{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILSON PARHAM","gend":0,"add":"905 COUSINS AVE","city":"HOPEWELL","state":"VA","zip":238609999,"dob":"1934-09-08","age":"","mstatus":"","insh":11007613,"cliId":"5AK8VJ7KT61","pno":8044586325,"cno":"","email":"","ename":"","eno":"","pphy":"MOHIUDDIN, ABDUL","ppno":8044588583,"pcpadd":"1012 Winston Churchill Dr","pcpcity":"Hopewell","pcpstate":"VA","pcpzip":238605141,"pcpcounty":"HOPEWELL CITY","pcpid":"P0124251","pcpname":"TWIN RIVERS MEDICAL CLINIC PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N18.9","I48.91","I82.409","D64.9","I10","E11.8","R13.12","I73.9","M10.9","M62.81","E55.9","R27.8","C18.9","G93.41","R26.2","I48.0","F41.1","E11.21","N18.3","E11.9","Z96.1","E78.5","R60.9","N28.9","N17.9","R26.9","Z23","N39.0","K59.39","R14.0","K56.7","R93.3","K59.00","R10.9","K63.89","I12.9","E11.22","N28.89","K59.8","E87.0","Z79.01","Z79.4","Z86.718","K80.20","N28.1","R94.4","N40.0","R94.31","R63.4","Z76.89","I50.9","R31.0","R53.1","E11.59","L74.4","M79.674","M79.675","R63.5","Z20.828","R13.10","Z03.818","M24.541"],"date":["2020-10-12","2020-10-15","2020-10-01","2020-10-12","2020-10-15","2020-10-01","2020-10-01","2020-10-01","2020-08-01","2020-10-15","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2019-12-13","2020-10-12","2020-10-23","2020-09-21","2020-07-10","2020-10-22","2020-09-22","2019-12-13","2020-10-22","2020-04-27","2020-10-22","2020-10-01","2019-10-23","2019-12-11","2019-12-13","2020-10-01","2019-12-13","2019-12-13","2020-10-01","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2020-10-15","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2019-12-12","2020-10-22","2019-12-13","2020-10-13","2019-12-12","2019-12-12","2020-10-17","2020-01-09","2020-10-17","2020-10-17","2020-10-02","2020-07-09","2020-10-13","2020-08-21","2020-10-01"]}},{"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":""}]}]}