{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SERGE BRYANT","gend":0,"add":"467 SINT EGNATIOS DRIVE","city":"NEWPORT NEWS","state":"VA","zip":236019999,"dob":"1956-10-10","age":"","mstatus":"","insh":11008319,"cliId":"4VA3HY6AX97","pno":7575064052,"cno":7572566128,"email":"","ename":"","eno":"","pphy":"ELLIOTT, JOY SPENCE","ppno":7575943800,"pcpadd":"10510 Jefferson Ave Ste A","pcpcity":"Newport News","pcpstate":"VA","pcpzip":236013102,"pcpcounty":"NEWPORT NEWS CITY","pcpid":"P9059005","pcpname":"RIVERSIDE BRENTWOOD MEDICAL CENTER FAMILY MEDICINE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["H27.131","M99.03","M54.16","M99.04","M48.062","M99.01","M54.13","M54.42","J41.1","Z23","Z13.1","R63.1","R35.8","K59.09","F17.200","E66.9","Z68.30","F25.0","H35.352","F17.210","Z95.5","K21.9","J44.9","E78.5","I10","I25.2","F20.9","K21.0","T85.29XA","H27.132","Z80.8","Z82.49","Z98.52","R07.89","M54.89","I25.10","E78.00","F17.290","Z79.899","M54.9","R07.9","M54.05","M54.07","M54.6"],"date":["2020-01-21","2020-10-15","2019-10-01","2020-10-15","2019-10-01","2019-10-01","2019-10-01","2019-10-01","2020-01-21","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2020-10-21","2019-11-20","2020-06-28","2020-06-28","2020-01-30","2020-01-21","2020-01-30","2020-01-30","2020-06-28","2020-06-28","2020-01-21","2020-01-30","2020-01-30","2020-01-30","2020-01-30","2020-01-30","2020-06-28","2020-06-28","2020-06-28","2020-06-28","2020-06-28","2020-06-28","2020-06-28","2020-06-28","2020-10-15","2020-10-15","2020-10-15"]}},{"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":""}]}]}