{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALFRED L BRAY","gend":0,"add":"1517 JEFFERSON DAVIS HWY APT 8","city":"RICHMOND","state":"VA","zip":232249999,"dob":"1957-05-04","age":"","mstatus":"","insh":11001016,"cliId":"7RW8GH7YQ10","pno":8049128625,"cno":"","email":"","ename":"","eno":"","pphy":"ARMISTEAD, SCOTT","ppno":8043201333,"pcpadd":"1517 JEFFERSON DAVIS HWY APT 8","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232249999,"pcpcounty":"RICHMOND CITY","pcpid":"P0060162","pcpname":"VCUHS HAYES E WILLIS HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["B18.2","B20","I10","B19.20","R33.9","H40.023","H25.13","H10.45","N40.1","R35.0","N52.9","R97.20","J34.89","F32.9","B00.9","Z04.3","V89.2XXA","I51.7","M54.5","V49.9XXA","R20.2","J98.11","S09.90XA","S39.91XA","S39.92XA","V43.52XA","H57.02","Z21","R40.2362","R40.2142","R40.2252","I25.10","I70.0","M25.78","Y92.410","S19.9XXA","E78.5","E55.9","S61.200A","W55.01XA","S61.250A","L03.011","S61.250D","W55.01XD","Z29.14","Z23","Z20.3","Z79.899","R00.1","R39.9","R68.89","Z11.3","Z86.19","Z70.8","K57.31","H04.121","H04.122","A59.9"],"date":["2018-10-29","2019-12-11","2019-04-29","2019-02-20","2018-02-05","2020-02-06","2020-02-06","2020-02-06","2019-04-29","2019-04-29","2018-12-05","2019-02-20","2019-02-20","2019-02-20","2020-02-11","2018-03-01","2018-03-01","2018-03-01","2018-03-02","2018-03-01","2018-03-02","2018-03-01","2018-03-01","2018-03-01","2018-03-01","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2018-03-02","2019-04-29","2018-03-28","2019-04-26","2019-04-26","2019-04-27","2019-04-27","2019-04-29","2019-04-29","2019-05-11","2019-06-12","2019-05-11","2019-12-11","2019-07-29","2018-08-14","2018-11-05","2018-12-21","2018-12-05","2018-12-05","2019-12-11","2020-02-06","2020-02-06","2020-02-11"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}