{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VIRGINIA E GILES","gend":1,"add":"1001 CADMUS CT","city":"FREDERICKSBURG","state":"VA","zip":224019999,"dob":"1938-04-24","age":"","mstatus":"","insh":11009784,"cliId":"5N44X09GA73","pno":5404296114,"cno":7037303422,"email":"","ename":"","eno":"","pphy":"ANDERSON, JOHN R","ppno":5407862100,"pcpadd":"12101 Carol Ln","pcpcity":"Fredericksburg","pcpstate":"VA","pcpzip":224076101,"pcpcounty":"SPOTSYLVANIA","pcpid":"P0136982","pcpname":"PRATT MEDICAL CENTER LTD"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["B35.1","R39.81","G89.29","M54.42","R52","I11.0","I50.9","E11.9","I42.9","K21.9","Z95.0","Z86.73","Z90.710","Z79.01","Z79.84","Z88.1","Z88.5","Z88.8","R07.89","J16.8","N39.0","R74.0","R07.9","J18.9","R42","K44.9","I48.91","J98.4","R05","I42.8","I10","R53.1","Z53.29","Z78.0","Z79.899","R53.83","Z45.2","I48.0","I11.9","F03.91"],"date":["2019-07-17","2019-11-22","2020-01-16","2020-01-16","2020-01-16","2020-02-04","2020-02-04","2020-02-04","2020-02-27","2020-02-04","2020-02-04","2020-02-04","2020-01-16","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-09-09","2020-01-20","2020-02-04","2020-01-20","2020-01-20","2020-01-21","2020-01-21","2020-09-09","2020-10-08","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-09-09","2020-09-09","2020-10-08"]}},{"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":""}]}]}