{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELISSA L VAUGHN","gend":1,"add":"100 Massanutten Manor Cir Apt 130","city":"Strasburg","state":"VA","zip":226571132,"dob":"1968-01-27","age":"","mstatus":"","insh":11012482,"cliId":"9TC0D92UA39","pno":5403356707,"cno":"","email":"","ename":"","eno":"","pphy":"HOLTHUS, THOMAS E","ppno":5404653751,"pcpadd":"33674 Old Valley Pike","pcpcity":"Strasburg","pcpstate":"VA","pcpzip":226573704,"pcpcounty":"Shenandoah","pcpid":"P0137582","pcpname":"VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL SHENAND"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R69","G12.21","G47.30","G60.9","I15.9","E53.8","E55.9","I10","G11.9","Z99.3","R39.81","L22","K92.1","L90.5","G62.9","G25.81","R51","Z01.419","M19.012","M25.512","M75.81","M19.011","J44.9","F41.9","G11.0","G47.33","M54.5","M25.572","R21","L03.116","S81.802A","M79.605","L03.119","L02.419"],"date":["2020-08-01","2020-10-09","2020-10-09","2020-10-09","2020-10-09","2020-10-22","2020-03-10","2020-07-10","2020-06-02","2020-07-29","2020-10-25","2020-10-25","2020-10-25","2020-05-11","2020-10-12","2020-05-06","2020-05-06","2020-06-11","2020-07-08","2020-07-08","2020-07-08","2020-07-08","2020-10-12","2020-09-15","2020-10-12","2020-10-12","2020-09-15","2020-10-05","2020-10-08","2020-10-06","2020-10-06","2020-10-27","2020-10-08","2020-10-08"]}},{"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":{"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":""}]}]}