{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LINWOOD W KING","gend":0,"add":"330 DEER PATH","city":"RUSTBURG","state":"VA","zip":245889999,"dob":"1954-05-14","age":"","mstatus":"","insh":11009671,"cliId":"9QG9MF2KV39","pno":4348212747,"cno":4342388851,"email":"","ename":"","eno":"","pphy":"RANK, HARB L","ppno":4343857578,"pcpadd":"113 Wiggington Rd Ste A","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245025189,"pcpcounty":"CAMPBELL","pcpid":"P9059252","pcpname":"WIGGINGTON ROAD FAMILY PRATICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.2","M54.5","M47.814","G95.19","M51.24","M51.34","M47.816","M48.061","M51.26","M51.36","M50.21","M48.02","M47.812","R90.82","R53.1","M50.321","G95.20","Z01.811","Z47.89","S32.599A","W19.XXXA","I10","D72.829","D64.9","I49.5","F03.90","J32.9","H54.7","K52.9","I95.9","G31.9","M47.22","M50.11","F41.9","Z91.89","M50.01","M06.9","Z11.59","Z79.899","R52","M54.12","G89.29","R20.0"],"date":["2020-06-05","2020-04-17","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-09","2020-06-10","2020-06-04","2020-06-04","2020-06-06","2020-06-09","2020-06-08","2020-06-10","2020-03-16","2020-03-16","2020-06-05","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-04-10","2020-04-10","2020-04-10","2020-06-04","2020-06-05","2020-06-09","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-04-10","2020-04-10","2020-04-10"]}},{"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":""}]}]}