{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REX LIVESAY","gend":0,"add":"1797 VALLEY SPRINGS RD","city":"ROSE HILL","state":"VA","zip":242818394,"dob":"1947-02-07","age":"","mstatus":"","insh":11009692,"cliId":"2UD4P12YF95","pno":4237338406,"cno":"","email":"","ename":"","eno":"","pphy":"ECHEVERRIA, JOSE","ppno":6065734520,"pcpadd":"1797 VALLEY SPRINGS RD","pcpcity":"ROSE HILL","pcpstate":"VA","pcpzip":242818394,"pcpcounty":"Lee","pcpid":"P0130544","pcpname":"ARH PENNINGTON GAP CLINIC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N18.9","I10","I71.4","I72.3","I70.1","I65.21","I12.9","Z79.02","Z79.82","Z79.899","E11.51","C67.9","Z99.81","J44.9","M10.9","E78.5","K21.9","Z85.51","F17.210","E11.9","Z68.31","N18.4","N25.0","N18.3","C68.9","E11.8","E55.9","R53.83","Z68.32","I11.9","E78.2","N40.1","N13.8","I65.23","I65.22"],"date":["2020-03-02","2020-03-02","2020-01-07","2020-01-02","2020-01-02","2020-01-07","2020-01-07","2020-01-07","2020-01-07","2020-01-07","2020-01-07","2020-01-07","2020-01-07","2020-04-07","2020-03-12","2020-01-07","2020-01-07","2020-01-07","2020-03-12","2020-01-13","2020-03-09","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-09","2020-03-09","2020-03-12","2020-03-12","2020-01-03","2020-01-07"]}},{"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":""}]}]}