{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SARAH V TUSING","gend":1,"add":"638 Pleasant View Rd","city":"Mount Jackson","state":"VA","zip":228422841,"dob":"1961-07-20","age":"","mstatus":"","insh":11014999,"cliId":"2UW2C44MX94","pno":5406240483,"cno":"","email":"","ename":"","eno":"","pphy":"RICE, GILBERT C","ppno":5409010800,"pcpadd":"165 new market road","pcpcity":"TIMBERVILLE","pcpstate":"VA","pcpzip":228539715,"pcpcounty":"Shenandoah","pcpid":"P9058843","pcpname":"MOUNT JACKSON MEDICAL CENTER"},{"a":{"indx":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["D35.02","M54.5","M79.604","Z88.1","Z98.890","K21.9","R13.10","K58.0","D10.9","K44.9","Z87.11","F41.9","Z12.31","F32.9","F41.1","F99","F33.1","R73.01","M54.12","M51.36","M47.817","G89.4"],"date":["2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-11-04","2020-11-04","2020-08-19","2020-08-19","2020-08-19","2020-08-19","2020-08-19","2020-09-30","2020-08-19","2020-10-12","2020-10-12","2020-10-12","2020-11-04","2020-11-04","2020-11-04","2020-11-04","2020-11-04"]}},{"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":""}]}]}