{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOHNNY L LONG","gend":0,"add":"204 JEFFERIES DRIVE","city":"RADFORD","state":"VA","zip":241419999,"dob":"1981-02-16","age":"","mstatus":"","insh":11009735,"cliId":"1CT7YC8NQ35","pno":5403922954,"cno":5406296658,"email":"","ename":"","eno":"","pphy":"JUDY, CHARLES","ppno":5406395300,"pcpadd":"600 Randolph St","pcpcity":"Radford","pcpstate":"VA","pcpzip":241412428,"pcpcounty":"RADFORD","pcpid":"P9058633","pcpname":"FAMILY HEALTH CLINIC INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R10.11","Z87.442","R10.9","J06.9","E11.69","G43.909","Z13.220","Z23","J30.9","R50.9","R05","Z20.828","J20.9","R25.2","R19.7","R06.00","F41.9","J45.909","E10.9","H40.013","H52.223"],"date":["2020-02-13","2020-02-13","2020-06-30","2020-02-13","2020-04-17","2020-05-15","2020-02-21","2020-02-21","2020-04-17","2020-05-13","2020-08-14","2020-05-13","2020-08-14","2020-06-30","2020-08-14","2020-08-14","2020-08-14","2020-08-21","2020-10-20","2020-10-20","2020-10-20"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}