{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RAMONA K WHITAKER","gend":1,"add":"PO BOX 1230","city":"PULASKI","state":"VA","zip":243019999,"dob":"1985-10-19","age":"","mstatus":"","insh":11014893,"cliId":"7WY8DH2WW25","pno":2762271793,"cno":"","email":"","ename":"","eno":"","pphy":"KAATZ, MATTHEW S","ppno":5409800550,"pcpadd":"101 1st St NW","pcpcity":"PULASKI","pcpstate":"VA","pcpzip":243015603,"pcpcounty":"PULASKI","pcpid":"P9058766","pcpname":"KAATZ MATTHEW S MD PC"},{"a":{"indx":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["O10.912","O34.219","O99.352","O28.0","A53.0","G40.909","Z3A.29","I10","O10.913","Z3A.33","Z36.89","O10.919","O99.353","Z3A.34","O99.113","O99.213","D68.61","Z3A.00","R76.0","O10.013","Z3A.35","O28.4","Z3A.36","O28.3","O99.513","J45.909","O99.343","F31.9","Z3A.37","Z67.11","Z34.93","O13.9","O34.211","O99.354","O10.92","O99.824","O99.344","Z20.828","O99.334","F17.210","O99.52","O99.02","D64.9","Z30.2","Z37.0","Z3A.39","O99.12","O82"],"date":["2020-08-11","2020-10-19","2020-08-11","2020-08-11","2020-08-11","2020-10-19","2020-08-11","2020-08-12","2020-10-01","2020-09-11","2020-10-15","2020-10-08","2020-09-17","2020-09-17","2020-10-12","2020-09-17","2020-10-19","2020-10-19","2020-10-19","2020-10-12","2020-09-21","2020-09-28","2020-10-01","2020-10-01","2020-10-01","2020-10-19","2020-10-01","2020-10-19","2020-10-05","2020-10-12","2020-10-12","2020-10-15","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19"]}},{"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":""}]}]}