{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"FELIKA STANBACK","gend":1,"add":"4220 ANNE TERRACE","city":"PRINCE GEORGE","state":"VA","zip":238759999,"dob":"1987-06-20","age":"","mstatus":"","insh":11000379,"cliId":"1YM3D60VA98","pno":8046472955,"cno":8047213070,"email":"","ename":"","eno":"","pphy":"VILLANUEVA, JOHN G","ppno":8044525800,"pcpadd":"8380 BOYDTON PLANK ROAD","pcpcity":"PRINCE GEORGE","pcpstate":"VA","pcpzip":238751400,"pcpcounty":"PETERSBURG CITY","pcpid":"P9058737","pcpname":"HOPEWELL PRINCE GEORGE COMMUNITY HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["D64.9","Z86.711","Z79.01","E55.9","M32.19","M32.9","M25.521","M24.529","R10.9","Z09","J20.9","E66.9","Z79.899","N28.89","R82.3","D89.89","D72.819","M35.00","R07.9","I34.0","I36.1","R09.1","R06.02","R00.2","R00.0","L20.9","M25.561","N20.0","M25.50","Z01.419","Z11.3","Z30.09","Z12.4","R87.612","R79.1","S29.011A","X58.XXXA","I31.3","Z87.891","Z88.0","R31.9","I32","N39.0","R35.1","R31.21","J98.4","J90","R07.89","R05","J18.9","Z91.013","I10","D63.8","I11.9","T38.0X5A","E86.0","J98.11","R51","R11.0","H53.143","Z82.49","M79.674","M35.1","R11.2","N17.9","M32.14","R50.9","N18.3","R60.9","B37.81","I26.99","N28.9","R11.10","S37.009A","R82.81","N31.0","R80.9","N19","R31.0","N25.81","S37.009S","Z87.440","R00.1","I51.7","N04.9","I27.20","I12.9","E87.1","E87.70","N18.9","Z86.718","D63.1","D50.8","D50.9","E61.1","E87.6"],"date":["2020-10-02","2020-01-19","2020-01-19","2020-02-19","2019-03-19","2020-10-23","2019-01-17","2019-01-17","2018-04-24","2018-01-24","2018-01-30","2018-01-30","2020-09-02","2018-02-26","2018-02-26","2019-03-19","2019-03-19","2019-03-19","2020-02-12","2019-03-28","2019-03-28","2019-03-28","2020-03-27","2019-03-28","2019-03-28","2018-04-24","2018-04-24","2018-04-24","2018-10-04","2019-07-11","2019-07-11","2019-07-11","2019-07-11","2019-07-11","2018-07-31","2018-08-05","2018-08-05","2018-10-16","2018-10-11","2019-11-20","2020-01-27","2018-11-01","2020-02-10","2018-10-02","2018-10-02","2018-10-09","2020-02-12","2018-10-15","2018-10-11","2018-10-15","2019-11-20","2020-10-23","2020-02-13","2018-10-13","2020-01-19","2020-02-13","2020-01-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-12-17","2020-01-13","2020-10-02","2020-10-05","2020-10-23","2020-02-10","2020-06-01","2020-03-09","2020-02-19","2020-01-19","2020-01-20","2020-01-20","2020-01-20","2020-01-22","2020-01-20","2020-01-27","2020-01-21","2020-01-22","2020-01-27","2020-01-25","2020-01-25","2020-01-26","2020-02-10","2020-10-05","2020-03-27","2020-10-02","2020-01-19","2020-10-05","2020-10-05","2020-01-19","2020-10-02","2020-02-10","2020-02-10","2020-09-02","2020-10-02"]}},{"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":""}]}]}