{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BERNICE M FAIRCHILD","gend":1,"add":"3140 FLAT RUN ROAD","city":"LOCUST GROVE","state":"VA","zip":225082203,"dob":"1952-05-01","age":"","mstatus":"","insh":11006434,"cliId":"3XH7FV0YT69","pno":5404231966,"cno":5404983890,"email":"","ename":"","eno":"","pphy":"NGUYEN, HONG T","ppno":5407869771,"pcpadd":"12006 Kilarney Dr","pcpcity":"Fredericksburg","pcpstate":"VA","pcpzip":224077207,"pcpcounty":"ORANGE","pcpid":"P0124286","pcpname":"CHANCELLOR INTERNAL MEDICINE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I48.91","J40","E11.9","K21.9","E78.00","I10","I11.9","J84.10","Z90.49","Z90.710","Z87.891","Z78.0","Z88.6","Z88.1","Z79.84","Z79.01","Z79.810","M05.9","E11.8","R46.4","M81.0","M06.4","S63.219D","J84.9","I48.0","I27.29","R60.0","R00.1","M25.511","G89.29","M25.512","M79.89","M79.604","M79.605","M54.5","K21.0","M62.81","J01.00","Z79.52","R06.02","R07.9","R07.89","E83.42","I12.9","N18.9","E11.22","E78.5","E66.9","Z88.3","Z88.8","I24.9","R07.2","I25.10","M79.606","R05","M06.9","R20.0","T78.3XXA","T44.5X5A","M05.50","I48.2","G47.33","G45.9","K43.2","Z12.11","Z79.899","R14.0","M05.741","Z98.890","M05.742","Z87.19","M54.16","M75.52","M05.49","M20.091","M79.641","D12.3","K63.5","K57.30","Z12.10","K64.4","Z86.010","M79.642","M25.552","M51.16","M85.80","N64.4","M54.42","D12.6","M47.817","M54.2","M51.37","R00.2","I35.0","F32.9","K44.9","R79.89","I48.20","R79.0","G89.4","M47.816","R19.7","R11.2","R10.9","S40.851A","R11.10","F41.9","K46.9","M21.931","Z48.815","R69","Z51.81","F17.211","I35.1","M13.80","K64.1","K22.8","R12","E11.42","Z79.891","Z80.9","Z82.49","Z83.3","E55.9","S66.811S","E11.65","M25.561","M25.562"],"date":["2020-10-30","2019-01-09","2020-05-18","2020-05-18","2020-01-26","2020-10-09","2019-01-09","2019-11-25","2019-09-16","2019-11-25","2019-11-25","2019-08-05","2019-01-09","2019-01-09","2020-05-18","2020-01-26","2019-01-09","2019-08-05","2019-08-05","2019-08-05","2019-08-05","2020-11-02","2019-09-17","2020-11-02","2020-10-09","2019-08-08","2019-02-05","2019-02-05","2019-11-21","2020-11-02","2020-09-24","2019-02-07","2019-02-07","2019-02-07","2019-11-25","2019-03-28","2019-11-21","2019-04-02","2020-11-02","2019-11-26","2019-11-26","2020-01-26","2019-05-17","2019-08-13","2019-08-20","2019-08-20","2020-09-01","2019-11-25","2019-05-17","2019-08-19","2019-05-18","2019-11-26","2020-01-26","2019-05-18","2019-05-21","2020-07-27","2019-05-29","2019-05-29","2019-05-28","2019-08-19","2019-09-16","2020-01-26","2019-05-29","2019-09-16","2020-05-18","2020-11-02","2019-06-10","2019-06-10","2019-06-10","2019-06-10","2019-06-10","2020-09-24","2020-09-24","2020-09-24","2019-07-15","2019-11-21","2019-07-23","2019-07-23","2020-05-19","2019-07-23","2019-07-23","2020-05-19","2019-11-21","2019-07-26","2019-07-26","2019-08-05","2019-08-05","2019-08-12","2019-09-16","2020-09-24","2019-09-24","2020-09-24","2020-01-21","2019-11-25","2019-11-25","2020-05-19","2019-11-25","2020-07-27","2019-12-09","2020-09-24","2020-11-02","2020-01-27","2020-01-26","2020-01-26","2020-01-26","2020-01-27","2020-01-26","2019-09-16","2019-09-16","2019-08-13","2019-11-15","2019-12-05","2020-04-23","2020-04-30","2020-09-02","2020-05-19","2020-05-19","2020-05-19","2019-08-19","2019-08-19","2019-08-19","2019-08-19","2019-08-19","2020-09-01","2020-09-01","2020-07-27","2020-11-02","2020-11-02"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["Yes","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":""}]}]}