{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LOUISE BROWN","gend":1,"add":"2007 GORDON AVE","city":"RICHMOND","state":"VA","zip":232249999,"dob":"1939-10-20","age":"","mstatus":"","insh":11008803,"cliId":"4HT8J52MK31","pno":7708956363,"cno":8045197441,"email":"","ename":"","eno":"","pphy":"ARMISTEAD, SCOTT","ppno":8043201333,"pcpadd":"4730 N Southside Plaza St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232241742,"pcpcounty":"RICHMOND CITY","pcpid":"P0060162","pcpname":"VCUHS HAYES E WILLIS HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G30.0","I10","I26.99","R26.89","F03.90","R39.81","R15.9","L22","R00.1","E55.9","E03.9","Z87.898","R51","F02.80","Z68.30","H53.9","Z00.00","Z68.29","M19.90","R56.9","E78.00","Z86.711","Z86.73","R41.82","Z20.828","M25.50","G30.9"],"date":["2020-09-25","2020-09-25","2020-07-01","2019-09-20","2019-09-20","2020-10-28","2020-10-28","2020-10-28","2020-03-20","2020-03-13","2020-09-25","2020-09-25","2020-02-07","2020-09-25","2020-02-07","2020-03-13","2020-03-13","2020-06-03","2020-03-13","2020-03-20","2020-09-25","2020-03-20","2020-03-20","2020-03-20","2020-06-21","2020-09-25","2020-08-03"]}},{"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":""}]}]}