{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATE F BROWN","gend":1,"add":"5922 SENTRY HILL CT","city":"PETERSBURG","state":"VA","zip":238039999,"dob":"1939-02-09","age":"","mstatus":"","insh":11004386,"cliId":"3DF8K78GM22","pno":8043822990,"cno":8048611335,"email":"","ename":"","eno":"","pphy":"AHMED, IRSHAD","ppno":8045240524,"pcpadd":"2801 Boulevard Ste B","pcpcity":"Colonial Heights","pcpstate":"VA","pcpzip":238342323,"pcpcounty":"PETERSBURG CITY","pcpid":"P0060025","pcpname":"COLONIAL MEDCARE PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Q82.8","L60.0","B35.1","E11.59","H25.11","E11.3293","Z79.84","Z12.31","I10","J32.9","M79.606","J34.89","M19.011","M25.511","M79.642","M79.645","K59.00","E78.5","E11.9","E03.9","K21.9","Z01.419","Z12.4","H25.13","K57.90","K57.30","R10.9","E78.00","K42.9","Z82.49","K57.32","R39.15","N39.0","J06.9","M12.9","R07.1","B35.3","Z79.899","R51","R93.3","K57.92","M54.2","E66.01","M10.9","Z68.35","Z79.82","H04.123","H25.12","H53.021","N18.9","M25.512","N28.1","R94.4","G56.02","M19.012","N18.3","D64.9","N25.0","D25.9","N95.0","Z68.33","R07.9","R07.89"],"date":["2020-08-06","2020-08-06","2020-08-06","2020-08-06","2019-06-17","2020-07-15","2020-07-15","2019-05-01","2020-10-19","2019-08-09","2019-07-25","2019-07-29","2020-09-01","2020-09-01","2019-08-09","2019-08-23","2019-09-30","2020-01-29","2020-01-29","2020-06-23","2019-11-26","2019-10-10","2019-10-10","2018-10-17","2019-10-31","2019-10-31","2019-12-11","2020-01-29","2019-10-31","2020-01-29","2019-10-31","2019-11-19","2019-11-19","2020-04-01","2020-10-19","2020-01-13","2020-01-16","2020-06-23","2020-04-14","2019-12-11","2019-12-11","2020-05-18","2019-11-26","2019-11-26","2019-11-26","2019-11-26","2020-07-15","2020-07-15","2020-07-15","2020-10-19","2020-09-01","2020-08-21","2020-08-21","2020-09-01","2020-09-01","2020-09-23","2020-09-15","2020-09-15","2020-10-07","2020-10-07","2020-10-07","2020-10-22","2020-10-22"]}},{"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":""}]}]}