{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARGREAT V BRADSHAW","gend":1,"add":"2500   EAST PRINCESS  ANNE ROAD","city":"NORFOLK","state":"VA","zip":235043086,"dob":"1943-01-24","age":"","mstatus":"","insh":11000067,"cliId":"1MM3P27HG12","pno":7573627027,"cno":7579127063,"email":"","ename":"","eno":"","pphy":"GARRIS, SHEILA Y","ppno":7577381300,"pcpadd":"400 Gresham Dr Ste 808","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235071991,"pcpcounty":"NORFOLK CITY","pcpid":"P0110911","pcpname":"BON SECOURS TOWN CENTER MEDICAL ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","R60.0","E11.42","L60.3","E11.9","E78.5","K21.9","J34.89","Z00.00","Z12.31","Z12.11","Z78.0","I11.9","I36.1","I47.9","K21.0","R07.9","I70.223","M79.609","Z79.4","K05.6","R51","H34.8321","E11.3592","H43.12","Z96.1","E55.9","E53.8","H43.23","R30.0","Z68.29","R10.84","D64.9","M79.669","E11.22","R10.0","I70.203","M79.604","Z23","M79.605","Z68.28","Z68.26","G25.81","I20.8","E78.6","G44.209","I73.89","J32.9","N18.2","N18.3","R22.42","G60.3","R20.2","Z68.27","Z01.818","I47.1","K59.00","R22.9","R06.02","R60.9","M79.89","Z90.710","Z90.722","G62.9","H34.8322","R10.2","N28.1","Z68.30","G89.29","H54.7","J30.9","K08.409","R32","Z79.84","Z80.9","Z81.1","Z82.49","Z82.5","H50.15","H50.10","H43.811","M50.20","I50.32"],"date":["2020-10-30","2019-08-02","2020-10-14","2019-11-06","2020-08-12","2020-10-08","2019-12-19","2018-08-16","2018-08-16","2020-10-27","2019-12-19","2018-08-16","2020-10-08","2018-08-23","2018-08-23","2018-08-23","2018-08-23","2018-08-29","2018-08-29","2019-09-16","2018-09-19","2019-05-03","2020-09-04","2020-09-04","2019-09-20","2020-01-23","2020-10-08","2019-12-30","2019-07-24","2019-12-19","2019-12-19","2020-03-16","2018-01-22","2019-06-06","2019-02-26","2018-02-02","2019-02-08","2019-02-26","2019-02-26","2019-02-26","2019-07-01","2018-04-05","2019-04-01","2018-03-22","2018-03-22","2018-03-22","2018-04-06","2019-03-28","2019-03-28","2018-05-02","2018-04-06","2019-04-16","2019-04-16","2018-05-02","2019-05-08","2020-06-18","2019-08-26","2019-06-06","2018-06-22","2018-06-22","2018-06-22","2020-03-16","2018-06-22","2019-07-01","2020-08-12","2020-03-16","2020-03-16","2020-03-02","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2020-08-12","2020-10-05","2020-09-04","2020-10-05","2020-10-08"]}},{"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":""}]}]}