{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ERNEST JEWETTE JR","gend":0,"add":"1119 FLOYD STREET","city":"PETERSBURG","state":"VA","zip":238039999,"dob":"1959-02-07","age":"","mstatus":"","insh":11007143,"cliId":"4KP7TK0DK47","pno":8048956448,"cno":"","email":"","ename":"","eno":"","pphy":"KING, TONY ROOSEVELT","ppno":8042304913,"pcpadd":"1606 Hull St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232243806,"pcpcounty":"PETERSBURG CITY","pcpid":"P9058496","pcpname":"CHARLES CITY MEDICAL GROUP"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z13.1","M54.5","I10","I25.2","Z88.8","F17.210","Z13.31","Z91.81","Z51.81","Z71.89","Z11.59","Z71.9","Z13.9","F32.0","Z68.30","Z12.11","N40.0","N40.1","N52.9","R68.82","Z12.5","K63.5","D12.7","D12.5","I25.10","E78.5","K64.8","E29.1","L98.9","F17.200","Z01.810","R97.20","E78.00","E66.9","K08.409","R32","Z68.31","Z72.0","Z79.82","Z82.49","L72.3"],"date":["2020-02-25","2019-05-23","2020-02-25","2019-11-15","2019-11-15","2019-05-19","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-07-29","2020-02-25","2019-10-04","2019-11-15","2019-10-04","2019-09-12","2019-07-29","2019-07-29","2019-07-29","2019-11-15","2019-11-15","2019-07-29","2019-10-04","2019-09-10","2019-09-10","2019-09-17","2019-09-18","2020-02-25","2019-11-15","2019-11-15","2019-11-15","2019-11-15","2019-11-15","2019-11-15","2019-11-15","2020-09-08"]}},{"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":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}}]},{"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":""}]}]}