{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOYCE A KEYSOR","gend":1,"add":"7000 AUBURN AVE","city":"NORFOLK","state":"VA","zip":235139999,"dob":"1950-10-23","age":"","mstatus":"","insh":11001561,"cliId":"7R18ED9RV65","pno":7574504643,"cno":7577380192,"email":"","ename":"","eno":"","pphy":"ALBAND, WENDY F","ppno":7577381200,"pcpadd":"1040 University Blvd","pcpcity":"Portsmouth","pcpstate":"VA","pcpzip":237032650,"pcpcounty":"NORFOLK CITY","pcpid":"P0060092","pcpname":"EAST BEACH MEDICAL ASSOCIATES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["D50.8","I10","E03.9","I50.22","C50.912","Z17.0","Z68.32","D64.9","E55.9","Z68.33","I25.10","C50.112","E78.1","R73.9","Z23","C50.91","E78.5","D50.9","Z79.82","Z79.899","Z90.12","Z95.1","Z86.73","Z83.3","Z82.49","Z51.11","J98.11","C50.919","K44.9","Z95.9","E78.00","Z68.31","Z00.00","E66.9","M85.80","M89.9","Z12.11","Z45.2","Z85.3","Z92.21","Z80.0","Z92.3","D12.2","K63.5","K57.30","I11.0","I50.20","R73.03","H33.321","H53.8","H26.493","Z96.1","Z13.31","Z12.31","Z13.820","Z78.0","Z68.30","Z71.89","H54.7","I25.2","Z77.22","Z79.811","Z80.9"],"date":["2019-01-07","2020-01-09","2020-10-27","2019-01-07","2019-01-07","2020-06-04","2019-01-07","2018-01-22","2020-10-27","2018-01-22","2019-08-28","2020-06-04","2020-10-27","2020-10-27","2020-01-09","2018-02-26","2019-08-28","2018-02-26","2019-08-28","2018-10-19","2020-02-14","2018-11-05","2019-08-28","2018-02-26","2019-08-28","2018-08-09","2018-03-02","2019-08-28","2018-03-02","2018-03-02","2018-05-14","2019-08-28","2020-01-09","2020-01-09","2020-02-14","2018-05-15","2018-10-19","2018-10-03","2020-02-14","2018-10-03","2018-10-03","2018-10-03","2018-10-19","2018-10-19","2018-10-19","2018-10-19","2018-10-19","2018-10-19","2018-11-05","2018-11-05","2018-11-05","2018-11-05","2020-01-09","2020-02-14","2020-02-14","2020-02-14","2020-01-09","2020-01-09","2019-08-28","2019-08-28","2019-08-28","2019-08-28","2019-08-28"]}},{"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":[]}]},{"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":""}]}]}