{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAWRENCE GAINES","gend":0,"add":"603 CLAIRE TAYLOR COURT APT 103","city":"CULPEPER","state":"VA","zip":227019999,"dob":"1955-02-14","age":"","mstatus":"","insh":11012513,"cliId":"2PH7J84EE50","pno":5402295718,"cno":5402199173,"email":"","ename":"","eno":"","pphy":"COOK, WILSON","ppno":5403745200,"pcpadd":"10502 Rhoads Dr","pcpcity":"Fredericksburg","pcpstate":"VA","pcpzip":224077787,"pcpcounty":"CULPEPER","pcpid":"P0114251","pcpname":"RAPPAHANNOCK FAMILY PHYSICIANS"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.42","G89.29","R05","J30.0","J30.1","K21.9","F17.210","Z12.2","J44.9","R91.1","H40.1131","Z96.1","H04.123","E78.5","I10","R21","J30.89","J30.81","M54.5","Z87.891"],"date":["2020-03-10","2020-03-10","2020-04-16","2020-04-16","2020-06-19","2020-06-11","2020-04-16","2020-10-08","2020-06-19","2020-04-16","2020-05-19","2020-05-19","2020-05-19","2020-06-11","2020-06-11","2020-06-19","2020-06-19","2020-06-19","2020-10-01","2020-10-08"]}},{"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":""}]}]}