{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JUDY D GREGORY","gend":1,"add":"2860 MOUNT OLIVET RD","city":"PULASKI","state":"VA","zip":243019999,"dob":"1947-10-09","age":"","mstatus":"","insh":11008089,"cliId":"3W81RQ4DF91","pno":5407663176,"cno":5403205465,"email":"","ename":"","eno":"","pphy":"SIMPSON, MICHAEL R","ppno":7579552828,"pcpadd":"885 Kempsville Rd","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235023800,"pcpcounty":"PULASKI","pcpid":"P0136395","pcpname":"LEWIS GALE PHYSICIANS LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M25.552","G89.4","Z79.899","R30.0","M54.5","E78.00","F41.8","Z12.39","Z86.69","N30.01","N30.00","R10.9","R19.7","E78.5","F32.9","Z12.31","M47.26","M16.10","G25.81","G25.3","G47.00","R45.0","G20","F41.9","R73.03","K21.9"],"date":["2020-10-15","2020-10-15","2020-07-23","2020-05-26","2020-10-15","2020-08-11","2020-08-11","2019-11-08","2020-08-11","2019-11-19","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2020-02-18","2020-10-15","2020-09-17","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-08-11","2020-08-11"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}