{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILLIAM D SHULER","gend":0,"add":"300 BELLA TERRA","city":"NORTH","state":"VA","zip":231289999,"dob":"1976-09-02","age":"","mstatus":"","insh":11008659,"cliId":"4XF1P49JT17","pno":2763956599,"cno":"","email":"","ename":"","eno":"","pphy":"DAIT, MARIANNE T","ppno":8046426171,"pcpadd":"300 BELLA TERRA","pcpcity":"NORTH","pcpstate":"VA","pcpzip":231289999,"pcpcounty":"MATHEWS","pcpid":"P9059011","pcpname":"RIVERSIDE HAYES MEDICAL CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["L60.0","M54.5","L30.9","L85.1","Z51.81","E03.9","J30.1","Z13.6","R07.9","W10.8XXA","Y92.018","E66.9","F79","Z79.899","Z00.00","E78.2","R73.09","F31.62","S20.212A","M70.52"],"date":["2019-09-17","2019-11-06","2019-11-05","2019-11-05","2019-11-16","2020-01-08","2020-01-08","2019-12-10","2019-12-17","2019-12-14","2019-12-14","2019-12-14","2019-12-14","2019-12-14","2020-01-08","2020-01-08","2020-01-08","2020-01-08","2019-12-20","2019-12-20"]}},{"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":""}]}]}