{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PHYLLIS M JACKSON","gend":1,"add":"2209   RUFFIN ROAD","city":"RICHMOND","state":"VA","zip":232346557,"dob":"1955-06-13","age":"","mstatus":"","insh":11002076,"cliId":"2H48QJ7HV59","pno":8049729369,"cno":8046772700,"email":"","ename":"","eno":"","pphy":"RYAN, MARK H","ppno":8042307777,"pcpadd":"401 N 11th St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232191901,"pcpcounty":"CHESTERFIELD","pcpid":"P0060162","pcpname":"VCUHS HAYES E WILLIS HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M79.604","I10","D64.9","D50.9","R53.83","R11.0","F17.210","Z86.2","H25.813","H04.123","L03.115","R60.0","L03.116","N17.9","R07.9","M10.00","M79.89","R07.81","E78.5","Z86.73","M10.9","E86.0","G47.33","I12.9","N18.3","N28.9","G89.29","K21.9","D63.1","Z85.3","Z79.82","Z79.899","M79.609","M25.572","M79.672","N18.9","R30.0","F17.200","F41.9","M54.9","R94.5","I63.9","R51","Z71.89"],"date":["2018-01-05","2020-07-31","2020-07-31","2018-01-05","2019-09-18","2019-03-04","2020-07-31","2019-03-04","2019-07-22","2019-07-22","2019-08-20","2019-08-21","2019-08-20","2019-08-22","2019-08-23","2019-08-22","2019-08-21","2019-08-21","2020-07-31","2020-05-26","2020-05-26","2019-08-21","2019-08-21","2020-05-26","2019-08-23","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-23","2020-06-26","2019-09-18","2019-09-18","2020-02-24","2020-05-26","2020-05-26","2020-05-26","2020-07-31","2020-07-31"]}},{"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":""}]}]}