{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROSA M THOMPSON","gend":1,"add":"300 RANDOLPH ST","city":"RICHMOND","state":"VA","zip":232209999,"dob":"1935-09-30","age":"","mstatus":"","insh":11002540,"cliId":"1Q46VH3JV79","pno":8042543993,"cno":"","email":"","ename":"","eno":"","pphy":"PEEL, CAROLYN A","ppno":8048285883,"pcpadd":"401 N 11th St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232191901,"pcpcounty":"RICHMOND CITY","pcpid":"P0060154","pcpname":"VCUHS NELSON CLINIC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R05","R06.2","I10","D64.9","E11.9","E78.1","Z79.84","M81.0","M79.604","M79.605","D51.9","E78.5","F82","H02.403","K08.109","M13.169","M40.209","M79.606","R09.89","R30.0","R39.15","Z68.28","Z79.82","Z79.899","Z87.891","Z97.2","Z97.3","N76.0","K59.00","Z13.820","Z12.31","H18.51","Z96.1","R39.11","Z23","M25.561","M25.562","F03.90","Z91.14","H02.883","H02.886","H52.03","Z68.29","Z13.220","Z13.89","Z13.6"],"date":["2018-01-15","2019-10-29","2020-06-26","2019-10-29","2020-06-26","2018-10-30","2020-02-25","2019-10-29","2018-04-10","2018-04-10","2018-05-16","2020-02-25","2018-05-16","2018-05-16","2019-10-29","2018-05-16","2018-05-16","2018-05-16","2018-05-16","2018-05-16","2018-05-16","2018-05-16","2019-10-29","2019-08-08","2018-05-16","2018-05-16","2018-05-16","2019-08-08","2019-08-08","2018-08-09","2019-10-11","2020-06-26","2020-06-26","2018-10-30","2018-10-30","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-06-26","2020-06-26","2020-06-26","2019-10-29","2019-10-29","2019-10-29","2019-10-29"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}