{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"THOMAS A WATKINS","gend":0,"add":"114 E CUMMINGS AVENUE","city":"HAMPTON","state":"VA","zip":236639999,"dob":"1937-05-16","age":"","mstatus":"","insh":11008628,"cliId":"5D52DX8HX82","pno":7577228351,"cno":"","email":"","ename":"","eno":"","pphy":"BAINES, ROBIN","ppno":7577265000,"pcpadd":"100 Emancipation Dr","pcpcity":"Hampton","pcpstate":"VA","pcpzip":236670001,"pcpcounty":"HAMPTON CITY","pcpid":"P0142925","pcpname":"SENTARA MEDICAL GROUP"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R53.81","C61","C79.51","R39.81","N42.9","I10","G30.1","Z71.89","E78.2","F02.80","Z51.11","Z00.00","Z91.81","Z91.19","H40.023","K76.89","N40.0","K57.30","K44.9","E78.5","G30.9","Z68.31"],"date":["2019-09-29","2020-10-12","2020-08-31","2020-07-31","2020-07-31","2020-10-25","2020-09-25","2020-01-13","2020-09-25","2020-09-25","2020-08-20","2020-01-13","2020-01-13","2020-01-13","2020-02-10","2020-02-27","2020-02-27","2020-02-27","2020-02-27","2019-12-12","2019-12-12","2019-12-12"]}},{"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":""}]}]}