{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PAUL WHITING","gend":0,"add":"201 W MARSHALL STREET","city":"RICHMOND","state":"VA","zip":232203958,"dob":"1964-03-11","age":"","mstatus":"","insh":11002456,"cliId":"2XW6QV0QD60","pno":8045027411,"cno":"","email":"","ename":"","eno":"","pphy":"LEMAY, MEGAN","ppno":8048287700,"pcpadd":"201 W MARSHALL STREET","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232203958,"pcpcounty":"RICHMOND CITY","pcpid":"P9307402","pcpname":"MCV ASSOCIATED PHYSICIANS"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","I50.20","E55.9","D36.11","R23.8","D49.2","I50.9","J45.909","K08.89","K02.9","M25.562","I49.3","I49.9","M79.669","M79.605","I42.9","T78.3XXA","I50.22","L70.9","G93.1","E66.9","H02.005"],"date":["2018-08-06","2018-08-27","2018-07-09","2018-03-16","2018-03-16","2018-03-16","2018-07-09","2018-07-09","2018-04-13","2018-04-19","2018-06-04","2018-06-04","2018-06-04","2018-06-04","2018-07-09","2018-07-09","2018-07-09","2018-07-18","2018-08-06","2018-09-19","2018-08-27","2018-09-19"]}},{"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":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}}]},{"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":""}]}]}