{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"THELMA CRAWLEY","gend":1,"add":"301 DABBS HOUSE ROAD","city":"RICHMOND","state":"VA","zip":232239999,"dob":"1942-10-13","age":"","mstatus":"","insh":11001186,"cliId":"5UH2D14WX93","pno":8044470705,"cno":"","email":"","ename":"","eno":"","pphy":"DICKERSON, TASHA B","ppno":8042257177,"pcpadd":"301 DABBS HOUSE ROAD","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232239999,"pcpcounty":"RICHMOND CITY","pcpid":"P0060207","pcpname":"DOMINION MEDICAL ASSOCIATES"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R40.20","R41.82","J96.01","J69.0","I63.9","R91.8","Z97.8","R94.01","R55","I51.7","I63.89","I63.40","I63.531","I63.543","I25.10","I48.91","I65.22","I66.21","R40.2431","N17.9","I63.119","Z71.89","Z51.5","J98.4","R40.2434","G46.3","Z93.1","J90","R09.89","Z46.82","Z46.59","G46.4","Z43.0","Z43.1","J98.19","J98.11","I10","J96.90","E11.29","Z99.11","I63.549","I69.391","A41.02","J96.02","E78.5","A41.9","J81.1","E87.0","R73.9","D64.9","R40.2310","M54.2","Z12.31","R25.2","E11.9","E55.9","M10.9","Z23","Z79.899","Z13.6","I11.0","I50.9","M47.812","M48.02","I70.222","E11.51","I99.8","L60.2","M79.675","M79.674","I70.213","M79.672","Z95.820","M10.072","R11.0","G89.18","Z79.84","E78.00","M79.671","R53.1","R42","M25.50","I65.23","Z88.8","Z79.1","Z79.52","Z79.891","Z98.890","M79.89","I73.9","L60.3","K21.9","E66.9","M19.072","E11.69","E78.4","B35.1","L84","M47.817","M43.16","N12","N39.0","M54.9","R20.0","E11.42","Z68.38","R21","R06.09","R06.00","R06.02","J20.9","R05","K08.409","M1A.9XX0","Z68.36","Z79.02","Z97.2","S16.1XXA","V43.52XA","Y92.89","Y93.89","Z04.1","V49.49XA","Y92.488","M54.6","Z88.1","M25.512","V49.49XD","R20.2","E83.42","R07.89","I21.19","R07.9","E03.9","Z79.01","Z68.37","M54.5","L81.0","I25.2","I65.02","R10.13","M19.90","Z79.2","Z91.81","R40.2213","R40.2313","R40.2113","G82.50","G93.6","I63.233","E87.3","I63.81","E86.9","S19.9XXA","R00.0"],"date":["2019-08-19","2019-08-22","2019-09-09","2019-09-08","2019-09-12","2019-08-15","2019-08-09","2019-08-09","2019-08-09","2019-09-06","2019-09-09","2019-08-10","2019-08-10","2019-08-10","2019-08-17","2019-08-11","2019-08-10","2019-08-15","2019-08-15","2019-09-12","2019-08-18","2019-08-12","2019-08-12","2019-08-12","2019-08-18","2019-08-15","2019-08-17","2019-08-14","2019-08-14","2019-08-16","2019-08-14","2019-08-16","2019-08-16","2019-08-16","2019-08-16","2019-08-22","2019-09-09","2019-08-26","2019-09-05","2019-08-22","2019-09-06","2019-09-02","2019-09-12","2019-09-12","2019-09-05","2019-09-08","2019-09-06","2019-09-12","2019-09-10","2019-09-12","2019-09-12","2018-12-06","2018-10-03","2018-10-04","2019-08-07","2019-02-14","2019-04-12","2018-10-04","2019-02-14","2018-10-04","2018-11-29","2018-11-29","2019-08-09","2019-08-09","2019-03-14","2019-08-09","2019-03-14","2018-11-08","2019-01-06","2018-11-08","2018-11-08","2019-03-14","2019-03-14","2019-01-12","2019-08-05","2018-11-29","2019-08-07","2018-11-29","2018-11-29","2019-08-05","2019-08-08","2018-12-06","2019-08-05","2019-01-06","2019-01-06","2019-01-06","2019-01-06","2019-01-06","2019-01-12","2019-08-07","2018-05-10","2019-02-14","2019-02-14","2019-02-14","2019-02-14","2018-06-26","2019-06-20","2019-03-14","2018-03-20","2018-03-20","2018-03-20","2019-08-07","2018-03-26","2018-07-03","2019-04-08","2019-04-08","2018-04-13","2018-06-26","2018-05-16","2018-04-27","2018-05-08","2018-05-11","2018-05-16","2018-05-16","2018-05-16","2019-08-07","2018-05-16","2018-06-03","2018-06-03","2018-06-03","2018-06-03","2018-06-03","2018-06-03","2018-06-03","2018-06-03","2018-06-03","2018-07-03","2018-07-03","2018-07-03","2018-06-25","2018-06-25","2018-06-25","2018-06-25","2018-06-26","2018-06-26","2018-06-26","2018-07-12","2018-07-27","2019-08-05","2019-08-05","2019-08-05","2019-08-07","2019-08-07","2019-08-07","2019-08-09","2019-08-09","2019-08-09","2019-08-09","2019-08-09","2019-08-09","2019-08-09","2019-08-09","2019-08-09","2019-08-09","2019-08-09"]}},{"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":""}]}]}