{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARTHA W HANCOCK","gend":1,"add":"2605 POMPEY SPRING ROAD","city":"RICHMOND","state":"VA","zip":232349999,"dob":"1938-11-29","age":"","mstatus":"","insh":11000811,"cliId":"4UG3GX1KA94","pno":8042330791,"cno":8042631392,"email":"","ename":"","eno":"","pphy":"ALI, SABINA","ppno":8046732814,"pcpadd":"2605 POMPEY SPRING ROAD","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232349999,"pcpcounty":"CHESTERFIELD","pcpid":"P0060118","pcpname":"MONUMENT INTERNAL MEDICINE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I48.91","R60.9","I21.4","Z98.61","I50.9","E11.9","H25.13","H04.123","H52.4","N39.41","I11.0","R60.0","Z87.891","M79.89","I13.0","E11.22","N18.9","I25.10","Z95.5","E66.3","R91.8","M79.7","D50.9","Z79.01","I48.0","N83.9","I82.409","E10.8","I50.32","I48.2","I10","Z01.419","Z12.4","Z12.31","R00.0","I25.2","E78.5","M19.90","Z79.899","N18.3","E55.9","Z68.31","I87.2","Z12.11","R06.02","I50.33","N17.9","E11.21","E11.51","R79.89","J06.9","E87.6","Z79.82","I25.110","I20.0","R05","R07.89","R77.8","R07.9","I36.1","I34.0","I51.7","I35.8","E87.70","Z68.30","I50.42","R26.2","N18.4","Z51.81","Z78.0","Z23","Z00.00","Z71.89","Z13.820","M81.0","R80.9","D63.1","I12.9","N25.81","M17.0","Z68.29","D49.3","N64.4","N63.22","I50.30","N63.20","L72.3","R22.43","N63.25","C50.212","R92.8","C50.912","Z17.1","R93.89","I27.20","I48.20","E87.1","C79.51","C78.00","D72.829","I07.1","Z20.828","D64.9","I50.23","R06.00","R74.8","I48.4","M15.0","E66.8","Z85.3","Z71.3","Z79.84","J96.01","I48.92","Z51.5","Z66","R54","I44.7","I49.9","J98.4","D72.821","D72.819","D72.810","I16.1","J81.1","J18.9"],"date":["2020-09-01","2018-01-20","2018-01-05","2018-01-05","2020-08-15","2020-08-28","2018-01-11","2018-01-11","2018-01-11","2020-09-01","2018-01-20","2020-08-15","2020-08-15","2020-08-15","2020-09-04","2020-08-31","2020-08-15","2020-08-15","2018-04-15","2018-01-20","2020-07-24","2018-02-08","2020-09-04","2018-05-30","2020-07-27","2018-02-23","2018-02-24","2018-03-08","2020-07-27","2018-06-18","2020-08-31","2018-03-12","2018-03-12","2018-03-19","2018-04-15","2020-08-15","2020-08-15","2018-04-15","2020-08-15","2020-07-27","2020-06-19","2018-06-18","2018-04-19","2018-04-19","2020-08-31","2020-09-05","2020-08-31","2020-05-01","2020-08-31","2020-08-31","2018-05-17","2018-05-17","2018-05-30","2018-05-20","2018-05-22","2018-05-17","2020-08-31","2020-08-31","2020-07-17","2018-05-18","2018-05-18","2018-05-18","2018-05-18","2020-09-03","2020-08-15","2018-05-24","2018-05-24","2020-09-03","2018-05-30","2018-06-27","2018-06-18","2018-06-18","2018-06-18","2018-06-27","2020-03-16","2020-07-16","2020-08-28","2020-08-28","2020-08-28","2020-03-16","2020-07-15","2020-06-07","2020-06-07","2020-07-01","2020-06-19","2020-07-15","2020-06-19","2020-06-19","2020-06-19","2020-07-01","2020-07-01","2020-08-31","2020-07-23","2020-07-15","2020-08-31","2020-08-31","2020-07-17","2020-09-04","2020-09-05","2020-09-04","2020-07-17","2020-08-31","2020-07-17","2020-07-23","2020-07-24","2020-07-24","2020-07-28","2020-08-15","2020-08-15","2020-08-15","2020-08-15","2020-08-15","2020-09-05","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-09-01","2020-09-01","2020-09-04","2020-09-04","2020-09-04","2020-09-01","2020-09-01","2020-09-05"]}},{"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":""}]}]}