{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"THOMAS D MARTIN","gend":0,"add":"2983 COLUMBUS DRIVE","city":"BASSETT","state":"VA","zip":240554878,"dob":"1944-11-07","age":"","mstatus":"","insh":11010294,"cliId":"6NH2TJ7CT89","pno":2768069609,"cno":"","email":"","ename":"","eno":"","pphy":"BLACKWOOD, GEORGE","ppno":5409325666,"pcpadd":"2983 COLUMBUS DRIVE","pcpcity":"BASSETT","pcpstate":"VA","pcpzip":240554878,"pcpcounty":"Henry","pcpid":"P0110944","pcpname":"BASSETT FAMILY PRACTICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F33.1","I10","L84","M54.9","M79.671","K21.9","Z79.899","F10.20","R41.82","S09.90XA","W19.XXXA","G92","G93.40","I67.4","E87.2","J84.9","Z20.828","F03.90","F14.10","I16.0","Z91.14","F31.9","H91.90","Z85.46","Z87.891","I63.9","S06.9X0A","R55","X58.XXXA","I44.0","R94.31","R41.0","G93.41","E87.6","F03.91","K59.00","R53.81","R40.4","M54.5"],"date":["2020-05-24","2020-06-05","2020-02-06","2020-02-06","2020-02-06","2020-06-05","2020-05-02","2020-05-13","2020-05-02","2020-05-13","2020-05-13","2020-05-02","2020-05-13","2020-05-02","2020-05-13","2020-05-02","2020-05-02","2020-05-02","2020-05-13","2020-05-02","2020-05-02","2020-05-13","2020-05-02","2020-05-13","2020-05-02","2020-05-02","2020-05-02","2020-05-02","2020-05-02","2020-05-04","2020-05-04","2020-05-11","2020-05-13","2020-06-05","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-06-05"]}},{"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":""}]}]}