{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LARRY COOKE","gend":0,"add":"100 MARTHA LEE DR APT 196","city":"HAMPTON","state":"VA","zip":236669999,"dob":"1952-10-05","age":"","mstatus":"","insh":11004858,"cliId":"6NH9YH0XQ56","pno":7575326267,"cno":"","email":"","ename":"","eno":"","pphy":"LORENZO, DAVID","ppno":7573808709,"pcpadd":"4714 Marshall Ave","pcpcity":"Newport News","pcpstate":"VA","pcpzip":236072247,"pcpcounty":"HAMPTON CITY","pcpid":"P0060337","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J44.1","B34.9","J40","B97.89","R06.02","R05","R09.81","J02.8","R60.0","I25.2","J61","I11.0","I50.9","G47.33","E78.49","I25.10","E66.8","I10","J44.9","J32.9","J31.0","R60.9","E78.00","M25.552","M54.5","E66.01","H53.8","M25.511","M54.2","R20.8","S49.81XA","M19.019","M25.811","I42.9","I48.91","R73.09","K21.9","Z12.5","Z53.20","Z12.11","H40.023","H25.13","H04.123","J98.4","E66.9","J30.9","M75.121","M19.011","I42.8","H40.1131","Z77.090","Z72.0"],"date":["2019-02-06","2019-02-06","2019-02-06","2019-02-06","2019-02-06","2019-08-22","2019-02-06","2019-02-06","2019-02-06","2019-02-06","2019-02-06","2019-02-06","2019-11-13","2020-10-01","2019-02-06","2020-10-01","2019-02-06","2020-09-16","2020-10-01","2019-08-22","2020-08-27","2020-10-01","2020-09-16","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2019-10-16","2019-05-21","2019-05-21","2019-10-16","2019-06-19","2019-10-16","2019-11-13","2019-08-20","2019-08-26","2019-08-22","2020-09-16","2019-08-22","2019-08-26","2019-08-29","2019-08-29","2019-08-29","2020-07-20","2020-07-20","2019-09-20","2019-10-16","2019-10-16","2019-11-13","2019-12-13","2020-07-20","2020-08-27"]}},{"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":""}]}]}