{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LARRY E KEMP","gend":0,"add":"807 W 49TH STREET","city":"RICHMOND","state":"VA","zip":232254401,"dob":"1953-06-28","age":"","mstatus":"","insh":11007296,"cliId":"2UJ6WR0HG71","pno":8049978099,"cno":"","email":"","ename":"","eno":"","pphy":"HAITHCOCK, RODERICK E","ppno":8043258801,"pcpadd":"505 W Leigh St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232203239,"pcpcounty":"RICHMOND CITY","pcpid":"P0119141","pcpname":"PRIMARY HEALTH CARE ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","N39.46","M79.671","W20.8XXA","S97.81XA","S99.921A","I10","K74.60","F10.20","W23.0XXA","R60.9","D64.9","R68.89","K51.00","M10.9","M25.461","M25.561","A09","R31.29","R79.9","K52.9","G30.9","H25.11","H25.12","R05","F10.10","G40.909","Z68.22","Z96.1"],"date":["2020-10-19","2020-10-19","2019-06-27","2019-06-18","2019-06-18","2019-06-18","2020-09-29","2019-06-18","2019-06-18","2019-06-18","2019-06-18","2020-09-29","2019-10-22","2020-10-27","2019-11-22","2019-11-22","2019-11-22","2020-02-05","2020-02-17","2020-02-17","2020-08-26","2020-04-15","2020-10-06","2020-10-27","2020-04-01","2020-09-29","2020-09-29","2020-09-29","2020-10-13"]}},{"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":""}]}]}