{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ELIZABETH HUNTER","gend":1,"add":"5110   HACKNEY ROAD","city":"NORTH CHESTERFIEL","state":"VA","zip":232344520,"dob":"1947-05-07","age":"","mstatus":"","insh":11000616,"cliId":"3Q57W09DY43","pno":8047750814,"cno":"","email":"","ename":"","eno":"","pphy":"JACKSON, RICHARD A","ppno":8042257148,"pcpadd":"304 E Leigh St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232191410,"pcpcounty":"CHESTERFIELD","pcpid":"P0124311","pcpname":"DOMINION MEDICAL ASSOCIATES INC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R32","N39.46","L22","M81.0","R06.02","I10","E55.9","R79.9","Z09","E53.8","R53.1","R63.4","J98.4","H93.299","I11.9","R94.31","I49.9","F17.290","R06.00","Z68.1","Z72.89","Z82.49","Z92.29","R79.89","J42","Z71.3","H25.813","L60.2","M79.675","M79.674","L56.5","M79.671","M71.571","L60.3","Z00.00","J47.9","R05","R63.6","Z86.03","Z23","K21.9"],"date":["2019-07-26","2020-10-06","2020-10-06","2020-11-03","2020-11-03","2020-11-03","2020-11-03","2020-02-06","2019-01-31","2020-11-03","2020-11-03","2020-11-03","2019-04-23","2020-11-03","2020-11-03","2019-05-30","2018-05-10","2018-05-10","2018-05-10","2018-05-10","2018-05-10","2018-05-10","2020-11-03","2020-11-03","2019-05-30","2019-10-03","2019-06-17","2018-06-21","2018-06-21","2018-06-21","2018-06-21","2018-06-21","2018-06-21","2018-06-21","2020-11-03","2018-10-24","2018-10-24","2017-11-07","2017-11-07","2017-12-06","2020-11-03"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}