{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JANNIE L HOUSE","gend":1,"add":"210 MERRITT LANE","city":"ALTAVISTA","state":"VA","zip":245179999,"dob":"1933-02-01","age":"","mstatus":"","insh":11008852,"cliId":"7KH1HA3HW01","pno":4343694172,"cno":4343697336,"email":"","ename":"","eno":"","pphy":"SCANLON-ROWLETT, NICOLE R","ppno":4343091165,"pcpadd":"1280 Main St Ste A","pcpcity":"Altavista","pcpstate":"VA","pcpzip":245171465,"pcpcounty":"CAMPBELL","pcpid":"P0110917","pcpname":"ALTAVISTA MEDICAL CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M62.81","R27.9","R26.2","R94.4","D69.6","E78.00","E11.22","E11.59","R74.8","H40.1133","Z96.1","I10","Z23","N18.9","Z79.84","Z78.9","Z68.27","Z00.00","E11.69","R31.29","E78.5","K21.9","H81.10","K80.20","N28.1","Z53.8"],"date":["2019-09-04","2019-09-04","2019-09-04","2019-09-06","2020-05-27","2019-11-07","2020-05-27","2020-05-27","2019-11-07","2020-07-31","2020-01-23","2020-05-27","2019-11-07","2019-11-07","2020-05-27","2020-05-27","2020-05-27","2019-11-07","2020-05-27","2020-07-28","2020-05-27","2020-05-27","2020-05-27","2020-07-01","2020-07-01","2020-07-28"]}},{"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":""}]}]}