{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DARLENE A GUSS","gend":1,"add":"208 TAFT DRIVE","city":"STAFFORD","state":"VA","zip":225549999,"dob":"1943-07-19","age":"","mstatus":"","insh":11012443,"cliId":"9E37QX5TH30","pno":5408424761,"cno":7037728382,"email":"","ename":"","eno":"","pphy":"REID, YOLANDA","ppno":5407862100,"pcpadd":"392 Garrisonville Rd Ste 101","pcpcity":"Stafford","pcpstate":"VA","pcpzip":225541500,"pcpcounty":"STAFFORD","pcpid":"P0115205","pcpname":"PRATT MEDICAL CENTER LTD"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M25.512","G89.29","J01.90","M41.9","M81.0","B35.6","R30.0","J02.9","N76.0","J06.9","B97.89","R06.02","I48.91","I11.0","I50.9","D64.9","D68.9","K21.9","E07.9","Z82.61","Z86.711","Z79.01","Z79.890","Z79.891","Z88.5","R05","M47.812","M25.511","M41.25","I48.0","I50.33","J84.9","E03.9","M19.90","D72.829","K52.9","Z86.718","I50.32","R07.9","R06.09","F41.8","M43.26","R06.00","R10.9","R19.4","K29.00","E87.6","R11.0","J30.9","J44.9","J98.4","K58.9","Z79.83","I48.11","Z45.2","I50.23"],"date":["2020-08-17","2020-10-08","2020-03-06","2020-10-02","2020-03-06","2020-03-30","2020-03-30","2020-03-30","2020-03-30","2020-06-17","2020-06-17","2020-06-17","2020-10-12","2020-10-12","2020-10-12","2020-04-08","2020-10-12","2020-10-12","2020-04-08","2020-06-14","2020-06-14","2020-10-08","2020-10-08","2020-04-08","2020-10-08","2020-04-08","2020-08-17","2020-08-17","2020-04-16","2020-10-12","2020-10-12","2020-06-17","2020-10-08","2020-10-12","2020-06-14","2020-06-14","2020-06-14","2020-07-09","2020-06-14","2020-06-17","2020-06-17","2020-08-17","2020-07-09","2020-09-15","2020-09-10","2020-09-17","2020-10-08","2020-09-15","2020-10-07","2020-10-08","2020-10-08","2020-10-08","2020-10-08","2020-10-09","2020-10-10","2020-10-12"]}},{"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":""}]}]}