{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CATHY L JONES","gend":1,"add":"723 S. ROSEMONT RD","city":"VIRGINIA BEACH","state":"VA","zip":234529999,"dob":"1960-12-28","age":"","mstatus":"","insh":11003894,"cliId":"2VV3RT0AE18","pno":7573057443,"cno":7579657526,"email":"","ename":"","eno":"","pphy":"JUER, ROBERT","ppno":7573051797,"pcpadd":"828 Healthy Way Ste 220","pcpcity":"Virginia Beach","pcpstate":"VA","pcpzip":234627960,"pcpcounty":"VIRGINIA BEACH CITY","pcpid":"P0060053","pcpname":"BONSECOURS MEDICAL ASSOCIATES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R07.89","K21.9","Z68.38","I10","M54.9","M25.562","M17.5","Z12.31","G89.29","Z68.39","Z79.899","K74.60","F31.81","E66.9","Z68.35","F17.200","M17.12","M25.512","M47.816","M99.73","Z68.37","D69.6","R00.2","R21","E55.9","Z76.0","R09.89","M62.830"],"date":["2019-01-29","2020-08-26","2020-07-20","2020-08-26","2019-02-11","2019-05-29","2019-05-29","2019-05-29","2019-05-29","2019-05-29","2020-07-20","2020-07-20","2018-07-08","2020-07-20","2018-07-08","2020-07-20","2019-07-10","2019-07-10","2019-07-10","2019-07-10","2020-07-19","2018-07-11","2020-03-03","2020-02-24","2020-08-26","2020-07-19","2020-08-26","2020-08-26"]}},{"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":""}]}]}