{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHELLE Y DELANEY","gend":1,"add":"7600 E PARHAM ROAD","city":"HENRICO","state":"VA","zip":232944369,"dob":"1955-10-15","age":"","mstatus":"","insh":11007186,"cliId":"4H46XU8XX51","pno":8043801323,"cno":"","email":"","ename":"","eno":"","pphy":"JOSEPH, LERLA G","ppno":8042304913,"pcpadd":"7600 E PARHAM ROAD","pcpcity":"HENRICO","pcpstate":"VA","pcpzip":232944369,"pcpcounty":"HENRICO","pcpid":"P9058496","pcpname":"CHARLES CITY MEDICAL GROUP"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J02.9","R05","H61.21","Z68.35","N95.0","T78.40XD","I10","R82.90","Z68.33","Z00.00","M54.5","B37.9","B37.2","Z71.89","E66.9","T78.3XXS","Z79.899","L20.9","E78.5","E03.9","E55.9","F32.9","M06.9","M25.511","M25.551","R60.9","E66.01","Z12.31","Z28.21","M16.11","M19.011","E78.00","N76.0","M17.0","R25.2","K57.30","Z91.81","Z51.81","Z13.31","Z71.9","J30.1","T36.95XA","B96.89","H25.13","H43.813","H52.4"],"date":["2020-01-06","2020-01-06","2020-01-06","2020-03-17","2019-05-21","2019-05-06","2020-03-17","2019-05-06","2019-06-10","2019-06-10","2020-03-17","2019-06-10","2020-04-29","2020-03-17","2019-10-10","2019-06-19","2019-12-17","2019-06-19","2020-03-17","2019-09-17","2020-03-17","2019-09-17","2019-09-17","2019-09-24","2019-09-24","2020-03-17","2019-09-17","2019-10-25","2019-09-17","2019-09-24","2019-09-24","2019-10-10","2020-04-29","2019-12-17","2019-12-17","2020-03-17","2020-03-17","2020-03-17","2020-03-17","2020-03-17","2020-03-17","2020-04-29","2020-04-29","2019-12-09","2019-12-09","2019-12-09"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}