{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALVIN L SHEPHERD","gend":0,"add":"155 LEE ST","city":"BOWLING GREEN","state":"VA","zip":224279999,"dob":"1962-04-10","age":"","mstatus":"","insh":11009592,"cliId":"9RV2VP3PX83","pno":8045144190,"cno":8046337439,"email":"","ename":"","eno":"","pphy":"VALDES-DAPENA, ANTONIO E","ppno":8046335840,"pcpadd":"121 Courthouse Ln","pcpcity":"Bowling Green","pcpstate":"VA","pcpzip":224279336,"pcpcounty":"CAROLINE","pcpid":"P9443041","pcpname":"MWMG FAMILY INTERNAL MEDICINE BOWLING GREEN"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.59","I10","I50.22","I25.5","I11.0","I27.22","I50.9","E11.9","E78.5","G47.33","I25.10","I48.91","Z79.01","Z79.84","Z87.891","Z95.810","Z79.02","R06.00","M25.562","Z79.82","E78.2","E83.42","I48.0","R52","R09.02","E61.2","E78.00","I42.0","I48.20","I48.11","Z01.810","Z11.59","I50.20","K21.9","Z45.02","Z88.8","M25.551","M25.552","M79.10","M54.16","M54.41","M54.42","G57.93","G89.4"],"date":["2020-10-22","2020-10-22","2020-10-22","2020-04-23","2020-05-20","2020-02-05","2020-02-09","2020-05-20","2020-05-20","2020-02-05","2020-06-11","2020-05-20","2020-05-20","2020-05-20","2020-05-20","2020-07-23","2020-05-20","2020-02-05","2020-02-09","2020-02-09","2020-02-12","2020-02-12","2020-02-12","2020-02-09","2020-02-09","2020-03-06","2020-07-23","2020-10-22","2020-10-22","2020-04-21","2020-05-04","2020-05-16","2020-05-20","2020-05-20","2020-10-22","2020-05-20","2020-07-23","2020-07-23","2020-07-23","2020-11-04","2020-11-04","2020-11-04","2020-11-04","2020-11-04"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}