{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W M EINNHOJNOOPSREHTAE","gend":1,"add":"AB RIS 8235EVIRD NOTR","city":"VIRGINIA BEACH","state":"VA","zip":234629999,"dob":"1942-05-27","age":"","mstatus":"","insh":"10118313","cliId":"4QY8YC4GK46","pno":"7475751580","cno":"","email":"","ename":"","eno":"","pphy":"DELAHOUSSAYE, ALADEE R","ppno":7578748400,"pcpadd":"5328 SIR BARTON DRIVE","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":234629999,"pcpcounty":"VIRGINIA BEACH CITY","pcpid":"P0149989","pcpname":"VIRGINIA BEACH HOUSING RESOURCE CENTER HEALTH CLIN","pcpfaxno":""},{"a":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N30.00","J96.01","Z91.89","I25.10","I10","J18.9","Z94.0","Z87.440","D89.9","A41.9","R65.21","G93.40","N17.0","N18.4","R53.1","R63.3","R53.81","Z71.89","Z51.5","N18.3","I69.391","R63.8","N18.9","Z16.35","I50.33","N17.9","E11.22","I48.0","Z79.4","N39.0","E08.10","E87.5","E11.10","R78.81","Z16.12","J18.1","R91.8","J81.1","J90","I12.9","Z86.73","B96.1","E78.2","D63.8","K21.0","G47.00","H54.8","I50.43","B96.89","R39.81","M62.81","N39.3","E78.00","Z86.19","Z51.81","J98.11","Z98.61","E13.319","R06.02","T86.19","E86.0","E87.70","H35.343","E11.319","G47.33","Z87.891","Z09","A41.59","Y83.0","G93.41","J96.21","N25.81","I13.0","N18.6","R11.2","R19.7"],"date":["2020-05-24","2020-04-16","2020-03-22","2020-06-03","2020-06-03","2020-06-04","2020-06-09","2020-05-01","2020-06-03","2020-06-09","2020-05-01","2020-04-02","2020-04-01","2020-06-09","2020-05-06","2020-05-06","2020-05-06","2020-04-03","2020-05-06","2020-05-17","2020-04-03","2020-04-03","2020-05-18","2020-04-12","2020-06-10","2020-06-10","2020-06-09","2020-06-02","2020-06-09","2020-06-01","2020-05-17","2020-05-11","2020-06-02","2020-05-18","2020-05-14","2020-05-06","2020-06-08","2020-06-08","2020-06-04","2020-06-05","2020-06-03","2020-05-18","2020-06-02","2020-05-24","2020-05-24","2020-05-24","2020-06-03","2020-05-18","2020-05-28","2020-05-27","2020-05-27","2020-05-27","2020-05-28","2020-05-28","2020-05-28","2020-06-02","2020-06-03","2020-06-03","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-06-02","2020-04-16","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}