{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANDREW K PRIME","gend":0,"add":"703 VINE ST","city":"BEDFORD","state":"VA","zip":245239999,"dob":"1994-03-02","age":"","mstatus":"","insh":11004152,"cliId":"1PR2EM6UD04","pno":5403306999,"cno":5403309240,"email":"","ename":"","eno":"","pphy":"COHEN, LEONARD J","ppno":5405866818,"pcpadd":"1615 Oakwood St","pcpcity":"BEDFORD","pcpstate":"VA","pcpzip":245231249,"pcpcounty":"BEDFORD","pcpid":"P0124550","pcpname":"BEDFORD COMMUNITY HEALTH CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G95.89","M47.812","M48.02","M47.814","Z98.1","H65.191","G95.0","S14.109S","G81.94","G90.9","J01.01","Z01.818","G83.81","K02.9","K05.10","S14.147A","F17.290","Z98.890","Z01.810","I49.9","J02.9","K12.0","G90.4","H92.02","H53.8","R42","K04.01","H93.12","Z87.891","R41.82","G80.0","K59.2","R10.13","R06.02","R07.9","S12.500S","S14.4XXS","T36.0X5A","Y63.8","R23.2","R07.89","R10.9","K57.30","R10.2","R25.2","S14.148D","M54.2","R03.0","X58.XXXD","R51","F41.9","R55","Z99.3","Z23","J06.9","J30.9","S14.115A"],"date":["2019-03-05","2019-03-05","2019-03-05","2019-03-05","2019-03-27","2019-03-06","2019-03-27","2019-03-27","2020-05-22","2019-04-11","2019-06-10","2019-04-03","2019-04-11","2019-04-11","2019-04-11","2019-04-11","2019-04-11","2019-04-11","2019-04-11","2019-04-11","2019-04-16","2019-04-16","2018-09-18","2018-07-16","2018-07-16","2019-09-04","2018-07-16","2018-07-16","2018-10-13","2018-07-16","2020-08-21","2020-08-21","2018-08-02","2018-08-02","2018-09-11","2018-08-04","2018-08-04","2018-08-05","2018-08-05","2019-09-04","2018-09-10","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-18","2018-09-18","2018-09-17","2018-09-17","2018-10-13","2018-11-20","2018-11-27","2018-11-27","2019-12-06","2019-12-06","2019-12-06","2020-05-22"]}},{"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":""}]}]}