{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEANDRE R LIGHT","gend":0,"add":"168   HIGHLAND STREET","city":"GATE CITY","state":"VA","zip":242512767,"dob":"2016-02-10","age":"","mstatus":"","insh":8064490,"cliId":"","pno":2766908756,"cno":"","email":"","ename":"","eno":"","pphy":"CHAUDHRY, FAISAL W","ppno":"","pcpadd":"5705 Redbud Hwy","pcpcity":"Honaker","pcpstate":"VA","pcpzip":242609999,"pcpcounty":"","pcpid":"P9058546","pcpname":"COMMUNITY HEALTH CLINIC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R62.50","F88","F84.0","J06.9","R01.1","Z20.5","F80.9","K02.9","Z01.818","Z00.129","G96.9","J09.X2","R50.9","H66.91","J10.1","R05","H66.001","J30.9","F43.0","H66.3X3","T85.898A","J35.02","H66.90","Z96.22","J45.909","H66.43","H66.005","R51","R11.10","B97.89","T14.8XXA","H66.002","B07.0","Z23","M79.672","K52.9","H66.93","H72.93","H10.9","Z20.828"],"date":["2019-10-14","2019-11-20","2019-02-05","2019-09-18","2019-02-21","2019-02-11","2019-11-20","2019-03-25","2020-10-19","2019-02-11","2019-10-14","2019-02-22","2019-08-27","2019-08-27","2019-02-28","2019-08-27","2019-02-28","2019-09-18","2019-03-25","2019-05-08","2019-04-16","2019-05-08","2019-05-08","2019-11-22","2020-01-09","2019-05-08","2019-08-08","2019-08-27","2019-08-27","2019-09-18","2019-09-18","2019-11-20","2020-03-03","2019-11-20","2020-03-03","2019-12-09","2019-12-26","2019-12-26","2019-12-26","2020-10-19"]}},{"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":""}]}]}