{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DALE H KERNS","gend":0,"add":"9405  PLUM CT","city":"RICHMOND","state":"VA","zip":232379999,"dob":"1997-09-20","age":"","mstatus":"","insh":11006433,"cliId":"7M64X82QF89","pno":8046394784,"cno":"","email":"","ename":"","eno":"","pphy":"VEST, MARCEE C","ppno":8047396142,"pcpadd":"13540 Hull Street Rd","pcpcity":"Midlothian","pcpstate":"VA","pcpzip":231122107,"pcpcounty":"CHESTERFIELD","pcpid":"P0060023","pcpname":"ST FRANCIS FAMILY MEDICINE CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F20.1","F90.9","F84.5","K59.03","Z68.28","F80.2","Z68.27","L70.0","R53.83","Z01.89","Z79.899","Z11.1","Z23","Z00.00","Z11.4","F20.9","L30.9","F79","R13.10","S99.921D","S91.209A","F84.0","L85.3","S90.111A","M79.674","W22.09XA","Y92.89","X58.XXXA","Y93.89"],"date":["2020-09-17","2020-08-27","2020-05-27","2019-01-15","2019-05-30","2020-08-27","2019-05-14","2020-01-14","2020-02-26","2019-08-10","2019-08-10","2019-09-19","2020-10-01","2020-09-17","2019-09-19","2019-09-29","2020-01-14","2020-09-17","2020-10-08","2020-10-08","2020-10-08","2020-09-17","2020-09-17","2020-10-01","2020-10-02","2020-10-01","2020-10-01","2020-10-01","2020-10-01"]}},{"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":""}]}]}