{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BENNIE GOINS","gend":0,"add":"BONVIEW REHAB HEALTHCARE","city":"RICHMOND","state":"VA","zip":232251524,"dob":"1941-06-21","age":"","mstatus":"","insh":11006971,"cliId":"3NH3EN5PT09","pno":8042748201,"cno":8042310231,"email":"","ename":"","eno":"","pphy":"BAGGESEN, J RAND","ppno":8045603295,"pcpadd":"4403 FOREST HILL AVE","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232259999,"pcpcounty":"RICHMOND CITY","pcpid":"P0060249","pcpname":"EXECUTIVE HEALTH GROUP"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I48.0","J44.9","E78.5","R26.89","F10.10","Z85.038","D64.9","I10","F41.9","F33.9","G40.89","N40.0","M19.90","K59.00","E55.9","G47.00","C18.9","H25.13","M20.42","G58.8","M79.674","M79.675","B35.1","E56.9","E28.9","F32.0","M62.81","R63.4","R74.8","R32","N39.0","N40.1","R35.1","Z79.899","R33.9","I48.91","Z86.79","N13.9","C13.0","F10.288","E43","R64","E51.2","F05","Z68.1","F10.239","F10.230","G40.401","T68.XXXA","E83.39","D69.6","R40.0","R41.89","G92","R03.0","R41.82","I51.7","I65.23","I82.B13","I65.03","I70.0","Z98.1","G93.41","R56.9","I25.2","A41.9","R94.01","Z46.59","R14.3","I67.82","R41.0","W19.XXXA","G93.40","F10.97","E46","G25.3","Z78.9","E87.1","F51.05","F02.81","R41.841","R13.11","R29.3","R26.2","R27.8","R00.1","I95.9","Z91.81","R63.5","R13.10","R63.0","Z16.12","B96.89","J18.9","J11.1","R50.9","J18.1","F03.90","R05","Y90.9","F03.91","B96.1","I25.10","F32.9","Z03.818","R69","R53.83","R53.1","J69.0","A49.9","J15.0","R46.89"],"date":["2020-05-01","2020-05-01","2019-11-04","2019-11-04","2020-05-01","2019-11-04","2020-03-17","2020-04-30","2019-11-04","2019-11-04","2020-05-01","2020-03-23","2019-11-04","2019-11-04","2020-02-28","2020-02-14","2019-05-01","2019-04-17","2019-04-29","2019-04-29","2019-04-29","2019-04-29","2019-04-29","2019-11-04","2019-06-18","2019-06-19","2020-05-01","2019-07-09","2019-08-03","2019-08-30","2020-04-28","2019-09-11","2019-09-11","2019-09-11","2019-09-11","2020-03-23","2019-10-03","2020-03-05","2020-01-01","2020-01-24","2020-05-01","2020-03-23","2020-05-01","2020-01-24","2020-01-24","2020-02-20","2020-01-24","2020-01-29","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-03-23","2020-01-24","2020-01-24","2020-05-01","2020-03-23","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-02-13","2020-05-05","2020-01-26","2020-03-31","2020-01-30","2020-01-27","2020-01-27","2020-01-28","2020-03-31","2020-02-08","2020-02-14","2020-02-14","2020-02-28","2020-02-14","2020-02-14","2020-05-01","2020-02-20","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-02-13","2020-02-28","2020-04-03","2020-03-05","2020-03-23","2020-03-26","2020-03-23","2020-03-23","2020-03-23","2020-03-21","2020-03-31","2020-03-23","2020-03-23","2020-04-29","2020-03-23","2020-03-23","2020-03-23","2020-03-23","2020-03-23","2020-03-23","2020-03-31","2020-04-01","2020-04-01","2020-04-03","2020-04-29"]}},{"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":""}]}]}