{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CLARENCE W WILLIAMS","gend":0,"add":"25416 RIDLEY RD","city":"NEWSOMS","state":"VA","zip":238749999,"dob":"1951-10-28","age":"","mstatus":"","insh":11002529,"cliId":"2F73WU3VY05","pno":7574062082,"cno":"","email":"","ename":"","eno":"","pphy":"TAYLOR, FRANCIS MARVIN","ppno":2525851134,"pcpadd":"25416 RIDLEY RD","pcpcity":"NEWSOMS","pcpstate":"VA","pcpzip":238749999,"pcpcounty":"SOUTHAMPTON","pcpid":"P0110939","pcpname":"BOYKINS FAMILY PRACTICE"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G47.33","J44.1","J96.00","M16.12","E11.9","R39.9","N40.0","N35.912","N47.1","Z68.31","Z79.4","I10","G47.00","Z12.5","M47.816","M62.830","M48.061","M70.62","M17.12","Z96.642","M17.11","K22.70","K21.9","E11.21","Z72.0","I42.9","I50.9","R06.00","E66.9","J44.9","Z01.810","F17.200","M51.36","Z68.33","S83.282A","Z68.32","S83.242A","M54.5","R39.13","Z09","R05","Z01.818","I11.9","I25.10","E78.00","Z99.81","Z79.899","R06.02","E78.5","I25.119","I25.2","I50.42","J96.21","Z86.73","Z83.3","Z82.49","M25.562","J98.01","Z98.890","Z47.1","I50.40","D62","J96.11","I11.0","E55.9","E66.09","F43.23","N52.9","Z97.4","M19.90","E66.01","M25.552","M79.652","F17.210","R25.2","M62.81","Z68.34","S83.242D","G89.4","G89.18","G89.29","M12.88","G03.9","Z96.649","M51.26","M47.817","M48.07","R26.9","R29.898","M62.838","R07.9","Z23","R35.1","M47.16","M16.11","M79.2","Z79.51","Z79.82","Z53.09","R73.9","R13.10","K59.00","K29.70","Z12.11","K57.30","K21.0","K29.50","K22.2","K29.60","K20.9","Z91.048","D64.9","M70.72","Z68.35","M25.561","E10.40","L60.3","L85.1","R60.9","M79.609","L85.3","M20.60","M77.40","M85.862","R94.8","E11.8","E11.65","J20.9","M22.42","R31.29","Z68.30","D47.1","N48.1","Z95.5","Z00.00","Z53.9"],"date":["2020-03-09","2020-03-09","2020-03-09","2020-03-09","2020-03-18","2020-03-10","2020-03-10","2020-03-10","2019-03-29","2019-08-12","2020-03-18","2020-03-18","2020-03-18","2020-03-18","2020-03-03","2019-10-23","2019-08-12","2019-11-15","2019-08-08","2019-11-15","2019-08-08","2018-03-28","2018-03-28","2019-03-29","2019-10-17","2019-11-22","2019-04-09","2018-04-10","2019-02-20","2019-10-23","2019-05-28","2019-11-11","2019-11-15","2019-11-11","2019-05-02","2019-09-13","2019-06-21","2019-11-15","2019-06-17","2019-05-16","2019-11-18","2019-06-05","2018-05-23","2019-10-23","2019-11-22","2019-10-23","2019-11-22","2019-08-29","2019-10-18","2019-08-01","2019-11-22","2019-08-01","2018-06-07","2018-06-05","2018-06-05","2018-06-05","2019-08-02","2018-06-07","2019-08-08","2018-06-07","2019-10-23","2018-06-18","2019-06-21","2019-10-23","2019-10-23","2018-06-07","2018-06-12","2019-11-04","2018-06-18","2019-10-23","2019-10-18","2019-11-06","2018-07-02","2019-10-18","2018-07-02","2018-08-02","2019-11-15","2019-08-08","2019-08-12","2018-08-31","2019-01-04","2019-02-13","2018-08-31","2018-08-31","2018-08-31","2019-10-03","2019-10-03","2019-11-11","2019-10-14","2019-11-11","2019-10-17","2019-10-18","2019-10-18","2018-10-23","2018-10-23","2018-10-23","2019-10-23","2019-11-22","2020-03-03","2018-11-07","2019-11-22","2019-11-18","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2018-11-29","2018-01-02","2019-01-04","2018-01-22","2018-01-22","2018-01-22","2018-01-22","2018-01-22","2018-01-22","2018-01-22","2018-01-22","2019-01-25","2019-01-25","2019-01-28","2020-03-03","2018-01-31","2019-01-31","2019-02-20","2019-02-20","2019-02-15","2019-02-20","2019-02-20","2019-02-28","2019-03-06"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":{"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":""}]}]}