{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GLORIA S MOORE","gend":1,"add":"1545 TALLEY CIRCLE","city":"PORTSMOUTH","state":"VA","zip":237043244,"dob":"1952-08-18","age":"","mstatus":"","insh":11008813,"cliId":"3H96M53GY57","pno":7572342842,"cno":"","email":"","ename":"","eno":"","pphy":"DAJAO, RISE FAITH E","ppno":7574836401,"pcpadd":"1545 TALLEY CIRCLE","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":237043244,"pcpcounty":"PORTSMOUTH CITY","pcpid":"P0110907","pcpname":"FIRST CARE PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.16","Z68.36","Z12.31","E11.22","N18.6","M48.061","E11.9","K21.9","I10","M19.90","Z79.4","Z79.899","E11.42","E78.1","M25.473","Z23","I35.1","I37.1","I13.2","I50.32","E78.5","Z68.41","Z68.39","B35.1","B35.3","M47.816","M79.18","M54.42","M54.41","G89.29","R42"],"date":["2020-04-28","2019-09-10","2019-09-19","2020-06-01","2020-04-28","2019-09-17","2019-09-17","2019-09-17","2020-05-06","2019-09-17","2019-09-17","2019-09-17","2019-10-24","2019-09-24","2019-10-11","2019-09-24","2019-10-11","2019-10-11","2019-10-15","2019-10-15","2020-06-01","2019-10-15","2019-10-31","2019-10-24","2019-10-24","2020-04-28","2020-04-28","2020-04-28","2020-04-28","2020-04-28","2020-05-06"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}