{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HELENA E ANDERSON","gend":1,"add":"428 WOOD ACRES RD","city":"MANAKIN SABOT","state":"VA","zip":231039999,"dob":"1960-01-17","age":"","mstatus":"","insh":11003780,"cliId":"2P15XG9KW97","pno":8043082080,"cno":"","email":"","ename":"","eno":"","pphy":"STEWART, JACQUELINE","ppno":8047557581,"pcpadd":"428 WOOD ACRES RD","pcpcity":"MANAKIN SABOT","pcpstate":"VA","pcpzip":231039999,"pcpcounty":"GOOCHLAND","pcpid":"P0123404","pcpname":"CROSSRIDGE PEDIATRICS & INTERNAL MEDICINE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["L02.12","L02.821","L85.3","D22.5","R92.8","D24.2","D24.1","Q85.02","D48.5","K63.89","R14.0","Q85.00","K57.30","K68.9","N32.3","L98.9","K57.90","K76.89","K56.7","R55","S49.92XA","Q85.01","R51","Z98.1","S29.9XXA","I51.7","I36.1","I48.0","I10","R42","N39.41","K59.00","H91.93","H54.7","Z68.27","R00.2","L29.9","L29.8","Z68.25","H47.213","H04.123","H25.13","M47.12","Z13.220","R73.03","Z11.59","R73.09","R39.89","Z00.00","Z12.31","Z23","Z12.4","Z13.31","R19.7","I48.19","R06.02","F17.200","Z71.6","I11.9","Z90.710","Z98.890","Z82.49","Z88.6","Z88.5","Z88.2","Z88.8","Z28.9","R07.89","R07.9","H47.20","H53.40","H25.813","H52.13","H52.223","H52.4","E86.0","R11.2","R05","R11.10","H91.90","Z79.899","R94.31"],"date":["2019-01-10","2019-01-10","2019-01-28","2019-01-23","2019-01-23","2019-01-23","2019-01-23","2019-01-28","2019-01-28","2020-01-29","2019-02-15","2019-02-15","2019-02-15","2019-02-15","2019-03-08","2019-02-15","2019-02-15","2019-02-15","2019-03-08","2019-03-18","2019-03-08","2020-03-13","2019-03-09","2019-03-08","2019-03-08","2019-03-08","2019-03-09","2020-01-14","2020-01-29","2019-03-18","2019-03-18","2019-03-18","2019-12-15","2019-03-18","2019-03-18","2020-01-02","2018-07-11","2018-07-11","2018-07-11","2019-07-30","2019-07-30","2019-07-30","2018-12-04","2018-12-04","2018-12-04","2018-12-04","2018-12-04","2018-12-04","2018-12-04","2020-01-15","2020-01-08","2018-12-04","2018-12-04","2020-01-29","2019-12-15","2019-12-15","2020-01-29","2019-12-15","2019-12-15","2020-01-29","2019-12-15","2019-12-15","2020-01-29","2020-01-29","2020-01-29","2019-12-15","2019-12-15","2019-12-15","2019-12-15","2020-01-13","2020-02-06","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-29","2020-01-29","2020-01-29","2020-01-29","2020-01-29","2020-01-29","2020-01-29"]}},{"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":""}]}]}