{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TERRI ONQUE UPSHAW","gend":1,"add":"250  E BANK STREET","city":"PETERSBURG","state":"VA","zip":238033342,"dob":"1960-07-29","age":"","mstatus":"","insh":11003612,"cliId":"2FA4XT2UV74","pno":8043684291,"cno":"","email":"","ename":"","eno":"","pphy":"AGADA, RAPHAEL I","ppno":8045262816,"pcpadd":"250  E BANK STREET","pcpcity":"PETERSBURG","pcpstate":"VA","pcpzip":238033342,"pcpcounty":"Petersburg City","pcpid":"P0114158","pcpname":"RIVERSBEND HOSPITALISTS PC"},{"a":{"indx":["","","","","","","1",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J44.9","J45.901","I10","L20.9","E11.9","M54.2","M50.220","V89.2XXA","M54.5","M54.16","S32.028A","M25.531","M79.641","M79.604","S32.029A","Y92.481","M50.93","M51.9","Z87.891","I21.19","I51.7","R05","R06.00","F06.32","H10.023","H54.0X33","F32.9","R03.0","I16.1","H35.033","H25.13","H18.213","H18.413","J40","J44.1","R07.9","Z91.14","H25.813","H11.153","H16.143","Z91.81","M25.511"],"date":["2020-03-09","2019-03-12","2020-03-09","2019-01-08","2019-03-12","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2019-04-02","2020-03-04","2018-05-05","2018-05-05","2020-02-15","2018-05-05","2020-03-09","2018-05-10","2018-08-14","2018-08-09","2018-08-09","2018-08-09","2018-12-03","2018-12-03","2018-12-03","2020-03-13","2020-02-15","2020-03-04","2020-03-04","2020-03-09","2020-03-13","2020-03-13","2020-03-13","2019-06-27","2019-07-16"]}},{"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":""}]}]}