{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROBERT L DEAN","gend":0,"add":"13900 CLEMENTOWN RD","city":"AMELIA COURT HOUSE","state":"VA","zip":230029999,"dob":"1941-11-15","age":"","mstatus":"","insh":11003015,"cliId":"5M59DQ5DH29","pno":8045120767,"cno":8045130767,"email":"","ename":"","eno":"","pphy":"PARK, HYO KWON","ppno":8044693731,"pcpadd":"8631 Namozine Rd","pcpcity":"Amelia Court House","pcpstate":"VA","pcpzip":230023410,"pcpcounty":"AMELIA","pcpid":"P0060188","pcpname":"DINWIDDIE MEDICAL CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","R73.9","I12.9","N18.3","E78.2","E55.9","R97.20","M19.90","E66.3","Z68.33","R53.83","J98.11","R91.8","N17.9","M62.82","W07.XXXA","Y92.89","K72.00","I21.19","E87.0","E87.2","K92.0","R57.9","R32","I25.10","K20.9","D72.829","E66.9","I48.1","R74.8","F10.10","N18.6","Z99.2","E87.5","R79.89","N18.5","I12.0","K31.89","R00.0","I49.1","F10.20","K29.01","K92.2","Z13.89","I77.0","I13.10","Z68.32","Z68.34","N42.32","E78.5","R94.5","R27.9"],"date":["2019-11-19","2019-11-19","2019-11-19","2019-11-19","2019-04-04","2019-10-09","2019-04-04","2019-04-03","2019-07-09","2019-04-03","2019-07-09","2019-05-16","2019-05-16","2019-06-24","2019-06-03","2019-05-16","2019-05-16","2019-06-24","2019-06-03","2019-05-20","2019-10-09","2019-05-19","2019-05-16","2019-05-16","2019-06-17","2019-06-01","2019-05-16","2019-05-16","2019-05-23","2019-05-23","2019-05-24","2019-06-13","2019-05-17","2019-06-13","2019-05-17","2019-05-24","2019-05-24","2019-05-21","2019-05-22","2019-05-22","2019-06-01","2019-06-01","2019-06-24","2019-07-09","2019-06-13","2019-06-13","2019-06-17","2019-07-09","2018-09-12","2019-11-19","2019-05-19","2019-05-24"]}},{"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":""}]}]}