{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOHN MOSS","gend":0,"add":"2400 E PARHAM RD","city":"HENRICO","state":"VA","zip":232289999,"dob":"1945-01-13","age":"","mstatus":"","insh":11008399,"cliId":"4MD0YM4QK38","pno":8042649185,"cno":"","email":"","ename":"","eno":"","pphy":"YOUNG, WILLIAM H","ppno":8043555550,"pcpadd":"110 N Robinson St Ste 301","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232204461,"pcpcounty":"HENRICO","pcpid":"P0124228","pcpname":"WILLIAM H YOUNG MD PC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I63.50","I69.954","M24.532","I69.354","H35.3131","H25.13","I69.991","I69.920","F33.1","F10.21","R41.841","M62.81","R47.01","G40.89","Z23","I10","M15.0","I73.89","B35.1","L30.9","S70.02XD","J34.89","K02.9","I69.919","I25.10","E78.5","F41.9","R54","G47.00","R05","J98.11","F33.2","R56.9","F44.5","G60.8","E55.9","E11.9","D64.9","F32.9"],"date":["2020-10-01","2020-10-01","2020-10-01","2020-01-01","2020-10-01","2020-10-01","2019-12-01","2019-12-01","2020-10-01","2019-12-01","2019-12-01","2019-12-01","2019-12-01","2020-10-13","2020-10-01","2020-10-02","2020-10-01","2020-09-01","2020-09-01","2020-09-01","2019-10-15","2019-11-19","2019-11-19","2020-10-01","2020-10-01","2020-10-13","2020-10-02","2020-10-01","2020-10-01","2020-03-12","2020-03-12","2020-09-02","2020-10-13","2020-10-13","2020-09-01","2020-09-22","2020-09-22","2020-09-22","2020-09-29"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":""}]}]}