{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ESAU MILLER","gend":0,"add":"2400 BURTON ST APT 227","city":"RICHMOND","state":"VA","zip":232239999,"dob":"1943-04-16","age":"","mstatus":"","insh":11004863,"cliId":"7H65MR7UD57","pno":8046445641,"cno":"","email":"","ename":"","eno":"","pphy":"BONNER, LLOYD ARDEN","ppno":8046441333,"pcpadd":"2400 BURTON ST APT 227","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232239999,"pcpcounty":"RICHMOND CITY","pcpid":"P0123204","pcpname":"BON SECOURS SPORTS MEDICINE AND PRIMARY CARE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R42","R53.83","R55","D64.9","I10","E78.00","Z87.891","R63.8","E11.9","Z68.26","R10.9","D50.9","D50.8","M19.90","J06.9","Z53.8","R05","K21.9","Z86.19","Z79.899","E78.5","Z03.89","R06.09","R53.81","N40.0","Z68.27","H40.9","H54.7","K08.409","L29.9","R29.2","R33.9","D3A.8","E27.8","E27.9","K44.9","K80.20","N28.1","B35.1","I70.209","M79.671","M79.672","Z00.00","Z13.89","Z13.31","Z68.29","K21.0","M17.12","R94.31","R19.7","R10.84","H54.3","H26.9","Z68.28"],"date":["2019-11-11","2019-02-06","2020-03-20","2019-12-30","2020-03-20","2020-03-20","2019-11-11","2019-02-12","2019-12-30","2019-03-14","2019-03-13","2019-05-07","2019-03-13","2019-03-13","2019-03-14","2019-05-07","2019-05-07","2019-11-21","2019-05-07","2020-03-20","2019-11-11","2019-05-07","2019-05-23","2019-12-30","2019-11-21","2019-06-24","2019-11-11","2018-11-16","2019-11-21","2019-11-11","2018-11-16","2018-11-16","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-02-05","2020-02-05","2019-09-18","2019-09-18","2019-12-30","2019-12-30","2019-12-30","2019-12-30","2019-12-30","2019-12-30","2020-03-20","2020-03-20","2020-03-20","2019-11-11","2019-11-21","2019-11-21"]}},{"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":""}]}]}