{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ETHEL J BRYANT","gend":1,"add":"2425 GOSWOLD AVE","city":"NORFOLK","state":"VA","zip":235179999,"dob":"1951-09-05","age":"","mstatus":"","insh":11002138,"cliId":"4RM4XA2DW75","pno":7579654213,"cno":"","email":"","ename":"","eno":"","pphy":"WHALEN, RICHARD M","ppno":7574465955,"pcpadd":"2425 GOSWOLD AVE","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":235179999,"pcpcounty":"NORFOLK CITY","pcpid":"P9058669","pcpname":"GHENT FAMILY PRACTICE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R00.8","K82.8","E07.9","Z74.01","I10","K92.0","Y90.7","E43","Z68.1","E22.2","E72.20","R64","E87.8","K70.10","E16.2","F10.20","D69.59","E89.0","K29.70","F41.9","G89.29","F17.210","K92.2","J81.1","K85.90","K75.9","E03.9","E87.1","I31.3","I51.7","J90","I95.9","F10.10","R29.6","S82.841A","E53.9","E78.5","H91.10","K08.409","K21.9","M25.561","M54.9","M81.0","R29.898","Z79.82","Z79.83","Z79.899","Z91.81","Z96.651","Z97.4","K80.20","R11.10","R11.2","R62.7","R10.9","F10.229","Y90.1","E46","N39.0","N17.9","E86.0","R41.3","K72.90","Z86.73","R41.0","R41.82","F43.21","R40.4","F32.9","F33.9","E13.641","Z63.72","M62.81","R26.2","R41.841","F41.8","R53.81","R53.1","E83.42","F10.129","K29.20","M54.5","Z99.3","H91.8X3","Z96.642","Z87.891","M79.604","M19.91","H91.93","E87.6","F10.920","F10.220","E05.00","H91.90","F10.120","R19.7","M79.606","Y90.8","R10.84","D23.22","I63.50","R63.6","Z23","M51.26","R26.89","M13.0"],"date":["2018-06-18","2018-06-18","2018-06-18","2018-06-18","2019-12-02","2018-04-04","2018-04-03","2018-04-03","2018-06-21","2018-04-15","2018-04-03","2018-04-03","2018-06-21","2018-08-01","2018-07-09","2018-08-01","2018-04-03","2019-07-29","2018-04-04","2019-08-11","2019-08-11","2018-08-01","2018-04-17","2018-04-04","2018-04-14","2018-04-15","2019-12-02","2018-06-21","2018-04-10","2018-04-10","2018-04-10","2018-04-12","2019-05-29","2018-04-16","2018-04-16","2018-05-19","2018-07-09","2018-05-19","2018-05-19","2018-06-21","2019-07-29","2018-05-19","2018-09-21","2018-05-19","2018-05-19","2018-05-19","2018-05-19","2018-09-21","2019-07-29","2019-07-29","2019-05-29","2019-06-01","2019-08-27","2019-05-29","2019-08-27","2019-07-29","2019-07-29","2018-07-09","2018-07-09","2018-07-09","2018-06-21","2018-06-21","2018-06-21","2018-06-21","2018-07-01","2018-07-09","2018-06-30","2018-07-02","2019-08-11","2018-08-01","2018-07-09","2018-07-09","2019-02-28","2018-07-09","2018-08-01","2018-07-09","2018-07-09","2018-07-10","2018-07-23","2019-08-22","2019-07-29","2019-07-29","2019-07-29","2019-07-29","2019-07-29","2019-08-27","2018-08-01","2018-08-01","2018-08-01","2019-08-11","2019-08-11","2019-08-11","2019-08-11","2019-08-11","2019-08-27","2019-08-27","2019-08-27","2019-08-27","2019-08-27","2018-09-05","2018-09-21","2018-09-05","2018-09-05","2018-09-21","2019-02-28","2019-02-28"]}},{"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":""}]}]}