{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHARON A DILLARD","gend":1,"add":"2713   NEW PARK  ROAD","city":"N CHESTERFIELD","state":"VA","zip":232371725,"dob":"1970-07-26","age":"","mstatus":"","insh":11003692,"cliId":"8XC9TV8DR43","pno":8049804126,"cno":8043013228,"email":"","ename":"","eno":"","pphy":"ROSE, ANDREW LEE","ppno":8047175300,"pcpadd":"11601 Iron Bridge Rd","pcpcity":"Chester","pcpstate":"VA","pcpzip":238311467,"pcpcounty":"CHESTERFIELD","pcpid":"P0109950","pcpname":"IRONBRIDGE FAMILY PRACTICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F33.0","G35","R25.2","R32","R39.81","R03.0","Z68.29","B37.3","N89.8","N76.0","B96.89","H66.90","H60.311","Z68.27","R51","M54.5","V43.52XA","Y92.410","M54.9","M79.605","M79.604","V89.2XXA","M54.89","M25.561","M25.562","F33.1","G31.84","H93.13","R42","Z96.643","Z97.3","M25.569","Z01.419","N63.0","N60.01","N60.02","I10","Z68.30"],"date":["2020-05-14","2020-09-09","2019-02-01","2019-07-30","2019-11-27","2019-03-18","2019-11-04","2019-04-27","2019-04-27","2019-04-27","2019-04-27","2018-08-17","2018-08-17","2018-08-17","2019-10-17","2019-09-27","2019-09-27","2019-10-17","2019-10-17","2019-10-17","2019-10-17","2019-10-17","2019-10-17","2019-11-04","2019-11-04","2018-11-08","2018-11-08","2018-11-08","2018-11-08","2018-11-08","2018-11-08","2019-12-11","2018-11-21","2018-11-21","2018-11-27","2018-11-27","2020-02-17","2020-02-17"]}},{"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":""}]}]}