{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARBARA WOOD","gend":1,"add":"60 THEATRE ST APT 78","city":"MARTINSVILLE","state":"VA","zip":241129999,"dob":"1959-06-09","age":"","mstatus":"","insh":11010301,"cliId":"1D87WE2AY46","pno":5408926182,"cno":5402975194,"email":"","ename":"","eno":"","pphy":"HUNDLEY, SUSAN D","ppno":4347386420,"pcpadd":"705 Main St","pcpcity":"Danville","pcpstate":"VA","pcpzip":245411803,"pcpcounty":"HENRY","pcpid":"P0112785","pcpname":"HEALTH CENTER OF THE PIEDMONT MARTINSVILLE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F31.81","F31.32","G50.1","I10","E78.00","R19.7","K21.9","J30.9","J22","F31.64","R25.1","G47.00","R31.0","R31.9","R30.0","F31.9","R53.81","F41.9","Z91.030","Z88.1","R41.82","H25.13","H04.123","H52.03","F41.1","F39","E66.9","Z12.31","G24.01","Z13.9"],"date":["2020-03-05","2020-10-06","2020-01-20","2020-10-05","2020-10-05","2020-02-25","2020-02-11","2020-02-11","2020-03-09","2020-09-10","2020-11-03","2020-08-04","2020-09-03","2020-09-03","2020-07-06","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-08-17","2020-08-17","2020-08-17","2020-11-03","2020-11-03","2020-09-30","2020-10-05","2020-11-03","2020-11-03"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}