{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRADLEY A KNICELY","gend":0,"add":"700 THREE LEAGUES RD","city":"MASSANUTTEN","state":"VA","zip":228409999,"dob":"1977-02-14","age":"","mstatus":"","insh":11008823,"cliId":"2NJ0U49FV12","pno":5404216546,"cno":5402891818,"email":"","ename":"","eno":"","pphy":"FOWLER, ROCKY W","ppno":5405645622,"pcpadd":"1790 E Market St","pcpcity":"Harrisonburg","pcpstate":"VA","pcpzip":228015197,"pcpcounty":"ROCKINGHAM","pcpid":"P9058843","pcpname":"MOUNT JACKSON MEDICAL CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G80.9","I50.1","P91.63","M41.20","J69.0","F72","R56.9","K21.9","J45.30","G40.909","G80.8","E66.01","R68.89","R01.1","R93.1","Z68.41","R39.81","R15.9","L22","Z23","I34.1","I34.0","I51.7","K59.04","Z00.00","J45.40","J30.1"],"date":["2020-10-08","2019-10-23","2019-12-17","2019-10-23","2020-09-01","2020-07-10","2020-08-26","2020-05-14","2020-04-23","2020-07-10","2020-04-23","2020-01-14","2020-01-14","2020-03-09","2020-01-14","2020-01-14","2020-10-08","2020-10-08","2020-10-08","2020-10-28","2020-07-10","2020-03-19","2020-03-19","2020-05-14","2020-07-10","2020-09-01","2020-07-10"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","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":""}]}]}