{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TONY L TRAVERS","gend":0,"add":"113 S HOLLY AVE","city":"HENRICO","state":"VA","zip":230759999,"dob":"1958-12-31","age":"","mstatus":"","insh":11004365,"cliId":"1P31HT7QN12","pno":8048227759,"cno":"","email":"","ename":"","eno":"","pphy":"POPOVICH, STEPHEN J","ppno":8047832505,"pcpadd":"113 S HOLLY AVE","pcpcity":"HENRICO","pcpstate":"VA","pcpzip":230759999,"pcpcounty":"HENRICO","pcpid":"P0124081","pcpname":"THE DAILY PLANET INC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M19.011","G50.0","Z01.810","Z01.812","I10","E78.5","Z96.653","Z96.612","Z86.73","Z87.891","Z79.82","M25.511","Z48.02","Z47.89","Z96.611","Z47.1","Z96.619","Z79.899","M19.012","B18.2","E66.9","F17.210","G47.00","K08.409","M19.019","M54.5","Z68.31","Z79.891","M25.512","E78.2","Z71.89","Z71.3","M89.9","M25.711","F17.200","Z23","Z11.4","Z13.220","T42.1X1A","R40.0","T50.901A","M96.0","Z98.1","M48.061","M48.062","E78.00","Z68.33","Z82.49","Z91.81","F32.9","M43.10","M43.26","M47.817","Z01.818"],"date":["2019-02-06","2020-03-19","2019-01-31","2019-01-31","2020-03-19","2019-02-06","2020-03-19","2020-03-19","2019-02-06","2020-03-16","2019-02-06","2019-04-03","2019-02-26","2020-03-19","2020-03-19","2019-05-07","2019-04-03","2020-03-16","2018-09-13","2018-11-26","2020-03-16","2018-11-26","2018-09-19","2018-09-19","2018-09-19","2020-01-14","2018-09-28","2020-03-19","2018-10-03","2019-10-23","2019-10-23","2019-10-23","2018-11-08","2018-11-08","2018-11-20","2018-11-20","2018-11-20","2018-11-20","2018-11-26","2018-11-26","2018-11-26","2018-12-11","2020-04-28","2020-03-16","2020-03-16","2020-03-19","2020-03-16","2020-03-16","2020-03-16","2020-03-19","2020-01-31","2020-03-25","2020-04-28","2020-03-06"]}},{"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":""}]}]}