{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAVID L ARTHUR JR","gend":0,"add":"4326 THREE BRIDGE RD","city":"POWHATAN","state":"VA","zip":231399999,"dob":"1966-11-24","age":"","mstatus":"","insh":11002846,"cliId":"5EJ0NA7MC07","pno":8042550458,"cno":"","email":"","ename":"","eno":"","pphy":"JOSEPH, SHARON E","ppno":8042856050,"pcpadd":"6372 Mechanicsville Tpke Ste 103","pcpcity":"Mechanicsville","pcpstate":"VA","pcpzip":231114710,"pcpcounty":"POWHATAN","pcpid":"P0060023","pcpname":"ST FRANCIS FAMILY MEDICINE CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z12.11","D12.0","D12.3","E11.9","Z68.35","I10","E78.00","Z68.36","E55.9","H65.111","J02.9","H92.01","R59.9","G44.221","E78.2","K57.32","R10.9","Z79.4","Z79.899","Z87.891","K57.92","Z68.37","E11.65","N40.0","R39.11","R39.198","R33.9","F31.30","E66.01","Z12.5","R35.1","H25.13","H52.7","Z00.00","E78.5","F31.9","G47.30","H61.22","M13.161","M13.162","N39.9","R35.0","Z79.82","Z91.19","D12.2","M79.609","F33.2","F51.05","H61.21","H61.23","Z97.3","Z87.19","Z86.010","M13.122","M13.141","M13.142","Z13.0"],"date":["2020-10-07","2018-08-07","2018-08-07","2020-10-07","2020-02-10","2020-10-07","2020-10-07","2020-03-30","2020-10-07","2018-12-20","2018-12-07","2018-12-07","2018-12-07","2019-12-09","2019-12-09","2018-04-13","2018-06-26","2019-12-09","2018-07-11","2019-12-09","2018-06-26","2018-07-11","2020-06-10","2020-06-10","2019-05-21","2019-05-21","2019-05-21","2020-03-30","2019-07-08","2018-06-20","2018-06-20","2018-06-22","2018-06-22","2019-07-08","2018-07-11","2018-07-11","2018-07-11","2018-07-11","2019-12-09","2018-07-11","2018-07-11","2018-07-11","2018-07-11","2018-07-11","2018-08-07","2020-03-09","2020-09-28","2020-03-30","2020-06-10","2019-12-09","2019-12-09","2019-12-09","2019-12-09","2019-12-09","2019-12-09","2019-12-09","2020-10-07"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["Yes","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":""}]}]}