{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROGER RUFFNER","gend":0,"add":"185 W NELSON ST","city":"ORANGE","state":"VA","zip":229609999,"dob":"1951-02-01","age":"","mstatus":"","insh":11014930,"cliId":"9V26MC7VD63","pno":5405138569,"cno":"","email":"","ename":"","eno":"","pphy":"COOLEY, AMY A","ppno":5409486871,"pcpadd":"13198 James Madison Hwy","pcpcity":"Orange","pcpstate":"VA","pcpzip":229602808,"pcpcounty":"ORANGE","pcpid":"P9307431","pcpname":"ORANGE FAMILY PHYSICIANS"},{"a":{"indx":[{"index":1}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["C34.91","D63.0","D47.3","Z51.11","F17.210","E83.52","C78.2","C79.89","K43.9","D49.2","M84.58XD","J98.11","I89.8","Z51.12","Z72.0","D64.9","K59.00","Z79.891","R91.8","C34.90","M89.9","Z87.891","R10.9","J90","G89.3","F10.10","Z87.898","M25.511","G47.01","C34.11","F10.21","Z74.8","E87.1","R07.89","Z92.3","Z51.0","C79.51"],"date":["2020-11-02","2020-10-22","2020-09-15","2020-08-25","2020-10-22","2020-10-20","2020-11-03","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2020-09-15","2020-10-06","2020-10-06","2020-10-06","2020-10-09","2020-10-09","2020-10-20","2020-10-15","2020-10-15","2020-10-22","2020-10-15","2020-10-20","2020-10-22","2020-10-22","2020-10-22","2020-10-20","2020-10-22","2020-11-03","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-23","2020-11-03"]}},{"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":""}]}]}