{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DOROTHY M CUFFEE","gend":1,"add":"124 ALLARD ROAD","city":"PORTSMOUTH","state":"VA","zip":237014202,"dob":"1950-01-28","age":"","mstatus":"","insh":11008863,"cliId":"3QQ1PX4JJ28","pno":7576737332,"cno":"","email":"","ename":"","eno":"","pphy":"BOWERS, JESSICA A","ppno":7577881880,"pcpadd":"1040 University Blvd Ste 205","pcpcity":"Portsmouth","pcpstate":"VA","pcpzip":237032650,"pcpcounty":"PORTSMOUTH CITY","pcpid":"P0060014","pcpname":"TRI CITIES MEDICAL ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R07.9","R60.0","I11.0","I50.9","E78.00","M79.89","R22.43","L30.9","E87.70","R26.2","M79.606","L89.309","I08.1","I42.9","E66.01","Z68.41","Z79.82","Z79.899","Z98.890","Z82.49","Z11.59","Z00.00","Z13.39","Z12.31","Z78.0","M89.9","M94.9","I10","M25.561","E83.52","Z12.39","Z13.5"],"date":["2020-01-15","2020-01-15","2020-01-20","2020-08-25","2020-08-25","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-08-20","2020-01-21","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-01-21","2020-08-25","2020-08-25","2020-08-25","2020-08-20","2020-08-20"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":""}]}]}