{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EUNICE O ALLEN","gend":1,"add":"18833 US 29","city":"CHATHAM","state":"VA","zip":245319999,"dob":"1939-12-21","age":"","mstatus":"","insh":11009546,"cliId":"2F63F49QW82","pno":4346566886,"cno":"","email":"","ename":"","eno":"","pphy":"SHAH, MINESH R","ppno":4347994488,"pcpadd":"18833 US 29","pcpcity":"CHATHAM","pcpstate":"VA","pcpzip":245319999,"pcpcounty":"PITTSYLVANIA","pcpid":"P9058501","pcpname":"CHATHAM FAMILY MEDICAL CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M17.11","M25.561","K62.5","R10.9","K57.30","I70.0","K25.4","D62","E11.22","E11.51","E11.69","I15.2","E66.9","E78.5","F10.21","F31.9","F41.8","G89.4","K21.9","K44.9","K57.90","K64.9","K92.2","D64.9","I12.9","I10","E11.9","F41.9","I48.91","K92.1","F99","S89.91XA","N18.9","S79.921A","R60.9","I73.9","C49.4","R58","R07.82","R09.02","M79.604","Z74.3","W19.XXXA","M25.562","Z85.028","Z79.84","Z88.1","Z79.899","Z87.891","Z91.81","R60.0","F34.1","M79.89"],"date":["2020-01-01","2020-04-23","2020-01-01","2020-01-02","2020-01-01","2020-01-01","2020-01-01","2020-01-01","2020-01-23","2020-01-23","2020-01-01","2020-01-01","2020-02-12","2020-01-01","2020-01-01","2020-02-13","2020-01-01","2020-02-12","2020-02-12","2020-01-01","2020-02-12","2020-01-01","2020-01-03","2020-01-03","2020-01-23","2020-02-26","2020-02-26","2020-01-01","2020-01-01","2020-01-02","2020-01-10","2020-01-23","2020-01-23","2020-01-23","2020-04-23","2020-04-23","2020-03-04","2020-01-01","2020-02-09","2020-02-09","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2020-02-12","2020-02-12","2020-02-13","2020-04-23"]}},{"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":""}]}]}