{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENNIFER D THOMAS","gend":1,"add":"1110 SOUTH 2ND STREET","city":"HOPEWELL","state":"VA","zip":238605209,"dob":"1962-05-27","age":"","mstatus":"","insh":11000311,"cliId":"8XY2HM1KC09","pno":8042555552,"cno":"","email":"","ename":"","eno":"","pphy":"BOLLING  J FEILD MD","ppno":"","pcpadd":"507 S Sycamore St","pcpcity":"Petersburg","pcpstate":"VA","pcpzip":238035037,"pcpcounty":"HOPEWELL CITY","pcpid":"P0124282","pcpname":"BOLLING FEILD MD"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J20.9","E78.5","E11.65","M25.572","F41.9","L73.9","Z23","G89.4","J06.9","J37.0","R49.9","J38.4","J34.2","J38.1","H11.30","L02.214","S93.402D","R05","J38.3","J44.9","E11.40","Z79.899","Z79.84","F17.210","F17.200","I21.29","I21.4","R07.0","T40.5X1A","R07.9","Y92.89","F14.20","J45.909","E11.9","I10","M19.90","F12.90","I25.119","K21.9","I25.110","E78.2","R94.31","S09.8XXA","W01.198A","S09.90XA","W01.10XA","Z79.51","Z79.82","W18.30XA","F19.10","R07.89","X58.XXXA","I25.10","K29.70","K30","M54.9","E11.69","M51.36","I95.9","F14.10","Z90.5","B35.3","E78.00","B37.0","J44.1","R06.02","Z79.02","R06.00","R07.81","R20.8","S20.319A","B37.9","Z72.0","B02.9","R21","B35.4","G89.29","G62.9","B02.39","H57.12","J40","R45.0","J32.9","M26.629","R23.3","M05.9","S91.122A","S91.332A","G89.11","W25.XXXA","J96.00","R06.03","M47.896","M49.87","M54.32","M54.5","M25.552","R73.9","R53.1","M51.16","M54.16","E11.42","M87.00","R94.8","S00.86XA","M79.7","M79.641","M79.642","M51.9","M06.9","E87.5","H53.8","S99.921A","W01.0XXA","Y92.000","M50.30","Z79.891","E11.8","B37.3","Z51.81","I50.9","N39.0","Z87.891","R06.09","T82.858A","Z95.5","I11.9","Z12.4","Z12.39","Z01.419","L02.92","M25.532","M25.531","M25.551","M79.604","M79.605","Z01.818","R51.9","I25.2","H25.13"],"date":["2019-03-20","2020-10-21","2020-10-21","2018-01-17","2020-09-28","2018-01-17","2019-11-11","2020-10-21","2019-02-12","2018-12-11","2018-01-29","2018-01-29","2018-01-29","2018-06-14","2018-02-16","2018-02-16","2018-02-20","2019-06-09","2019-03-13","2020-10-21","2020-06-08","2020-06-08","2020-10-21","2020-06-08","2020-10-21","2019-03-19","2020-06-10","2019-03-19","2019-04-02","2020-10-21","2019-03-19","2019-03-19","2020-02-05","2020-10-27","2020-10-21","2020-10-21","2019-04-03","2020-08-04","2020-10-12","2019-04-04","2020-09-25","2019-04-02","2019-03-22","2019-03-22","2019-03-22","2019-03-22","2020-10-21","2020-10-21","2019-03-22","2020-10-01","2020-10-21","2019-04-02","2020-10-21","2019-04-02","2019-04-02","2019-04-02","2019-04-03","2019-04-03","2019-04-03","2020-10-21","2019-04-03","2018-04-12","2019-04-26","2019-05-28","2019-06-09","2020-10-21","2020-10-12","2019-06-09","2018-06-16","2018-06-16","2018-06-19","2019-06-20","2019-06-20","2018-07-12","2018-07-29","2018-08-02","2018-10-09","2018-10-31","2018-07-22","2018-07-22","2018-10-11","2018-08-23","2018-09-11","2019-11-11","2019-09-17","2019-09-17","2018-09-28","2018-09-28","2018-09-28","2018-09-28","2018-10-10","2018-10-09","2018-10-11","2018-10-11","2018-11-07","2018-10-31","2020-07-20","2018-10-31","2020-02-21","2018-10-31","2018-10-31","2018-10-31","2018-11-06","2018-11-06","2018-11-26","2019-12-09","2019-12-09","2019-12-09","2018-12-11","2020-10-13","2019-12-16","2020-01-22","2020-02-05","2020-02-05","2020-02-05","2020-02-25","2020-05-14","2020-07-07","2020-03-23","2020-05-14","2020-02-21","2020-02-21","2020-06-10","2020-06-08","2020-06-08","2020-10-21","2020-09-25","2020-07-16","2020-07-16","2020-07-16","2020-07-16","2020-10-12","2020-10-12","2020-07-20","2020-07-20","2020-07-20","2020-07-30","2020-10-21","2020-10-21","2020-10-27"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}