{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JACOB N TIPTON","gend":0,"add":"PO BOX 551","city":"GATE CITY","state":"VA","zip":242510551,"dob":"2004-11-10","age":"","mstatus":"","insh":7592766,"cliId":"","pno":2764941976,"cno":"","email":"","ename":"","eno":"","pphy":"ADKINS, STEVEN M","ppno":"","pcpadd":"1754 US Highway 23 N","pcpcity":"Weber City","pcpstate":"VA","pcpzip":242907071,"pcpcounty":"","pcpid":"P9058735","pcpname":"HOLSTON MEDICAL GROUP PC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["H66.92","J40","Z87.09","M54.9","R11.0","R11.2","K21.0","J02.0","J02.9","J06.9","F90.2","S50.11XA","J30.2","T14.8XXA","K04.7","S29.012A","J45.901","S42.402A","S60.512A","V00.131A","Y93.51","S60.511A","S50.311A","M25.522","S52.125A","S59.912A","W19.XXXA","S59.902A","S69.92XA","S53.492A","S50.02XA"],"date":["2018-12-17","2019-09-09","2019-01-25","2019-01-09","2019-01-09","2019-10-30","2019-01-14","2019-01-16","2020-02-10","2020-02-10","2019-02-13","2019-04-11","2019-04-11","2019-10-03","2019-10-13","2019-12-13","2019-12-16","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2020-01-10","2020-01-10","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2020-01-03","2020-01-03"]}},{"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":""}]}]}