{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOYCE T JOYNER","gend":1,"add":"1840 MAIDENS RD","city":"MAIDENS","state":"VA","zip":231029999,"dob":"1951-08-08","age":"","mstatus":"","insh":11013697,"cliId":"7AP8KQ0NF44","pno":8045562894,"cno":"","email":"","ename":"","eno":"","pphy":"BOWLES JR, JAMES H","ppno":8045563172,"pcpadd":"2884 Sandy Hook Rd","pcpcity":"Sandy Hook","pcpstate":"VA","pcpzip":231532226,"pcpcounty":"GOOCHLAND","pcpid":"P0060277","pcpname":"BOWLES AND BOWLES MD INC"},{"a":{"indx":[{"index":1}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F31.74","R22.0","T78.2XXA","T78.40XA","E11.9","F31.9","D72.829","M19.90","G89.29","Z79.899","Z79.84","Z79.51","R22.1","T78.49XA","J39.2","J98.4","J30.89","J30.1","Z91.018","R06.02","Z86.39","E78.5","E11.69","D64.9","Z00.00"],"date":["2020-09-30","2020-07-06","2020-10-07","2020-07-06","2020-10-09","2020-07-08","2020-07-06","2020-07-06","2020-07-06","2020-07-06","2020-07-06","2020-07-06","2020-10-07","2020-07-06","2020-07-08","2020-10-07","2020-10-07","2020-10-07","2020-10-07","2020-10-07","2020-10-07","2020-10-09","2020-10-09","2020-10-09","2020-10-09"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":""}]}]}