{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRIDGET P PORTER","gend":1,"add":"204 GOLDEN GATE DR #106","city":"HAMPTON","state":"VA","zip":236639999,"dob":"1960-03-09","age":"","mstatus":"","insh":11002898,"cliId":"5N66AQ6DV71","pno":7579772216,"cno":"","email":"","ename":"","eno":"","pphy":"GUZMANLEE, JOJOANNE A","ppno":7579552828,"pcpadd":"885 Kempsville Rd Ste 320","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235023800,"pcpcounty":"HAMPTON CITY","pcpid":"P0060049","pcpname":"AMELIA MEDICAL ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F25.0","I10","N32.81","F32.1","E66.01","Z68.38","ZZ1.11","S42.341D","Z47.89","Z68.37","Z79.899","G89.4","M43.16","M51.26","M51.36","M96.1","M47.816","M48.061","M79.7","M54.5","G89.29","M54.40","Z68.39","M79.5","Z45.2","I82.409","Z79.82","Z87.891","Z86.718","F32.9","K21.9","E78.5","G47.00","Z86.711","F25.9","L21.8","L28.0","L85.3","M43.17","M48.07","M47.26","M70.72","R07.9","Z53.09","R07.89","R25.2","N28.1","M79.621","M24.871","M24.872","M17.0","Z87.39","Z98.1","M70.71","S33.6XXA","Z12.31","Z46.89","M19.90","Z95.828","M54.41","M54.42","M25.551","Z91.19","Z68.41","S33.6XXD","M54.9","M48.062","M47.896","Z00.00","R06.00","L81.4","Z78.0","N39.46","S42.332A","T14.90XA","S42.341A","S49.91XA","W10.9XXA","Y93.01","F17.210","F17.290","S42.301D","Z79.891","W10.9XXD","M79.601","M25.531","Z01.818","Y92.009","S42.301A","J45.20","Z74.09","M79.609","Y93.9","F41.9","I82.90","G56.03","S42.201A","M79.89","L08.9","R51","H92.02","Z90.49","R26.89","M53.86","M25.652","M25.561","R29.898","R27.9","M25.651","M25.511","H60.02","H60.8X3","L29.9","M54.2","L65.8","L81.0","Z78.9","S42.341S","M17.12","L27.1","L98.8","L98.9","M62.838","N28.89","E66.3","N18.3","M54.16","M79.18","R39.81","R26.81","R06.02","R79.89","Z82.5","Z82.49","R06.82","R79.1","M17.11","Z47.1","Z96.652","E83.52","T50.8X5A","Z68.36","K76.9","E66.9","Z79.51","G89.18","Z96.651","K44.9","Z12.39","I12.9","M16.11","M15.0","M19.071","S83.241A","S83.281A","M71.21","M25.461","R94.31","R00.1","Z01.812","Z20.828"],"date":["2020-04-29","2020-10-06","2020-02-18","2020-02-18","2020-09-14","2018-05-01","2018-05-01","2019-10-23","2019-05-08","2018-07-12","2020-10-06","2019-08-13","2018-11-14","2018-05-09","2020-08-26","2019-10-10","2019-10-10","2020-06-04","2020-09-14","2020-09-02","2020-09-02","2019-10-10","2020-02-18","2018-05-16","2018-05-16","2018-05-16","2018-09-20","2020-09-14","2018-09-20","2020-06-04","2020-09-14","2020-09-14","2018-05-16","2020-09-14","2018-05-16","2020-03-10","2018-06-12","2020-01-20","2018-07-10","2018-07-10","2018-07-10","2019-11-04","2020-07-08","2018-07-12","2020-07-08","2018-07-23","2020-09-14","2019-07-23","2018-08-10","2018-08-10","2018-08-10","2019-08-13","2020-06-04","2019-11-04","2019-10-11","2020-02-18","2018-09-20","2020-09-03","2018-09-20","2019-11-05","2019-11-05","2019-11-05","2018-11-14","2019-02-14","2020-05-21","2018-11-21","2019-12-06","2019-12-06","2020-02-18","2020-09-14","2019-01-08","2019-04-18","2019-04-18","2019-01-31","2019-01-31","2019-03-22","2019-01-31","2019-02-07","2019-01-31","2020-06-04","2020-06-04","2019-02-02","2019-02-02","2019-02-02","2019-03-27","2019-02-05","2020-09-04","2019-02-05","2019-02-07","2019-02-09","2020-10-08","2019-02-07","2019-02-07","2019-02-09","2020-07-06","2020-02-18","2019-02-21","2018-03-05","2018-03-13","2018-03-13","2018-03-13","2020-09-14","2018-03-13","2018-03-13","2018-03-13","2020-10-08","2018-03-13","2018-03-13","2018-03-13","2019-04-09","2018-03-30","2018-03-30","2018-03-30","2019-03-20","2018-03-21","2020-03-10","2018-03-30","2019-04-09","2018-04-10","2018-04-18","2020-01-28","2020-03-10","2020-06-04","2020-09-14","2020-09-03","2020-09-03","2020-06-04","2020-06-04","2020-10-16","2020-10-16","2020-09-14","2020-07-08","2020-07-08","2020-10-06","2020-07-08","2020-07-08","2020-10-08","2020-10-19","2020-09-10","2020-09-03","2020-09-14","2020-09-14","2020-09-14","2020-10-06","2020-10-06","2020-10-06","2020-10-19","2020-06-08","2020-02-18","2020-08-26","2020-09-04","2020-09-04","2020-09-04","2020-09-04","2020-09-04","2020-09-04","2020-09-04","2020-09-04","2020-09-04","2020-09-29","2020-09-29"]}},{"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":[]}]},{"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":""}]}]}