{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ELIZABETH J MCDANIEL","gend":1,"add":"163 CLAY BROOK DR","city":"URBANNA","state":"VA","zip":231759999,"dob":"1975-04-17","age":"","mstatus":"","insh":11010974,"cliId":"2F04JP4KY68","pno":8046541112,"cno":"","email":"","ename":"","eno":"","pphy":"VALLS, FRANCISCO","ppno":8046932720,"pcpadd":"7547 MEDICAL DR","pcpcity":"GLOUCESTER","pcpstate":"VA","pcpzip":230614351,"pcpcounty":"MIDDLESEX","pcpid":"P9058745","pcpname":"INTERNAL MEDICINE ASSOC OF GLOUCESTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J98.8","R05","R06.02","R07.89","F17.210","R07.9","J30.2","R11.2","J40","Z00.00","Z23","Z11.59","F10.220","E55.9","K29.20","E53.8","E66.8","Z68.31","R07.81","S29.011A","R10.9","X50.9XXA","K90.0","F10.20","J20.9","Z87.19","A08.4","J06.9","Z86.010","Z79.899"],"date":["2020-03-17","2020-10-20","2020-03-17","2020-03-17","2020-10-21","2020-03-17","2020-04-16","2020-04-16","2020-05-21","2020-05-21","2020-05-21","2020-05-21","2020-05-21","2020-05-21","2020-05-21","2020-05-21","2020-05-21","2020-05-21","2020-07-07","2020-07-07","2020-10-21","2020-07-07","2020-10-21","2020-10-12","2020-10-20","2020-10-20","2020-10-21","2020-10-21","2020-10-21","2020-10-21"]}},{"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":""}]}]}