{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEBORAH SAYLES","gend":1,"add":"100 PRINCESS ANNE STREET, APARTMENT 409","city":"FREDERICKSBURG","state":"VA","zip":224019999,"dob":"1963-01-25","age":"","mstatus":"","insh":11010047,"cliId":"9CW7CY2CY45","pno":5404796456,"cno":"","email":"","ename":"","eno":"","pphy":"ALEXANDER, DAWN","ppno":5407109100,"pcpadd":"231 Garrisonville Rd","pcpcity":"Stafford","pcpstate":"VA","pcpzip":225541604,"pcpcounty":"FREDERICKSBURG CITY","pcpid":"P0114251","pcpname":"RAPPAHANNOCK FAMILY PHYSICIANS"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R53.81","I50.32","R07.2","E11.9","Z72.0","I10","J44.9","E78.5","I73.9","M79.604","Z87.891","N39.41","M62.81","J44.1","J96.11","J30.89","Z12.2","E87.1","M81.0","R06.02","M54.17","M87.851","I50.9","K50.90","M51.36","D64.9","E83.42","B97.29","R60.0","M25.559","M19.90","I11.0","I25.10","G89.4","R53.1","M87.051","M48.061","M25.551","M79.632","M25.561","W01.0XXA","Y93.01","Y92.531","M25.562","M25.552","R26.9","R30.0","E78.00","E11.42","S89.91XA","M87.9","M16.0"],"date":["2020-11-01","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-02-11","2020-02-11","2020-05-22","2020-11-03","2020-11-03","2020-09-30","2020-10-01","2020-09-30","2020-09-30","2020-03-04","2020-10-12","2020-09-28","2020-02-25","2020-09-30","2020-10-09","2020-04-24","2020-10-09","2020-04-30","2020-04-30","2020-10-14","2020-10-22","2020-10-22","2020-06-02","2020-10-09","2020-10-09","2020-07-08","2020-09-28","2020-10-15","2020-10-01","2020-10-15","2020-10-03","2020-09-30","2020-09-30","2020-09-30","2020-09-30","2020-09-30","2020-10-03","2020-09-30","2020-09-30","2020-09-30","2020-09-30","2020-09-30","2020-10-01","2020-10-15"]}},{"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":""}]}]}