-01","2020-03-11","2020-10-07","2020-10-07","2019-12-11","2020-10-07","2020-03-11","2020-03-11","2020-03-11","2020-07-01","2020-07-01","2020-07-01","2020-07-01","2020-07-02","2020-10-07","2020-10-07","2020-10-30"]}},{"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":""}]}]}