{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DENNIS EWELL JR","gend":0,"add":"3148 AZAELA GARDENS RD","city":"NORFOLK","state":"VA","zip":235139999,"dob":"1952-02-26","age":"","mstatus":"","insh":11002304,"cliId":"1E83AP9QQ19","pno":7573832377,"cno":7575884082,"email":"","ename":"","eno":"","pphy":"BOGGS, JODY P","ppno":7574468920,"pcpadd":"825 Fairfax Ave Ste 445","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235071914,"pcpcounty":"NORFOLK CITY","pcpid":"P9058625","pcpname":"EVMS MEDICAL GROUP"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.3393","H35.372","Z96.1","I10","Z87.891","E11.621","S91.115A","E11.42","Z89.422","L60.3","B35.3","H11.31","H57.89","E11.3299","Z98.42","E11.9","M25.551","L02.222","I73.9","R52","D22.9","L82.1","D17.9","L72.0","M25.512","Z00.00","L02.232","R20.0","R20.2","Z78.9","J18.9","J30.9","L89.891","M79.672","Z89.421","L97.422","Z23","E11.40","L03.312","Z03.818","L97.511","L97.521","R97.20","E78.1","W19.XXXA","L97.522","L08.89","M20.42","R80.9","E78.5","Z71.9","Z12.11","L89.890","L97.512"],"date":["2019-01-28","2019-01-28","2019-03-01","2020-10-27","2020-09-22","2020-08-19","2019-01-29","2020-08-19","2020-08-19","2019-09-17","2019-09-17","2019-03-01","2019-03-01","2019-03-01","2019-03-01","2020-10-27","2019-06-25","2019-03-20","2018-03-28","2018-03-28","2019-04-09","2019-04-09","2019-04-09","2019-04-09","2018-05-25","2019-12-26","2018-04-20","2018-05-25","2018-05-25","2018-05-25","2018-08-03","2018-06-27","2020-08-05","2019-09-17","2018-09-18","2018-09-18","2020-09-22","2018-10-09","2020-06-17","2020-06-17","2020-08-05","2020-07-07","2020-07-20","2020-09-22","2020-09-22","2020-10-06","2020-10-06","2020-10-06","2020-10-12","2020-10-27","2020-10-12","2020-10-27","2020-07-15","2020-09-09"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}