{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SADRA K GRUBB","gend":1,"add":"6441 CANYON DR LOT 1","city":"ABINGDON","state":"VA","zip":242119999,"dob":"1952-10-27","age":"","mstatus":"","insh":11013448,"cliId":"7JE9M30QF36","pno":2764929129,"cno":2763951056,"email":"","ename":"","eno":"","pphy":"SQUIRES, ANNE C","ppno":2767835148,"pcpadd":"105 W Stone Dr","pcpcity":"Kingsport","pcpstate":"TN","pcpzip":376603256,"pcpcounty":"WASHINGTON","pcpid":"P9058713","pcpname":"HOLSTON MEDICAL GROUP PC"},{"a":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","M62.81","N39.45","I10","G80.9","K21.9","E78.2","Z51.81","Z79.899","R30.0","M24.372","M24.375","N39.41","F41.1","H25.13","H43.393","I49.9","Z01.818","M19.072","Z68.41","M87.851","Z20.828","J45.909","E78.00","F32.9","Z86.73","F41.9","Z88.5","Z88.0","Z91.040","Z88.8","R53.1","R32","F41.8","E78.5","R51","S93.05XA","G89.18","M16.11","M11.872","Z47.89","R27.9","R26.81","I69.30","I69.354","G40.919","N32.81","F33.9","D64.9","Z03.818","S93.05XD","R13.10","M79.605","F33.1","F39","F43.21","F51.04","F51.01"],"date":["2020-10-16","2020-10-16","2020-10-16","2020-10-26","2020-10-26","2020-10-12","2020-05-26","2020-05-26","2020-08-25","2020-05-26","2020-09-01","2020-08-20","2020-05-26","2020-10-12","2020-07-13","2020-07-13","2020-08-14","2020-08-15","2020-08-25","2020-08-25","2020-08-25","2020-08-27","2020-09-01","2020-08-25","2020-10-26","2020-08-20","2020-08-27","2020-08-20","2020-08-20","2020-08-20","2020-08-20","2020-08-24","2020-08-20","2020-08-24","2020-10-05","2020-09-01","2020-08-20","2020-08-20","2020-08-22","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-08-29","2020-08-29","2020-10-26","2020-08-27","2020-08-28","2020-09-30","2020-09-16","2020-09-23","2020-10-12","2020-09-30"]}},{"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":[]}]},{"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":""}]}]}