{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WARREN O ROBERTS","gend":0,"add":"1148   MEADOW LAKE DRIVE","city":"BEDFORD","state":"VA","zip":245236099,"dob":"1953-03-18","age":"","mstatus":"","insh":11001341,"cliId":"7NR6TK7JG56","pno":5408160791,"cno":5405838248,"email":"","ename":"","eno":"","pphy":"COHEN, LEONARD J","ppno":5405866818,"pcpadd":"1615 Oakwood St","pcpcity":"BEDFORD","pcpstate":"VA","pcpzip":245231249,"pcpcounty":"BEDFORD","pcpid":"P0124550","pcpname":"BEDFORD COMMUNITY HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F33.1","F41.9","I10","E78.2","K21.9","J30.2","N52.8","E55.9","J44.1","J01.00","J20.9","J45.909","J44.9","Z71.9","R09.02","J34.89","Z72.0","B37.0","Z13.9","H04.123","W57.XXXA","D12.0","D12.2","D12.3","D12.4","R19.5","K64.0","K57.30","K62.1","I44.7","E78.5","Z99.81","F17.220","Z83.3","Z82.49","D12.6","K63.5","H35.371","H35.373","N52.9","J32.9","Z23","G47.34","N20.0","R39.198","Z00.01","Z13.89","Z71.89","Z87.442","Z91.81","R26.2","G62.9","Z71.3","L85.2","M79.671","M79.672","E11.9","J98.8","B37.42","K04.7","J32.0","H25.13","H61.23"],"date":["2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-06-26","2019-01-31","2019-01-31","2019-01-31","2019-01-31","2019-02-12","2020-08-25","2020-10-01","2018-06-15","2018-06-15","2018-03-15","2020-10-01","2019-05-16","2018-06-15","2020-09-03","2019-07-18","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2018-07-24","2020-09-03","2019-10-25","2018-11-05","2018-11-08","2020-10-01","2020-08-25","2020-03-12","2020-03-30","2020-10-01","2020-10-01","2020-10-01","2020-03-30","2020-03-31","2020-02-17","2020-02-17","2020-02-17","2020-04-15","2020-04-15","2020-04-15","2020-10-01","2020-06-16","2020-06-29","2020-06-29","2020-06-29","2020-09-03","2020-10-01"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["Yes","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":""}]}]}