{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMANDA J SIKAFFY","gend":1,"add":"8011 E CAMELLIA ROAD","city":"NORFOLK","state":"VA","zip":235189999,"dob":"1979-11-02","age":"","mstatus":"","insh":11007747,"cliId":"2Q87Q38NU42","pno":7574471993,"cno":"","email":"","ename":"","eno":"","pphy":"CHAKRABORTTY, SAGHANA","ppno":7577381200,"pcpadd":"4039 E Little Creek Rd","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235183549,"pcpcounty":"NORFOLK CITY","pcpid":"P0060092","pcpname":"EAST BEACH MEDICAL ASSOCIATES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.5","R10.9","F31.9","K21.9","I10","J45.909","J43.9","E78.1","F17.210","Z99.81","R07.81","R42","R07.89","M54.9","F17.200","Z88.0","Z88.8","Z72.0","R07.9","W18.39XA","W22.8XXA","J44.9","M79.674","M79.675","M20.11","M20.12","M72.2","B35.1","L60.0","M25.551","M25.559","R52","Z79.899","F17.218","E66.9","M25.561","M96.1","M54.42","F25.0","M25.562","J30.1","M25.552","G89.29","Z00.00"],"date":["2019-12-27","2019-12-27","2019-12-27","2019-12-27","2020-07-13","2020-07-13","2020-02-16","2020-02-21","2020-07-13","2019-12-27","2020-02-16","2020-02-16","2020-02-16","2020-02-16","2020-02-16","2020-02-16","2020-02-16","2020-02-16","2020-02-16","2019-12-27","2019-12-27","2020-02-21","2020-02-26","2020-02-26","2020-02-26","2020-02-26","2020-02-26","2020-02-26","2020-02-26","2020-07-13","2020-07-13","2020-07-13","2020-07-13","2020-02-21","2020-02-21","2020-02-21","2020-02-21","2020-02-21","2020-02-21","2020-02-21","2020-04-06","2020-04-06","2020-04-06","2020-04-06"]}},{"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":""}]}]}