{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ETHEL Y SEAWRIGHT","gend":1,"add":"8 WALTHAM STREET","city":"HAMPTON","state":"VA","zip":236669999,"dob":"1942-03-07","age":"","mstatus":"","insh":11001184,"cliId":"7HK8UD5QK25","pno":7577232171,"cno":"","email":"","ename":"","eno":"","pphy":"LORENZO, DAVID","ppno":7573808709,"pcpadd":"8 WALTHAM STREET","pcpcity":"HAMPTON","pcpstate":"VA","pcpzip":236669999,"pcpcounty":"HAMPTON CITY","pcpid":"P0060337","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G57.02","I10","R62.7","R39.81","E11.9","R21","E78.00","M54.5","J31.0","R42","Z02.9","E10.649","R41.0","J32.9","R05","G47.00","K21.9","N39.0","R41.3","M25.562","T14.90XA","M79.604","M79.605","M79.89","W19.XXXA","S80.212A","R60.0","Z88.5","B96.89","R26.81","Z91.130","R60.9","Z12.31","E66.9","M62.838","Z68.30","Z79.82","Z79.84","Z79.899","R92.1","R92.8","Z23","L29.9"],"date":["2020-06-01","2020-05-01","2019-08-19","2020-05-28","2019-12-17","2018-12-13","2019-12-17","2019-12-17","2018-12-13","2019-12-17","2018-01-11","2018-03-22","2018-03-22","2018-06-04","2019-12-17","2019-08-19","2019-12-17","2019-07-26","2019-11-26","2019-07-17","2019-07-17","2019-07-17","2019-07-17","2019-07-16","2019-07-16","2019-07-16","2019-07-16","2019-07-16","2019-07-16","2019-07-26","2019-07-26","2019-12-17","2019-09-18","2018-09-06","2018-09-06","2018-09-06","2018-09-06","2018-09-06","2018-09-06","2019-09-18","2019-09-27","2019-12-17","2019-12-17"]}},{"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":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}}]},{"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":""}]}]}