{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DORIS DENNIS","gend":1,"add":"10101 DORIS LANE","city":"CHARLES CITY","state":"VA","zip":230309999,"dob":"1938-10-28","age":"","mstatus":"","insh":11005958,"cliId":"6JQ7WA2XA31","pno":8048296842,"cno":"","email":"","ename":"","eno":"","pphy":"HOBGOOD, SARAH","ppno":8042543500,"pcpadd":"10101 DORIS LANE","pcpcity":"CHARLES CITY","pcpstate":"VA","pcpzip":230309999,"pcpcounty":"CHARLES CITY","pcpid":"P0060138","pcpname":"MCV AMBULATORY CARE CENTER"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","R15.9","F03.90","N30.00","E86.0","E87.0","R00.0","I45.10","I44.4","I51.7","R06.02","R06.00","A41.9","G30.1","N17.9","K21.9","E78.5","R65.20","N39.0","H91.90","F02.80","G30.9","H70.12","N28.9","I11.9","B96.20","G89.29","E87.2","K59.00","Z90.49","Z98.890","R90.82","R91.8","R26.2","I10","M54.9","H70.10","Z87.440","Z96.641","Z98.84","Z87.891","Z91.81","W19.XXXA","E11.9","Z79.899","G83.10","M19.90","I50.9","R29.6","H91.93","G30.0","R41.82","J06.9","J98.4","R30.0"],"date":["2020-04-03","2020-04-03","2020-04-03","2019-01-16","2019-01-13","2019-01-21","2019-01-13","2019-01-12","2019-01-12","2019-01-12","2019-01-13","2019-01-12","2019-01-16","2019-01-16","2019-01-16","2020-01-15","2019-01-21","2019-01-13","2019-11-08","2019-07-31","2019-01-21","2019-08-01","2019-07-15","2019-01-13","2019-01-13","2019-01-13","2019-01-21","2019-01-13","2020-01-15","2019-01-13","2019-01-13","2019-01-13","2019-11-08","2019-01-16","2020-01-15","2019-01-21","2019-01-21","2019-01-21","2019-01-21","2019-01-21","2020-01-15","2019-01-21","2019-01-30","2019-07-31","2019-07-15","2019-08-30","2019-08-01","2019-08-01","2019-08-01","2019-07-15","2019-08-30","2019-11-08","2019-11-08","2019-11-08","2020-01-15"]}},{"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":""}]}]}