{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TRUDY A RUMLEY","gend":1,"add":"134 CARSON DR","city":"BASSETT","state":"VA","zip":240559999,"dob":"1954-08-13","age":"","mstatus":"","insh":11011907,"cliId":"8VX9WF6UC20","pno":2763400805,"cno":2732243430,"email":"","ename":"","eno":"","pphy":"BLACKWOOD, GEORGE","ppno":5409325666,"pcpadd":"4740 GEORGE WASHINGTON MEMORIAL HIGHWAY","pcpcity":"YORKTOWN","pcpstate":"VA","pcpzip":236922512,"pcpcounty":"HENRY","pcpid":"P0110944","pcpname":"BASSETT FAMILY PRACTICE"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J06.9","M47.816","M47.817","F43.0","M51.36","M54.06","M70.62","M46.1","Z79.891","J02.0","J02.9","R09.81","R09.82","R05","K21.9","Z71.89","Z71.3","I10","R39.81","R15.9","I63.9","M51.26","Z79.899","Z20.828","R53.82","R51","Z12.31","Z12.11","E11.43","Z13.6","F32.89","Z86.73","G89.29","G47.10","M54.16","M62.830","E11.9","I16.0","R07.2","I20.0","I20.9","R07.9","R10.9","E78.5","R60.0","M54.12","Z79.02","Z79.82","R40.0","R06.83","F32.9","I50.9","F41.9","E66.9","Z68.29","Z79.01","K25.9","L02.31","L03.317","R10.84","E11.65","H52.4","R06.00","K29.50","B96.81","K31.1","K29.00","R10.13","K29.70"],"date":["2020-03-07","2020-09-24","2020-09-24","2020-09-24","2020-09-11","2020-03-25","2020-09-11","2020-05-20","2020-10-02","2020-04-02","2020-04-02","2020-04-02","2020-04-02","2020-04-02","2020-10-02","2020-08-28","2020-08-28","2020-10-02","2020-10-22","2020-10-22","2020-10-22","2020-05-20","2020-10-02","2020-10-02","2020-06-17","2020-08-12","2020-08-17","2020-10-02","2020-08-28","2020-06-17","2020-06-17","2020-10-02","2020-07-09","2020-08-12","2020-09-11","2020-09-11","2020-10-02","2020-08-09","2020-08-09","2020-08-11","2020-08-09","2020-08-10","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-10-02","2020-08-12","2020-08-12","2020-08-12","2020-08-12","2020-08-12","2020-08-12","2020-08-12","2020-08-12","2020-08-12","2020-08-28","2020-09-02","2020-09-02","2020-10-06","2020-09-15","2020-09-15","2020-08-09","2020-10-02","2020-10-15","2020-10-02","2020-10-15","2020-10-06","2020-10-06"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["Yes","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":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}}]},{"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":""}]}]}