{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CYD C BEHRENSEN","gend":1,"add":"2903 OAKLAND AVE","city":"HENRICO","state":"VA","zip":232289999,"dob":"1949-07-08","age":"","mstatus":"","insh":11002440,"cliId":"7A11QD5XC91","pno":8044470162,"cno":"","email":"","ename":"","eno":"","pphy":"BOHANNON, ARLINE","ppno":8048289357,"pcpadd":"1250 E Marshall St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232985023,"pcpcounty":"HENRICO","pcpid":"P0114440","pcpname":"VCUHS LUCY CORR VILLAGE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["T85.192A","Z79.899","Z79.84","M25.511","M75.41","M25.539","R22.31","G56.11","I10","E11.9","G89.29","E78.5","F17.210","M54.5","M54.2","Z01.810","M51.26","M51.36","M54.9","M54.16","Z98.1","G56.01","E11.8","Z01.818","M96.1","E11.51","E03.9","Y83.8","K21.9","M85.80","Z90.49","Z90.710","L65.9","M79.604","M79.605","Z88.5","Z88.0","M54.14","M79.2","M48.061","E11.40","Z79.82","Z88.1","Z88.2","R22.32","K30","N28.1","D64.9","N39.0","E11.69","M54.30","Z46.2","T85.840A","E78.00","K44.9","M72.0","I25.10","Z47.89","I60.7","I67.1","M19.90","Z23","R39.15","B99.9","A49.9","G47.00","K08.109","M25.551","M25.552","M81.0","Z68.23","Z79.83","Z79.891","Z87.891","Z96.9","Z97.2","Z98.890","R20.0","R51","S16.1XXA","W22.8XXA","Y92.89","Y93.89","W11.XXXA","F17.200","I65.23","I73.9","Z86.79","I70.219","I65.29","M16.0","M25.559","I65.22","Z95.828","M85.9","Z13.820","Z12.31","R20.2","M79.601","M79.602","Z45.42","M43.16","M19.011","M54.6","M51.34","M47.814","M19.031","M19.041","M71.331","G56.91","M79.643","E03.4","N30.90","J30.2","M50.30","M25.78","M47.816","I70.8","M47.894","N39.41","G83.10","M51.9","R20.9"],"date":["2019-03-19","2019-06-05","2020-09-29","2019-05-01","2019-05-01","2019-02-12","2019-02-12","2019-02-13","2020-09-29","2020-09-29","2020-09-29","2020-09-18","2020-09-29","2020-02-19","2019-09-23","2018-02-19","2018-02-23","2019-01-08","2020-09-29","2018-03-06","2020-07-30","2019-03-19","2019-02-26","2019-03-04","2018-03-06","2019-03-19","2020-09-18","2019-03-19","2019-06-05","2019-09-15","2018-03-06","2018-03-06","2018-03-06","2018-10-02","2018-10-02","2019-03-19","2019-03-11","2018-03-06","2019-03-19","2019-03-11","2019-03-19","2019-03-11","2019-03-11","2019-03-19","2019-03-14","2019-09-23","2019-07-08","2019-09-23","2020-01-08","2020-09-18","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-03-19","2019-03-29","2018-04-11","2019-07-29","2018-04-16","2019-09-23","2018-04-17","2018-04-20","2018-05-17","2018-05-17","2018-05-17","2018-07-03","2018-07-03","2020-09-18","2018-05-17","2018-05-17","2018-05-17","2018-05-17","2018-10-02","2018-05-17","2019-06-05","2019-06-05","2019-06-20","2019-06-05","2019-06-05","2019-06-05","2019-06-05","2019-06-05","2019-06-05","2018-06-07","2019-07-29","2018-06-07","2019-07-29","2019-07-29","2018-07-03","2018-07-03","2019-07-29","2019-07-29","2019-09-16","2019-09-16","2019-09-24","2020-08-05","2018-10-02","2018-10-02","2019-01-08","2019-01-08","2019-01-08","2020-08-28","2020-07-30","2020-08-28","2019-01-22","2019-01-22","2019-01-22","2019-01-22","2019-01-22","2018-01-25","2020-01-08","2020-05-15","2020-07-30","2020-07-30","2020-07-30","2020-07-30","2020-08-05","2020-08-20","2020-08-20","2020-08-20","2020-08-28"]}},{"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":""}]}]}