{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STEPHANIE E JACK","gend":1,"add":"623 E BROADWAY","city":"HOPEWELL","state":"VA","zip":238609999,"dob":"1990-02-17","age":"","mstatus":"","insh":11000139,"cliId":"3A83PX1CW84","pno":8047222326,"cno":"","email":"","ename":"","eno":"","pphy":"PASCO, HAYDEN","ppno":8042391640,"pcpadd":"12018 W Broad St Ste 100","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232337796,"pcpcounty":"HOPEWELL CITY","pcpid":"P0124051","pcpname":"PRIMARY HEALTH GROUP INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z32.01","E28.2","O09.299","F43.23","F60.7","N91.2","N92.6","E66.9","Z36.87","Z3A.01","Z34.81","O99.212","Z3A.18","B34.9","R53.83","R53.81","R50.9","F17.200","M54.9","R53.1","N91.1","Z32.02","Z3A.22","Z13.1","Z34.82","Z01.419","N97.0","Z12.4","Z11.3","O99.513","J20.9","Z3A.32","Z36.85","O34.211","O69.81X0","Z37.0","Z3A.39","N39.0","N28.1","R10.9","Z39.2","R30.0","L72.3","O86.4","O86.20","O99.810","Z11.51"],"date":["2019-04-03","2019-03-20","2019-03-20","2018-04-17","2018-04-17","2019-04-10","2018-04-09","2019-07-23","2019-04-10","2019-04-10","2019-05-01","2019-07-23","2019-06-26","2018-07-10","2018-07-10","2018-07-10","2019-12-07","2019-12-07","2018-07-10","2018-07-10","2018-07-16","2018-07-16","2019-07-23","2019-08-27","2019-08-27","2020-05-29","2018-09-11","2018-08-31","2018-08-31","2019-10-02","2019-10-02","2019-10-02","2019-10-22","2019-11-17","2019-11-17","2019-11-17","2019-11-17","2019-12-07","2019-12-07","2019-12-07","2019-12-30","2019-12-30","2020-02-13","2019-12-07","2019-12-07","2019-09-03","2020-05-29"]}},{"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":""}]}]}