{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NELSON D HUGHES","gend":0,"add":"3495 Waterlick Rd","city":"Forest","state":"VA","zip":245513775,"dob":"1967-08-29","age":"","mstatus":"","insh":11015145,"cliId":"2GM2VR9EG83","pno":4343638977,"cno":"","email":"","ename":"","eno":"","pphy":"ZAMAN, SAMIRA","ppno":4349245348,"pcpadd":"1221 Lee Street","pcpcity":"Charlottesville","pcpstate":"VA","pcpzip":229080001,"pcpcounty":"CAMPBELL","pcpid":"P0056388","pcpname":"CENTRA MEDICAL GROUP LLC"},{"a":{"indx":[{"index":1}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E88.09","N18.9","K21.9","E11.22","R07.9","E11.21","Z89.612","E11.9","F17.200","M79.605","Z72.0","D12.5","K63.5","D12.3","K62.89","D37.4","Z86.010","D12.6","R10.10","R10.9","R11.2","I12.9","N18.3","D63.1","Z86.73","E78.5","Z79.4","F17.210","K59.00","K63.89","E11.43","E11.51","E11.65","G47.33","G89.4","R53.1","I63.9","D64.9","F14.10","N18.4","I10","R10.30","R14.0","D69.9","Z79.891","Z00.00","M72.6","K86.89","R59.0","R10.2","I70.0","F11.90","N18.30"],"date":["2020-08-11","2020-08-11","2020-09-07","2020-10-25","2020-10-25","2020-08-13","2020-10-21","2020-10-19","2020-08-13","2020-10-14","2020-10-14","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2020-10-06","2020-08-25","2020-08-30","2020-10-25","2020-08-30","2020-10-25","2020-09-07","2020-10-25","2020-10-25","2020-09-07","2020-10-25","2020-10-25","2020-09-07","2020-09-07","2020-10-25","2020-10-25","2020-09-07","2020-09-07","2020-09-07","2020-09-07","2020-10-10","2020-10-10","2020-08-13","2020-08-13","2020-10-19","2020-09-07","2020-09-07","2020-10-06","2020-10-14","2020-10-19","2020-10-21","2020-10-25","2020-10-25","2020-10-25","2020-10-25","2020-10-25","2020-10-25"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}