{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DOREEN STUART","gend":1,"add":"474 WESTOVER HILL BLVD., APT. #8","city":"RICHMOND","state":"VA","zip":232259999,"dob":"1941-11-19","age":"","mstatus":"","insh":11003662,"cliId":"3QY1ET3GY27","pno":5713593147,"cno":"","email":"","ename":"","eno":"","pphy":"BRENGEL, GEORGE R","ppno":8045608838,"pcpadd":"474 WESTOVER HILL BLVD., APT. #8","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232259999,"pcpcounty":"RICHMOND CITY","pcpid":"P0060079","pcpname":"COMMONWEALTH INTERNAL MEDICINE ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I69.359","I10","M17.12","Z68.33","M25.562","H40.1133","E78.5","E66.9","H02.403","H40.9","H54.8","K08.409","K08.9","L98.8","R35.0","R39.15","R60.9","Z68.34","Z79.82","Z91.81"],"date":["2019-01-14","2020-02-04","2019-01-30","2019-01-14","2019-01-23","2019-03-26","2018-08-16","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24","2018-10-24"]}},{"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":""}]}]}