{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"OLIVER M LANE","gend":0,"add":"502 BLOODHOUND LANE","city":"DUFFIELD","state":"VA","zip":242449999,"dob":"1939-08-26","age":"","mstatus":"","insh":11008883,"cliId":"1U46AX5CT66","pno":2769404583,"cno":"","email":"","ename":"","eno":"","pphy":"CASSEL, TODD A","ppno":2764672201,"pcpadd":"17285 Veterans Memorial Hwy","pcpcity":"Dungannon","pcpstate":"VA","pcpzip":242453937,"pcpcounty":"SCOTT","pcpid":"P0124083","pcpname":"CLINCH RIVER HEALTH SERVICES INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I48.91","I48.92","F17.200","M51.36","I10","K59.03","R04.0","J43.9","Z79.82","F17.210","Z85.118","F17.220","J44.9","R07.89","E78.5","N40.0","F41.8","G89.29","M54.5","Z85.828","Z82.3","Z82.49","R06.02","J90","Z79.899","C44.320","L57.0","R00.0","I51.9","I36.1","I77.819","C44.329","R29.898","Z91.89","I73.9","B35.1","R53.83","G89.4","I71.4","Z98.890","Z86.79","C34.31","Z90.2","M48.062","K40.90","Z11.59","Z23","L72.0","T14.8XXA"],"date":["2019-12-05","2019-12-02","2020-10-07","2020-09-10","2020-10-29","2019-12-05","2019-11-17","2019-11-17","2019-11-17","2019-11-29","2020-08-27","2019-11-17","2020-10-12","2019-11-29","2020-10-12","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2020-10-12","2020-03-13","2020-10-15","2019-11-29","2019-12-02","2019-12-02","2019-12-02","2020-03-13","2020-08-06","2020-08-06","2020-08-25","2020-08-06","2020-08-06","2020-08-06","2020-10-07","2020-08-31","2020-08-27","2020-08-31","2020-08-31","2020-09-10","2020-09-28","2020-10-12","2020-10-12","2020-10-15","2020-10-27"]}},{"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":""}]}]}