{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILLIAM E DANIEL JR","gend":0,"add":"374 OLO ROAD","city":"DUNDAS","state":"VA","zip":239389999,"dob":"1949-09-06","age":"","mstatus":"","insh":11000494,"cliId":"6WC6HQ2KJ47","pno":4343219077,"cno":4346763487,"email":"","ename":"","eno":"","pphy":"POWERS, DAVID C","ppno":4346768021,"pcpadd":"200 E 5th St","pcpcity":"Chase City","pcpstate":"VA","pcpzip":239241456,"pcpcounty":"Mecklenburg","pcpid":"P0060193","pcpname":"KENBRIDGE FAMILY MEDICINE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I63.9","I69.351","E11.51","I11.9","G20","I87.8","G40.909","E03.9","F41.1","G47.33","E78.2","Z85.46","Z79.84","Z79.02","Z79.82","Z95.1","Z99.3","Z91.81","C61","Z23","Z00.00","I10","Z72.89","Z12.5","Z12.11","Z13.89","I25.9","N40.0","E11.00","I63.30","G81.11","I73.9","L89.92","L03.811","I69.959","I69.951","I83.025","L97.811","F32.0","R05","R50.9","N45.1","Z68.28","L03.90","R22.0","E11.65","F33.42","L89.152","E11.9","R29.3","G45.9","G81.94","I50.9","I11.0","Z66","E78.5","R29.810","R47.1","E66.9","Z79.899","I08.0","I69.352","I69.322","I69.392","R26.2","R29.818","R26.89","R19.7","R31.9","I69.354","E87.1","Z00.01","Z87.891","I65.23","I65.22","R29.898","Z79.4","L89.159","M93.90","E83.42","N39.41","M62.81","M25.551","N41.8","E21.1","L21.0","M70.61","R10.9","R47.01","S50.01XA","M25.561","K56.7","N28.1","K40.90","N23","G93.89","R25.2","R53.1","Z76.89"],"date":["2020-10-19","2020-03-26","2020-06-01","2019-12-27","2020-04-22","2019-12-27","2020-09-03","2020-09-01","2019-12-27","2019-12-27","2020-06-01","2019-12-27","2020-03-26","2020-03-26","2020-03-26","2020-03-26","2020-10-07","2020-03-26","2020-02-21","2020-10-08","2019-12-19","2020-09-01","2019-12-19","2018-11-13","2019-12-19","2019-12-19","2020-04-22","2019-12-27","2018-04-05","2020-09-18","2020-04-22","2020-04-22","2020-06-01","2018-03-12","2020-09-03","2018-04-05","2020-02-21","2019-03-26","2019-03-26","2018-04-05","2018-04-05","2018-05-21","2018-05-21","2019-06-08","2019-06-10","2020-09-03","2020-09-01","2018-07-30","2020-03-26","2019-10-22","2020-02-21","2020-02-19","2020-02-18","2020-02-18","2020-02-19","2020-03-26","2020-02-19","2020-02-19","2020-03-26","2020-02-18","2020-02-18","2020-02-18","2020-03-26","2020-02-18","2020-02-18","2020-02-19","2020-02-20","2020-02-21","2020-06-01","2020-03-26","2020-02-26","2019-12-19","2019-12-19","2020-02-18","2020-02-18","2020-02-18","2020-02-19","2020-04-22","2020-04-22","2020-06-01","2020-10-07","2020-10-07","2020-08-06","2020-08-06","2020-09-01","2020-09-01","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-09-05","2020-09-05","2020-09-05","2020-09-05","2020-09-18","2020-02-18","2020-02-18","2020-02-21"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","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":""}]}]}