{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BERNARD C BRANCH","gend":0,"add":"BERNARD  BRANCH","city":"RICHMOND","state":"VA","zip":232256840,"dob":"1971-05-26","age":"","mstatus":"","insh":11002900,"cliId":"2UH3AY9VJ01","pno":7739092493,"cno":"","email":"","ename":"","eno":"","pphy":"LATHAM-SOLOMON, VICKI","ppno":8042983460,"pcpadd":"BERNARD  BRANCH","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232256840,"pcpcounty":"RICHMOND CITY","pcpid":"P9058394","pcpname":"BON SECOURS CANAL CROSSING INTERNAL MEDICINE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["H40.1113","H40.1121","H40.1131","E78.5","Z79.899","G40.009","G93.89","G40.209","I10","Z68.36","N18.9","R79.89","R73.9","Z68.35","H52.4","Z87.820","Z12.5","Z23","Z00.00","Z13.31","E66.9","I12.9","N18.2","Z51.81"],"date":["2018-02-28","2018-02-28","2019-10-16","2020-01-13","2018-05-01","2019-05-15","2019-05-15","2018-05-23","2019-10-02","2019-10-02","2019-08-20","2019-08-20","2019-10-02","2019-08-20","2019-10-31","2018-11-15","2018-11-15","2019-10-02","2018-11-15","2018-11-15","2020-01-13","2020-01-13","2020-01-13","2019-10-02"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}