{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"IDA GARDNER","gend":1,"add":"2131 OREGON AVENUE","city":"SUFFOLK","state":"VA","zip":234349999,"dob":"1941-03-26","age":"","mstatus":"","insh":11007465,"cliId":"3E77ME9HM74","pno":7574034156,"cno":7575080485,"email":"","ename":"","eno":"","pphy":"DELAHOUSSAYE, ALADEE R","ppno":7578748400,"pcpadd":"4714 Marshall Ave","pcpcity":"Newport News","pcpstate":"VA","pcpzip":236072247,"pcpcounty":"SUFFOLK CITY","pcpid":"P0124841","pcpname":"MAIN STREET PHYSICIANS"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F31.9","Z00.00","Z13.39","Z13.820","Z71.89","Z68.42","I10","Z01.818","E78.2","R01.1","I51.7","I35.0","E11.42","E11.21","Z89.412","E66.01","F33.9","M54.12","M79.641","M79.642","H25.11","H25.011","H25.12","H25.012","H40.1111","H40.1121","R39.81","R15.9","F03.90","N39.46","H40.1210","H27.132","H40.9","E11.9","H59.022","H40.52X0","I25.10","Z96.1","H26.9","R06.02","R07.81","R07.9","E11.65","E78.5","R79.89","I50.30","M62.81","I50.9"],"date":["2020-09-07","2019-06-06","2019-06-06","2019-06-06","2019-06-06","2019-06-11","2020-09-05","2019-06-06","2019-06-06","2019-06-06","2019-06-06","2019-06-06","2019-06-11","2019-06-06","2019-06-06","2019-06-06","2019-06-06","2019-06-11","2019-06-11","2019-06-11","2019-07-16","2019-06-26","2019-07-23","2019-06-26","2019-07-16","2019-07-23","2019-11-29","2019-11-29","2019-11-29","2019-11-29","2019-07-16","2019-09-17","2020-09-05","2019-09-17","2019-07-30","2019-07-30","2019-07-30","2019-10-01","2019-07-23","2020-09-05","2020-09-05","2020-10-27","2020-09-05","2020-09-05","2020-09-05","2020-10-27","2020-10-27","2020-10-27"]}},{"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":""}]}]}