{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CATHERINE M HOFFMAN","gend":1,"add":"7290 JAMES MADISON HWY","city":"RAPIDAN","state":"VA","zip":227339999,"dob":"1935-07-13","age":"","mstatus":"","insh":11008959,"cliId":"9Y60H06UP16","pno":5402292837,"cno":5406724750,"email":"","ename":"","eno":"","pphy":"BADARACCO, MARIA C","ppno":5406613004,"pcpadd":"661 University Ln Ste E","pcpcity":"Orange","pcpstate":"VA","pcpzip":229602243,"pcpcounty":"CULPEPER","pcpid":"P0135518","pcpname":"UVA ORANGE DIALYSIS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","E78.2","M17.0","R05","R06.2","J40","E78.5","I51.7","R60.9","J45.909","F32.9","M17.12","M17.11","K21.9","M19.90","M25.562","M25.561","R10.9","Z12.31","Z80.1"],"date":["2020-10-13","2019-10-29","2019-10-29","2019-12-05","2019-12-02","2019-12-05","2020-06-25","2019-12-16","2019-12-16","2020-06-25","2020-06-25","2020-09-01","2020-09-01","2020-06-25","2020-06-25","2019-12-17","2019-12-17","2020-06-25","2020-07-20","2020-07-20"]}},{"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":""}]}]}