{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"FAYSAL O TAHA","gend":0,"add":"5800 QUANTRELL AVE APT 714","city":"ALEXANDRIA","state":"VA","zip":223129999,"dob":"1954-05-03","age":"","mstatus":"","insh":11014590,"cliId":"8VT4KG2FK61","pno":2027143210,"cno":"","email":"","ename":"","eno":"","pphy":"MAHONEY, MARK T","ppno":2766660500,"pcpadd":"100 College Dr","pcpcity":"Martinsville","pcpstate":"VA","pcpzip":241127588,"pcpcounty":"FAIRFAX","pcpid":"P9442992","pcpname":"PRIVIA MEDICAL GROUP LLC"},{"a":{"indx":[{"index":1}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N39.0","R33.9","Z01.818","N40.1","N13.8","R33.8","N32.0","N13.9","Z87.440","E78.5","I10","E11.36","Z79.84","Z87.891","E55.9","E78.1","R80.9","E11.65","K63.5","E66.3","R97.20","E11.29"],"date":["2020-08-05","2020-08-05","2020-08-03","2020-10-09","2020-08-05","2020-08-05","2020-08-05","2020-08-05","2020-08-05","2020-10-09","2020-10-09","2020-08-05","2020-08-05","2020-08-05","2020-10-09","2020-10-09","2020-10-09","2020-10-09","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,""],["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":""}]}]}