{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JUDY C WOLFORD","gend":1,"add":"4821 PANTHER RIDGE ROAD","city":"GRUNDY","state":"VA","zip":246149999,"dob":"1963-06-18","age":"","mstatus":"","insh":11008769,"cliId":"8KP3U64NH76","pno":2762597492,"cno":"","email":"","ename":"","eno":"","pphy":"SUTHERLAND, JOSHUA P","ppno":2769357515,"pcpadd":"4821 PANTHER RIDGE ROAD","pcpcity":"GRUNDY","pcpstate":"VA","pcpzip":246149999,"pcpcounty":"BUCHANAN","pcpid":"P9307487","pcpname":"RIVERSIDE MEDICAL CLINIC INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.16","M48.07","M51.36","M47.816","G89.4","M47.812","E03.9","J06.9","M51.06","R11.0","K14.0","K13.6","L03.115","J01.00","R05","J02.9","M72.2","M79.671","M79.672","H52.03","H52.4","H04.123","H40.033","H25.13","Z79.899","N39.0","M54.30","R10.2","R30.0"],"date":["2020-03-09","2020-03-09","2020-03-09","2020-03-09","2020-03-09","2020-03-09","2019-11-05","2019-11-05","2020-02-20","2019-11-05","2019-11-18","2019-11-18","2019-12-07","2019-12-30","2019-12-30","2019-12-30","2020-02-26","2020-02-26","2020-02-05","2020-01-09","2020-01-09","2020-01-09","2020-01-09","2020-01-09","2020-01-13","2020-02-20","2020-02-20","2020-02-20","2020-03-20"]}},{"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":""}]}]}