{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JUDY E JACKSON","gend":1,"add":"743 TANNERTOWN ROAD","city":"BRODNAX","state":"VA","zip":239202417,"dob":"1955-01-20","age":"","mstatus":"","insh":11008756,"cliId":"8GJ9WT7JE58","pno":4345327091,"cno":"","email":"","ename":"","eno":"","pphy":"HASENMUELLER, KIRK R","ppno":4344477375,"pcpadd":"743 TANNERTOWN ROAD","pcpcity":"BRODNAX","pcpstate":"VA","pcpzip":239202417,"pcpcounty":"BRUNSWICK","pcpid":"P0124551","pcpname":"CMH PHYSICIAN SERVICES LLC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","E11.9","E55.9","E53.8","Z00.00","E78.5","F32.9","F41.9","I25.10","I69.30","K59.00","F17.210","Z23","N39.41","M62.81","Z12.31","I51.7","I50.30","Z79.84","Z87.891","Z79.899","Z86.73"],"date":["2020-01-01","2019-12-06","2019-09-19","2019-09-19","2019-09-19","2019-12-06","2019-12-06","2019-09-19","2019-09-19","2019-09-19","2019-09-19","2019-09-19","2019-09-19","2019-09-26","2019-09-26","2019-11-18","2019-12-06","2019-12-06","2019-12-06","2019-12-06","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":""}]}]}