{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DIANE D LAWSON","gend":1,"add":"8564   CHESAPEAKE BOULEVARD","city":"NORFOLK","state":"VA","zip":235035454,"dob":"1955-08-17","age":"","mstatus":"","insh":11003726,"cliId":"8QX0M33CD20","pno":7579269945,"cno":"","email":"","ename":"","eno":"","pphy":"MACK, ALEXANDRA SLEDD","ppno":7574465955,"pcpadd":"825 Fairfax Ave","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":235071914,"pcpcounty":"NORFOLK CITY","pcpid":"P9058626","pcpname":"EVMS MEDICAL GROUP"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F11.20","K12.2","Z12.31","C67.2","C67.9","R60.0","B18.2","C66.9","Z00.00","R35.1","I10","Z85.51","E03.9","E78.5","F17.200","K74.0","R79.89","R93.2","K86.2","Z86.010","K86.89","K83.8","I82.221","K57.90","N83.8","Q27.8","Q61.02","C68.9","R07.9","J43.9","J98.4","I85.00","K57.30","N94.9","K83.9","N83.209","M79.89","N83.202","Z78.0","Z85.59","N83.292","R19.00","K04.7","K08.89","B19.20","N17.9","F17.210","Z87.19","K31.89","K29.60","K76.6","K44.9","K31.819","K29.50","F11.90","Z79.899","N39.0","R31.9","R51","N94.89","N13.30","C66.2","R31.0"],"date":["2020-10-26","2019-04-12","2020-07-16","2019-01-07","2020-08-08","2018-06-25","2019-08-14","2019-07-26","2019-08-16","2019-07-26","2020-01-21","2019-08-14","2019-08-16","2019-08-16","2018-09-20","2019-11-19","2018-10-15","2018-10-15","2019-11-19","2019-10-17","2019-11-19","2019-11-19","2019-11-19","2019-11-19","2019-11-19","2019-11-19","2019-11-19","2019-01-03","2019-01-07","2019-01-07","2019-01-07","2019-01-07","2020-08-08","2019-01-07","2019-01-07","2019-02-07","2019-02-07","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2020-01-01","2020-01-01","2020-01-21","2020-01-01","2020-01-21","2020-01-01","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-08-14","2020-08-14","2020-08-05","2020-08-08","2020-08-08","2020-08-24","2020-09-14"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}