{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRENDA PENN","gend":1,"add":"7307 HULL STREET","city":"NORTH CHESTERFIELD","state":"VA","zip":232359999,"dob":"1976-09-05","age":"","mstatus":"","insh":11008976,"cliId":"7X55J43XF98","pno":8043162925,"cno":8043102444,"email":"","ename":"","eno":"","pphy":"STIRGWOLT, JENNIFER K","ppno":8047691245,"pcpadd":"4917 Richmond Tappahannock Hwy","pcpcity":"Aylett","pcpstate":"VA","pcpzip":230093427,"pcpcounty":"King William","pcpid":"P0113816","pcpname":"PRIMARY HEALTH GROUP INC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G47.33","M79.674","A49.9","J34.89","R06.2","L08.9","R05","S90.411A","R09.81","W22.8XXA","J45.909","E11.9","I10","E78.5","F32.9","Z79.84","Z12.31","M25.561","F25.0","F31.32","F25.1","F90.2","F43.12","R45.851","Z68.43","K21.9","F31.9","Z79.899","Z81.8","E66.01","Z91.5","F60.3","Z79.51","Z82.5","R00.0","R91.8","E66.2","E11.69","S42.442A","R19.7","E87.6","K80.20","R10.9","F31.5","F41.1","R51","R07.9","R07.89","I20.0","I51.7","R07.1","R07.81","R06.00","G47.30","R10.84","R73.9","N39.0","R11.0","K76.0","R63.4","M25.522","S20.219A","W07.XXXA","R06.02","G44.219","G25.0","Z68.42","M79.604","M79.651","M79.2","R20.0","F25.9","R20.2","M25.572","X58.XXXA","S82.52XA","M79.672","X50.1XXA","Y93.01","E11.40","S99.912A","W01.0XXA","Z47.89","M25.551","Z46.89","S82.52XD","M25.562","W06.XXXA","S89.92XA","R44.1","R94.31","E11.65","S82.899K","E66.9","R42","E16.2","E11.21","E78.00","Z91.19","W19.XXXA","S93.402A","W18.30XA","W18.39XA","M54.5","M79.676","K59.00","M79.675","S80.912A","Z68.41","Z88.8","Z91.013","Z56.0","Z83.3","F43.10","E86.0","R10.30","R10.10","R63.0","M54.9","K62.5"],"date":["2020-06-11","2019-10-09","2019-10-09","2019-10-09","2020-01-26","2019-10-09","2019-10-09","2019-10-09","2019-10-09","2020-08-29","2020-10-08","2020-11-02","2020-11-02","2020-10-08","2020-08-29","2020-10-08","2019-10-17","2019-10-22","2019-11-03","2019-12-23","2020-06-23","2019-11-18","2020-07-30","2020-07-04","2020-01-26","2020-08-29","2020-01-26","2020-07-04","2020-07-04","2020-07-04","2020-01-26","2020-06-23","2020-07-04","2020-01-26","2020-01-26","2020-01-26","2020-01-30","2020-06-18","2020-01-27","2020-02-25","2020-02-12","2020-02-26","2020-08-29","2020-09-17","2020-09-17","2019-12-27","2020-03-07","2019-12-30","2019-12-30","2019-12-30","2019-12-30","2020-03-07","2020-01-22","2020-01-22","2020-02-18","2020-02-12","2020-08-29","2020-02-18","2020-02-19","2020-03-11","2020-03-07","2020-03-07","2020-03-07","2020-01-02","2020-04-01","2020-07-04","2020-07-04","2020-04-03","2020-04-03","2020-04-03","2020-04-03","2020-08-29","2020-08-03","2020-08-29","2020-04-06","2020-04-25","2020-08-29","2020-08-03","2020-04-06","2020-07-04","2020-08-03","2020-04-06","2020-04-25","2020-04-25","2020-04-25","2020-04-25","2020-05-13","2020-05-13","2020-05-13","2020-07-03","2020-06-14","2020-06-21","2020-06-16","2020-06-17","2020-07-03","2020-07-03","2020-07-04","2020-07-04","2020-07-04","2020-08-03","2020-08-03","2020-08-03","2020-08-03","2020-08-29","2020-08-29","2020-10-08","2020-08-29","2020-05-13","2020-06-07","2020-06-07","2020-06-07","2020-06-07","2020-06-07","2020-06-11","2020-06-12","2020-10-08","2020-10-08","2020-10-08","2020-11-02","2020-11-02"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}