{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DICKIE W SEXTON","gend":0,"add":"227 CRESENT CIRCLE APT. 101","city":"GATE CITY","state":"VA","zip":242519999,"dob":"1971-01-31","age":"","mstatus":"","insh":11012429,"cliId":"2F66NY5FX63","pno":2763897380,"cno":2765230682,"email":"","ename":"","eno":"","pphy":"ADKINS, STEVEN M","ppno":2763869771,"pcpadd":"1754 US Highway 23 N","pcpcity":"Weber City","pcpstate":"VA","pcpzip":242907071,"pcpcounty":"SCOTT","pcpid":"P9058735","pcpname":"HOLSTON MEDICAL GROUP PC"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E66.01","F13.20","G40.909","R07.81","W19.XXXA","Z00.00","E83.52","M47.816","Z74.09","M51.36","M54.16","R74.8","M51.16","M47.26","G89.29","F79","F10.20","H53.132","S05.92XS","Q04.3","Z68.41","G89.28","F14.20","E20.8","Z79.899"],"date":["2020-09-17","2020-08-01","2020-09-17","2020-03-19","2020-03-19","2020-03-19","2020-06-12","2020-07-02","2020-08-01","2020-06-12","2020-09-17","2020-06-12","2020-08-01","2020-08-01","2020-08-01","2020-08-01","2020-08-01","2020-08-01","2020-08-01","2020-08-01","2020-08-01","2020-07-14","2020-07-14","2020-09-17","2020-09-17"]}},{"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":{"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":""}]}]}