{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GARY W DYE","gend":0,"add":"555 RAVEN RD.","city":"RAVEN","state":"VA","zip":246399999,"dob":"1967-04-28","age":"","mstatus":"","insh":11009964,"cliId":"4XF7P52WU77","pno":2763452291,"cno":"","email":"","ename":"","eno":"","pphy":"ABDUL JAWAD, SAMI S","ppno":2765966725,"pcpadd":"6801 Governor Gc Peery Hwy","pcpcity":"Richlands","pcpstate":"VA","pcpzip":246412194,"pcpcounty":"TAZEWELL","pcpid":"P0124759","pcpname":"CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["H70.11","H60.501","H92.01","M54.2","H60.91","I10","E78.5","E11.9","F17.210","Z79.84","Z79.899","H70.91","H93.8X2","E11.621","L97.523","E11.622","L97.812","S61.032A","M60.074","E11.69","F17.200","S93.145A","Z47.89","E11.52","M86.9","M86.172","L97.515","Y92.230","M86.8X7","L97.529","B96.4","B95.61","B96.89","E87.5","L27.1","L97.524","G89.18","I96","I73.9","R59.0","Z01.810","I45.10","Z01.818","Z45.2","E11.65"],"date":["2020-05-18","2020-05-18","2020-05-18","2020-05-18","2020-05-18","2020-09-16","2020-05-18","2020-05-18","2020-09-16","2020-05-18","2020-09-01","2020-05-18","2020-05-18","2020-09-16","2020-09-01","2020-08-18","2020-09-15","2020-09-01","2020-09-15","2020-09-15","2020-09-15","2020-09-01","2020-09-01","2020-09-16","2020-09-16","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-18","2020-09-29"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}