{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATRINA D BURLEIGH","gend":1,"add":"309 BOND CT","city":"EMPORIA","state":"VA","zip":238479999,"dob":"1970-07-26","age":"","mstatus":"","insh":11006713,"cliId":"5W26XJ6NK49","pno":4346324524,"cno":4345947162,"email":"","ename":"","eno":"","pphy":"MARCELIN, FITZGERALD","ppno":4346347723,"pcpadd":"702 N Main St","pcpcity":"Emporia","pcpstate":"VA","pcpzip":238471242,"pcpcounty":"GREENSVILLE","pcpid":"P0060188","pcpname":"DINWIDDIE MEDICAL CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N76.0","B96.89","N63.0","N89.8","B34.9","T36.8X5A","B97.89","R21","Z88.8","Z79.899","N63.11","N64.4","K21.0","F45.8","K76.9","R10.13","A60.00","C50.811","R92.8","C50.911","F41.9","Z88.1","Z87.891","Z82.49","Z80.3","C50.919","G47.30","G43.909","Z17.0","N39.0","Z72.51","Z11.3","D64.9","F31.76","R13.10","R19.7","R19.4","M54.5","R11.0","Z00.01","K29.50","K52.9","K29.60","K20.9","K44.9","E04.1","D50.9","F44.9","K21.9","K62.89","K51.90","K62.5","N30.90","N93.9","K92.2","R42","Z12.31","R07.81","M25.551","L30.9","A60.9","N89.9","R40.0","R06.83","Z01.411","R00.2","D25.9","N83.209","N93.8","D21.9","N95.1","B37.3","Z88.2","Z85.3","M85.89","Z78.0","C50.912","N83.202","Z90.13","Z79.810","D25.1","N83.201","N85.4"],"date":["2020-08-19","2019-09-20","2019-08-09","2019-08-14","2019-08-18","2019-08-18","2019-08-18","2019-08-18","2019-08-18","2020-01-28","2019-09-26","2019-09-09","2019-09-10","2019-09-10","2019-09-10","2019-09-10","2019-09-10","2020-07-31","2019-09-26","2019-12-03","2019-11-06","2020-01-28","2019-11-06","2019-11-06","2019-11-06","2020-07-28","2019-11-06","2019-11-06","2019-12-03","2020-06-30","2019-12-16","2020-04-24","2020-07-31","2019-02-14","2019-04-19","2019-03-25","2019-04-19","2019-06-03","2020-01-28","2019-04-12","2019-04-29","2019-04-21","2019-04-19","2019-04-19","2019-04-29","2019-04-19","2020-07-31","2019-04-19","2019-04-19","2019-04-19","2019-04-29","2019-04-21","2019-04-21","2020-04-23","2019-04-29","2020-01-28","2019-05-22","2019-06-03","2019-06-03","2020-01-06","2020-08-19","2020-04-24","2020-01-20","2020-01-20","2020-01-20","2020-01-28","2020-07-28","2020-09-10","2020-04-16","2020-04-23","2020-04-16","2020-06-30","2020-01-28","2020-09-10","2020-01-31","2020-01-31","2020-06-11","2020-08-24","2020-08-24","2020-09-10","2020-09-02","2020-09-02","2020-09-02"]}},{"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":""}]}]}