{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EPHRAIM BARRETT","gend":0,"add":"315 SETTLERS LNDING ROAD","city":"HAMPTON","state":"VA","zip":236694041,"dob":"1951-08-31","age":"","mstatus":"","insh":11001492,"cliId":"4H00K76GY08","pno":7577064246,"cno":"","email":"","ename":"","eno":"","pphy":"BOWERS, LEO C","ppno":7578272127,"pcpadd":"26 WINE STREET","pcpcity":"HAMPTON","pcpstate":"VA","pcpzip":236693584,"pcpcounty":"HAMPTON CITY","pcpid":"P0060337","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["H40.1113","H40.1121","E05.90","N40.0","E78.2","E55.9","H40.9","E66.09","Z68.32","H40.1133","H40.1131","H25.13","R03.0","R51","D48.5","D23.12","K40.90","M15.0","E03.9","M99.05","M51.37","M25.551","M99.04","M99.03","R35.0","N39.41","Z68.35","K40.30","I10","Z87.11","R33.9","N28.9","Z98.890","Z87.891","R10.30","Z79.899","Z79.51","R97.20","A41.9","Y73.2","G93.41","N39.0","E87.2","N17.9","I12.9","N18.3","E05.00","E86.0","N50.1","N43.3","R33.8","N40.1","R07.9","N13.30","N50.89","N13.8","T83.9XXA","T83.038A","T83.511A","Z79.890","Z46.6","R41.0","R65.20","N30.01","B96.89","M89.49","Z87.448","Z01.810","T83.098A"],"date":["2020-07-23","2020-07-23","2020-06-11","2020-06-11","2020-06-11","2020-06-11","2020-06-11","2020-02-11","2020-02-11","2018-12-20","2018-12-20","2019-09-25","2018-04-24","2018-04-17","2018-06-07","2018-08-30","2020-06-11","2020-02-11","2019-12-05","2018-11-26","2018-11-26","2018-11-26","2018-11-26","2018-11-26","2019-12-05","2019-12-02","2019-12-02","2019-12-05","2020-06-11","2019-12-05","2020-04-29","2019-12-06","2019-12-10","2020-02-14","2019-12-10","2020-02-14","2019-12-10","2019-12-20","2019-12-30","2019-12-26","2019-12-26","2020-02-14","2019-12-26","2019-12-30","2019-12-26","2020-06-11","2020-02-14","2019-12-26","2019-12-26","2020-04-29","2020-02-11","2020-04-29","2019-12-27","2019-12-27","2019-12-27","2020-04-29","2020-02-14","2020-02-14","2020-02-14","2020-02-14","2020-04-21","2019-12-30","2019-12-30","2019-12-30","2020-02-14","2020-06-11","2020-07-27","2019-12-05","2019-12-30"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}