{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHIRLEY V SHIVERS","gend":1,"add":"574 MULBERRY RD","city":"FARNHAM","state":"VA","zip":224609999,"dob":"1951-04-21","age":"","mstatus":"","insh":11002399,"cliId":"4G80PV4MQ19","pno":8044504171,"cno":8043943049,"email":"","ename":"","eno":"","pphy":"TSUI, ALLEN Y","ppno":8044435378,"pcpadd":"1362 Tappahannock Blvd","pcpcity":"Tappahannock","pcpstate":"VA","pcpzip":225609309,"pcpcounty":"RICHMOND","pcpid":"P0060100","pcpname":"TAPPAHANNOCK PRIMARY CARE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z00.00","Z13.39","Z13.31","M89.9","M94.9","Z68.22","M81.0","Z78.0","M20.42","M20.41","L60.8","B35.1","M79.672","M79.671","J43.9","F17.200","G47.00","J44.9","Z68.20","E83.52","F32.1","J18.9","H65.01","D32.0","R56.9","J96.01","I50.31","N17.0","G93.41","G93.6","R40.2342","R40.2122","R40.2212","E87.2","R57.9","J44.1","N18.3","I12.9","R41.82","N28.9","E83.42","Z86.73","R55","R40.20","R05","R11.10","R06.02","J90","A41.9","F17.210","R35.1","R40.4","J96.00","Y92.239","G93.5","G92","I13.0","D62","R65.10","F13.239","I50.9","K59.00","Z79.899","T42.75XA","R27.9","R41.0","D32.9","K59.09","F41.9","G89.29","R10.32","R94.2","Z48.3","N17.9","R26.2","E83.51","F12.90","R47.1","R41.89","Z66","Z87.891","Z79.51","Z86.011","Z98.890","R41.841","Z86.018","G40.909","Z23","D64.9","Z72.0","H25.093","Z12.31","J45.20","N18.9","D63.1","M21.622","L84","L85.9","R26.89","R94.01","I34.0","R68.89","G93.89"],"date":["2019-01-11","2019-01-11","2019-01-11","2019-05-10","2019-05-10","2019-11-05","2019-08-08","2019-01-21","2020-09-02","2019-10-30","2019-07-29","2020-09-02","2020-09-02","2019-10-30","2019-08-15","2019-11-05","2018-09-21","2019-09-09","2019-09-09","2019-11-05","2019-10-07","2019-08-10","2018-07-16","2019-08-21","2019-08-27","2019-08-08","2019-08-08","2019-08-08","2019-08-13","2019-08-12","2019-08-08","2019-08-08","2019-08-08","2019-08-12","2019-08-08","2019-08-08","2019-08-14","2019-08-08","2019-08-12","2019-08-08","2019-08-08","2019-08-26","2019-08-10","2019-08-10","2019-08-10","2019-08-10","2019-08-10","2019-08-14","2019-08-09","2019-08-21","2018-08-10","2019-08-10","2019-08-10","2019-08-12","2019-08-14","2019-08-12","2019-08-12","2019-08-21","2019-08-12","2019-08-12","2019-08-12","2019-08-12","2019-08-12","2019-08-12","2019-08-12","2019-08-12","2020-07-07","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-17","2019-08-26","2019-08-27","2019-10-10","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2020-07-07","2019-09-05","2019-09-05","2019-11-05","2019-09-09","2019-09-11","2019-10-07","2019-10-22","2019-11-05","2019-11-05","2019-11-05","2019-11-05","2020-09-02","2020-09-02","2020-09-02","2020-09-02","2019-08-13","2019-08-14","2019-08-26","2020-06-22"]}},{"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":""}]}]}