{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEAN OXFORD","gend":0,"add":"3501 FIRST AVE","city":"RICHMOND","state":"VA","zip":232229999,"dob":"1950-07-14","age":"","mstatus":"","insh":11002784,"cliId":"9K91NY3JU13","pno":8042482922,"cno":"","email":"","ename":"","eno":"","pphy":"MAJHI, SHWETA","ppno":8042307777,"pcpadd":"4730 N Southside Plaza St # Ref","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232241742,"pcpcounty":"RICHMOND CITY","pcpid":"P0060162","pcpname":"VCUHS HAYES E WILLIS HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E83.52","E21.3","I10","E11.9","M70.61","M70.62","I25.10","M79.671","M79.672","Z79.84","M25.552","M25.551","E78.1","Z79.899","E11.3293","H25.13","E11.65","F41.8","E78.00","Z87.891","Z79.82","I44.0","I35.0","I34.0","Z23","R12","E78.5","F41.9","R07.9","R06.02","R00.2","R60.0","M70.60","H25.813","H52.13","H52.203","H52.4","I08.0","I87.8","E11.22","I12.9","N18.9","R79.89","Z71.82","Z79.891","R94.5","K76.0"],"date":["2020-09-22","2020-07-29","2020-08-17","2020-07-29","2019-04-10","2019-11-06","2020-07-22","2019-03-20","2019-03-20","2020-07-22","2019-03-25","2019-03-25","2020-08-03","2020-04-27","2019-03-29","2019-03-29","2019-04-10","2018-06-04","2019-06-04","2020-08-11","2019-06-04","2020-09-22","2020-02-25","2019-06-18","2019-10-15","2019-11-06","2020-08-03","2020-07-22","2020-04-27","2020-04-27","2020-04-27","2020-07-22","2020-07-22","2020-07-28","2020-07-28","2020-07-28","2020-07-28","2020-07-29","2020-07-29","2020-08-11","2020-08-11","2020-09-22","2020-08-03","2020-08-03","2020-08-03","2020-08-17","2020-09-22"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","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":""}]}]}