{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AUTUMN A DAVIS","gend":1,"add":"5026 GRAPEFIELD RD","city":"BASTIAN","state":"VA","zip":243149999,"dob":"1998-09-04","age":"","mstatus":"","insh":11012955,"cliId":"9J95JH0DK56","pno":3049108103,"cno":"","email":"","ename":"","eno":"","pphy":"QAZI, NAEEM A","ppno":3044872191,"pcpadd":"15 Westwood Medical Park","pcpcity":"Bluefield","pcpstate":"VA","pcpzip":246052000,"pcpcounty":"BLAND","pcpid":"P0124242","pcpname":"NAEEM QAZI MD"},{"a":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R30.0","Z71.3","Z71.82","Z68.41","N39.0","K62.5","Z68.43","R19.7","K92.1","K59.00","R10.84","Z01.818","Z11.59","R10.9","R19.4","Z83.79","Z80.0","J45.909","F84.0","E66.9","I10","Z79.82","K21.9"],"date":["2020-06-09","2020-06-24","2020-06-24","2020-06-09","2020-06-24","2020-06-24","2020-08-18","2020-08-18","2020-08-18","2020-08-18","2020-07-23","2020-08-13","2020-08-13","2020-08-18","2020-08-18","2020-08-18","2020-08-18","2020-08-18","2020-08-18","2020-08-18","2020-08-18","2020-08-18","2020-08-18"]}},{"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":[]}]},{"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":""}]}]}