{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EARL W DELANEY","gend":0,"add":"195 COURTHOUSE LN","city":"CLINTWOOD","state":"VA","zip":242289999,"dob":"1950-02-06","age":"","mstatus":"","insh":11009682,"cliId":"3PW2QT9JP07","pno":2769266794,"cno":2769266794,"email":"","ename":"","eno":"","pphy":"ABROKWAH, JAMES","ppno":2768351122,"pcpadd":"195 COURTHOUSE LN","pcpcity":"CLINTWOOD","pcpstate":"VA","pcpzip":242289999,"pcpcounty":"DICKENSON","pcpid":"P0060295","pcpname":"FULL CARE MEDICAL CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.2","I10","E78.2","E03.9","Z79.899","R73.01","Z13.29","M47.816","K21.9","F11.20","F17.200","F32.9","F12.10","M54.5","F17.211","F12.20","F41.1","I50.9","K29.70","R06.00","K31.89","K56.600","R11.2","E87.1","N17.9","Z53.29","J44.9","E78.5","E87.8","Z85.828","F17.210","Z60.2","K59.03","T40.2X5A","K56.7","Z79.891","K56.609","R06.02","R06.2","I12.9","J69.0","N18.9","Z72.0","F13.20"],"date":["2020-05-20","2020-05-20","2020-05-20","2020-04-22","2020-01-22","2020-05-20","2020-02-25","2020-02-25","2020-05-20","2020-06-04","2020-04-23","2020-04-16","2020-06-04","2020-05-28","2020-05-28","2020-04-30","2020-05-28","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-13","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-12","2020-05-14"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}