{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CONNIE B WARREN","gend":1,"add":"602 PHOEBUS STREET","city":"PORTSMOUTH","state":"VA","zip":237049999,"dob":"1941-03-16","age":"","mstatus":"","insh":11004031,"cliId":"4WT5KA9VR95","pno":7577290727,"cno":"","email":"","ename":"","eno":"","pphy":"DAJAO, RISE FAITH E","ppno":7574836401,"pcpadd":"602 PHOEBUS STREET","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":237049999,"pcpcounty":"PORTSMOUTH CITY","pcpid":"P0110907","pcpname":"FIRST CARE PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z12.31","Z85.3","Z92.21","Z92.3","Z90.12","Z13.820","Z78.0","I10","E78.00","E55.9","Z68.28","Z71.9","Z12.4","Z79.899","H40.2230","D72.820","R44.1","Z23","Z91.81"],"date":["2019-02-05","2019-02-05","2019-02-05","2019-02-05","2019-02-05","2019-02-05","2019-02-05","2019-11-26","2019-11-26","2019-11-26","2019-02-19","2019-02-19","2019-02-19","2019-02-19","2020-03-06","2018-10-09","2019-11-26","2018-10-09","2019-10-17"]}},{"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":""}]}]}