{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BLANCHE M MOODY","gend":1,"add":"214  S SYCAMORE STREET","city":"PETERSBURG","state":"VA","zip":238034237,"dob":"1928-04-08","age":"","mstatus":"","insh":11001623,"cliId":"2GH0GU8RY04","pno":8049204924,"cno":8043230290,"email":"","ename":"","eno":"","pphy":"QUARSHIE, GEORGE","ppno":8045263500,"pcpadd":"214  S SYCAMORE STREET","pcpcity":"PETERSBURG","pcpstate":"VA","pcpzip":238034237,"pcpcounty":"PETERSBURG CITY","pcpid":"P0125636","pcpname":"SOUTHSIDE PHYSICIAN NETWORK LLC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I50.9","I10","R03.0","C50.919","I12.9","I35.0","I25.10","N18.3","Z79.82","E11.9","N25.81","L22","R39.81","F03.90","M62.81","M17.9","E83.32","Z96.1","H04.123","R15.9","L20.9","L60.0","M17.0","F33.9","I50.22","Z95.0","E66.9","J45.20","G47.33","R06.09","L29.8","Z23","L82.0","L53.8","E78.5","E55.9","S43.421A","M51.9","I11.9","R01.1","I83.91","Z98.871","L82.1","L72.8","B35.1","L60.3","E11.59","J18.9","J45.41","R06.2","J10.1","J44.1","N18.4","R05","I13.0","I50.32","E11.22","E11.40","Z85.3","E78.00","Z88.1","Z90.11","Z90.710","J11.1","J45.901","J09.X2","N18.9","Z79.899","I11.0","F32.9","M51.36","M47.819","K57.90","Z79.84","Z87.01","Z87.440","N17.0","R41.82","G93.41","E87.2","E87.1","E11.65","D69.6","J44.9","E86.0","A08.4","E83.39","N17.9","R90.82","R41.0","L03.311","B35.4","M25.461","M25.462","E87.5","M25.511","M19.011","E66.01","Z68.41","J45.909","R06.02","R60.0","I44.2","Z95.5","Z95.810","I27.20","Z68.42","D72.828","J45.40","E78.2","I73.9","M54.6","I51.7","M25.519","M10.09","L03.031","Z99.3","M75.101","M47.9","Z00.00","Z13.89","Z13.31","F41.8","L03.039"],"date":["2019-11-13","2020-06-12","2019-11-13","2020-09-07","2019-11-25","2019-11-25","2019-11-25","2020-03-03","2019-11-25","2020-06-12","2019-11-25","2020-10-10","2020-10-10","2020-10-10","2020-03-03","2020-06-12","2019-12-03","2018-12-05","2018-12-05","2019-12-19","2018-01-08","2018-01-30","2019-07-26","2019-07-11","2019-08-14","2020-07-29","2019-06-26","2020-07-29","2020-07-29","2020-07-29","2018-04-10","2018-01-16","2018-01-16","2018-01-16","2020-01-15","2020-01-15","2019-01-22","2019-07-11","2020-01-15","2019-01-22","2019-02-18","2018-01-24","2018-01-30","2018-01-30","2018-01-30","2018-11-13","2018-01-30","2019-02-21","2019-10-15","2019-02-18","2019-02-21","2019-02-21","2019-03-14","2019-03-13","2019-03-13","2019-03-13","2019-03-13","2019-03-13","2019-03-05","2019-02-21","2019-02-21","2019-02-21","2019-02-21","2019-02-21","2019-02-22","2019-02-22","2019-02-22","2018-03-01","2019-03-05","2019-03-05","2019-07-11","2019-03-05","2019-03-05","2019-03-05","2019-03-05","2019-03-05","2019-03-13","2019-03-15","2019-03-15","2019-03-13","2019-03-13","2019-03-18","2019-03-13","2019-03-18","2019-03-13","2019-03-13","2019-03-13","2019-03-18","2019-03-14","2019-03-14","2019-04-03","2019-04-03","2019-04-26","2019-04-26","2019-05-02","2019-05-10","2020-09-21","2019-05-10","2019-05-10","2018-10-15","2018-05-15","2019-07-26","2018-05-17","2019-08-28","2019-08-14","2019-08-14","2019-06-26","2018-07-09","2019-07-11","2018-07-17","2019-11-08","2018-07-30","2019-08-28","2018-10-22","2020-06-12","2019-08-20","2019-09-27","2018-10-15","2018-10-15","2019-10-15","2019-10-15","2019-10-15","2019-10-15","2018-11-13"]}},{"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":""}]}]}