{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"OZZY M MANSKE","gend":0,"add":"513 COVERSTONE LANE","city":"SHENANDOAH","state":"VA","zip":228491101,"dob":"2017-11-08","age":"","mstatus":"","insh":3165804,"cliId":"","pno":5402185253,"cno":"","email":"","ename":"","eno":"","pphy":"TIMMONS, JOHN","ppno":"","pcpadd":"505 Williams Ave","pcpcity":"Shenandoah","pcpstate":"VA","pcpzip":228491263,"pcpcounty":"","pcpid":"P0060122","pcpname":"PAGE SHENANDOAH HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J45.21","J45.909","H57.89","H00.012","J01.00","F31.9","Z87.891","Z88.5","R05","B34.9","R50.9","R06.02","Z00.129","Z23","Z13.0","Z13.88","S53.031A","X58.XXXA","Y93.72","J45.50","M05.79","R91.8","Z98.51","R09.81","H92.03","J02.9","Z79.899","Z79.51","J47.9","R06.09","J84.9","M05.742","M05.741","W57.XXXA","J98.4","J98.19","Z71.3","Z71.89"],"date":["2018-10-11","2019-06-15","2018-10-11","2018-10-11","2019-06-15","2018-10-11","2019-06-15","2019-06-15","2018-10-11","2019-06-06","2018-10-14","2018-10-14","2019-12-03","2019-12-03","2019-12-03","2019-12-03","2019-02-05","2019-02-05","2019-02-05","2019-02-06","2019-02-06","2019-10-11","2019-02-06","2019-06-15","2019-06-15","2019-06-15","2019-06-15","2019-06-15","2019-10-11","2019-07-10","2019-10-07","2019-07-10","2019-07-10","2019-10-01","2019-10-07","2019-10-11","2019-12-03","2019-12-03"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-Assessment and 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 and Diagnoses","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":[]},{"a":[]}]},{"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 & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":""}]}]}