{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMY M LAYNE","gend":1,"add":"5036 Whetstone Rd","city":"North Chesterfield","state":"VA","zip":232344320,"dob":"1975-10-28","age":"","mstatus":"","insh":11013985,"cliId":"1H34EU2DE04","pno":8042711488,"cno":5408254390,"email":"","ename":"","eno":"","pphy":"SHARMA, SAPNA","ppno":7036890111,"pcpadd":"1043 Sterling Rd Ste 104","pcpcity":"Herndon","pcpstate":"VA","pcpzip":201703842,"pcpcounty":"Fairfax","pcpid":"P0124344","pcpname":"MILLENIUM MEDICAL CORPORATION"},{"a":{"indx":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R07.81","Z13.89","E66.01","M54.5","Z76.89","F41.9","F32.89","F60.9","F70","Z68.41","F33.9","E78.5","E03.9","E78.00","R56.9","G89.29","J30.9","F41.3","F32.0","E66.8","R30.0","Z01.419","Z11.51","Z12.31","Z30.09"],"date":["2020-06-02","2020-06-02","2020-09-05","2020-08-18","2020-06-25","2020-06-25","2020-06-25","2020-06-25","2020-06-25","2020-07-21","2020-06-30","2020-09-29","2020-09-29","2020-06-30","2020-07-22","2020-07-21","2020-07-22","2020-07-22","2020-07-22","2020-07-24","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-07-31"]}},{"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":""}]}]}