{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TINA J JOHNSON","gend":1,"add":"36118 KELLY CHAPEL RD","city":"GLADE SPRING","state":"VA","zip":243409999,"dob":"1962-05-07","age":"","mstatus":"","insh":11007996,"cliId":"9G64HW9HP86","pno":2765250047,"cno":2762744617,"email":"","ename":"","eno":"","pphy":"POTE, DOUGLAS A","ppno":2764295163,"pcpadd":"36118 KELLY CHAPEL RD","pcpcity":"GLADE SPRING","pcpstate":"VA","pcpzip":243409999,"pcpcounty":"WASHINGTON","pcpid":"P9058865","pcpname":"MSMG FP GLDE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F11.20","Z00.00","Z53.21","R10.9","Z79.899","E11.8","E11.65","E78.2","I10","I25.10","Z91.89","K21.9","E11.40","E11.22","G47.30","E55.9","Z79.4","G40.909","G62.9","F19.10","N18.2","M25.561","Z74.3","R26.89","W18.30XA","M79.606","S89.92XA","I50.9","S72.491A","S80.01XA","M25.461","W19.XXXA","E11.9","I25.2","F32.9","E78.5","S72.91XA","M97.11XA","Z96.651","S42.301A","S72.401A","W01.0XXA","Y92.000","N17.9","M97.01XA","I12.9","N18.9","G47.33","E66.09","Z68.32","Z01.810","Z82.49","D50.0","E11.59","Z09","S72.334D","E66.9","Z51.81","S72.401D","Z01.419","Z12.31","Z87.39","S72.301P","S29.9XXA","M89.8X5","Z87.81","E11.29","R80.9"],"date":["2020-03-10","2019-08-12","2019-09-06","2019-09-06","2020-09-02","2019-12-31","2019-12-31","2020-09-29","2020-08-24","2019-12-31","2020-08-20","2019-12-31","2020-09-29","2020-09-29","2020-04-23","2020-04-23","2020-09-29","2020-09-02","2020-09-02","2020-04-08","2020-04-09","2020-07-23","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-04-08","2020-04-07","2020-04-08","2020-04-07","2020-04-07","2020-04-09","2020-04-08","2020-07-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-08","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-23","2020-09-02","2020-05-27","2019-08-12","2020-08-20","2019-08-12","2020-04-07","2020-04-07","2020-07-23","2020-07-23","2020-08-20","2020-08-20"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}