{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILBUR SINGLETERRY","gend":0,"add":"1360 JENNIE SCHER RD","city":"HENRICO","state":"VA","zip":232319999,"dob":"1945-09-03","age":"","mstatus":"","insh":11001587,"cliId":"2NN2VD3JJ06","pno":8046551575,"cno":8042220373,"email":"","ename":"","eno":"","pphy":"SHRIDHAR V BHAT","ppno":"","pcpadd":"110 N Robinson St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232204461,"pcpcounty":"HENRICO","pcpid":"P0060164","pcpname":"CENTER FOR INTERNAL MEDICINE AND HYPERTENSION"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R69","Z51.81","G89.4","M25.512","I10","E78.5","M54.5","G47.00","M25.50","N52.9","M19.90","M50.30","N40.0","R56.9","E11.9","E55.9","I73.9","M25.552","K57.90","M79.671","M79.672","M77.42","B35.1","Z89.511","E11.65","Z79.4","Z89.619","H40.1131","T25.019A","M25.551","J32.9","R27.0","Z89.611","E03.9","Z12.5","E88.9","R35.0","E78.00","H40.009","J30.9","J44.9","K08.409","M13.161","M13.162","M47.816","N40.1","R35.1","R39.15","Z79.51","Z79.82","Z79.84","Z79.891","Z79.899","Z87.891","Z97.13","Z97.2","Z97.3","M48.061","R60.0","M12.9","I95.9","F25.8","E11.40","R05","R06.2","S70.321S","D50.9","M25.462","M25.461","M47.812","S19.9XXA","I65.23","S00.83XA","M25.511","S09.90XA","S49.92XA","S80.912A","V89.9XXA","G43.909","V89.2XXA","G44.309","G89.11","M79.651","R51","R42","M79.604","M48.02","M79.605","M25.561","M54.2","J41.0","J45.909","E23.2","M79.673","Z89.512","G54.6","K21.9"],"date":["2020-08-01","2020-10-06","2020-10-13","2020-10-06","2020-10-27","2020-10-13","2020-10-13","2020-10-13","2020-07-21","2020-10-13","2020-07-21","2020-05-26","2020-10-13","2019-01-24","2020-09-15","2020-10-13","2020-10-13","2020-10-13","2020-09-15","2019-02-20","2019-06-26","2020-01-08","2020-09-23","2020-08-18","2020-02-20","2019-09-17","2018-03-01","2020-07-15","2018-03-14","2019-04-22","2019-03-25","2020-06-23","2018-03-29","2020-02-20","2020-02-20","2020-02-20","2019-05-20","2018-04-27","2018-04-27","2018-04-27","2019-11-12","2018-04-27","2018-04-27","2018-04-27","2018-09-01","2020-09-15","2020-09-15","2018-04-27","2018-04-27","2019-05-20","2018-10-02","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2019-05-09","2018-05-10","2019-12-10","2019-06-20","2018-06-07","2020-09-23","2019-10-14","2018-07-05","2018-07-05","2020-09-15","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-09-01","2018-10-02","2018-10-02","2018-10-02","2018-10-02","2018-10-02","2018-10-30","2018-10-02","2018-11-09","2018-10-30","2019-12-03","2018-12-21","2020-10-13","2020-02-04","2020-02-04","2020-03-31","2020-09-23","2020-07-21","2020-08-18","2020-10-13"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":""}]}]}