{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"QUEEN E HOUSTON","gend":1,"add":"404 KING ARTHUR CT","city":"NEWPORT NEWS","state":"VA","zip":236089999,"dob":"1945-02-05","age":"","mstatus":"","insh":11002328,"cliId":"4V09JW8TY30","pno":7572344557,"cno":"","email":"","ename":"","eno":"","pphy":"DELAHOUSSAYE, ALADEE R","ppno":7578748400,"pcpadd":"4714 Marshall Ave","pcpcity":"Newport News","pcpstate":"VA","pcpzip":236072247,"pcpcounty":"NEWPORT NEWS CITY","pcpid":"P0124058","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["L60.2","E11.9","R60.0","I10","E78.00","H40.1132","J02.9","J20.9","E78.5","R25.2","Z12.11","Z12.39","R35.0","N39.0","Z23","R82.90","M25.551","S00.81XA","S02.401A","S02.5XXA","W01.198A","S02.40DA","R51","W01.0XXA","Y93.01","S00.31XA","S00.511A","S09.93XA","M79.651","I25.10","I50.9","I42.9","J01.00","M79.604","Z79.899","H40.1131","H25.13","H40.1111","H40.1121","H25.813","Z71.89"],"date":["2018-03-08","2020-10-05","2019-07-25","2020-10-05","2020-10-05","2019-03-28","2018-04-20","2018-06-19","2020-01-02","2019-07-25","2020-10-14","2018-11-28","2020-10-05","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2020-01-02","2019-09-10","2019-09-10","2019-09-10","2019-09-20","2018-11-28","2018-11-28","2020-10-08","2019-08-07","2019-08-26","2019-09-23","2019-12-23","2020-05-29"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}