{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOHN R KIRBY","gend":0,"add":"10020 HULL ST RD","city":"N CHESTERFLD","state":"VA","zip":232369999,"dob":"1957-06-20","age":"","mstatus":"","insh":11009763,"cliId":"2AD3NG7YR03","pno":8043568136,"cno":8047451900,"email":"","ename":"","eno":"","pphy":"BECKWITH, DOUGLAS E","ppno":8047962373,"pcpadd":"12901 Briggs Rd","pcpcity":"Chester","pcpstate":"VA","pcpzip":238315335,"pcpcounty":"CHESTERFIELD","pcpid":"P0060159","pcpname":"CHESTER FAMILY MEDCARE PC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R32","R60.0","J45.40","R73.9","E11.65","R45.851","J45.909","I10","E78.5","F31.9","F20.9","Z59.0","Z79.84","Z86.711","Z86.718","I11.0","E87.1","E11.21","E83.42","E66.01","F10.10","F25.9","I50.9","I89.0","Z88.8","R19.09","K40.90","R94.31","Z79.899","N39.41","M62.81","R62.7","E88.09","I51.7","I77.819","R80.9","F41.1","E11.620","I25.10","Z91.14","Z91.19","R73.09","Z74.3","R06.00","E11.9","E10.620","F31.60","E11.49","B35.1","L85.1","E87.5","F41.9","R69","L40.9","E66.9","Z68.41","E87.6","E78.2","M19.90","R19.7","E22.2","Z68.42","D64.9","E87.70","G47.00","G62.9","R60.9","M79.89","R06.02","R22.43","F10.20","R60.1","R42","R53.1","Z79.4","Z95.828","J44.9","Z87.891","Z86.79","N18.9","I11.9","L03.115","L03.116","N18.3","Z20.828","E11.22","G47.33","I12.9","S99.919A","B95.62","R00.2","Z76.0","R45.89","F41.0","R45.0","Z76.89","K74.60","K76.0","R16.2","E11.42","R20.0","G57.91","F32.9","F10.129","R51","Y90.6","R62.51","H25.13","H43.813","H01.001","E11.622","L89.892","L30.9"],"date":["2020-04-24","2020-01-29","2020-07-09","2020-04-24","2020-10-28","2020-06-15","2020-08-11","2020-08-18","2020-08-11","2020-08-18","2020-08-18","2020-08-11","2020-05-15","2020-08-18","2020-08-03","2020-01-26","2020-06-19","2020-06-04","2020-01-29","2020-07-15","2020-05-25","2020-08-18","2020-01-26","2020-01-26","2020-01-26","2020-01-26","2020-01-26","2020-01-26","2020-05-14","2020-10-14","2020-10-14","2020-01-26","2020-01-27","2020-01-28","2020-01-28","2020-06-19","2020-08-18","2020-08-18","2020-06-03","2020-07-09","2020-03-26","2020-08-08","2020-08-18","2020-01-29","2020-10-12","2020-06-11","2020-09-01","2020-08-18","2020-08-18","2020-08-18","2020-05-14","2020-08-18","2020-09-28","2020-04-25","2020-04-28","2020-07-15","2020-04-15","2020-07-09","2020-04-24","2020-04-24","2020-05-15","2020-05-15","2020-05-15","2020-05-15","2020-05-15","2020-05-15","2020-06-19","2020-10-28","2020-08-18","2020-05-18","2020-05-19","2020-06-03","2020-05-27","2020-06-15","2020-10-28","2020-06-04","2020-08-18","2020-08-18","2020-05-27","2020-06-19","2020-06-25","2020-08-18","2020-08-18","2020-08-18","2020-07-15","2020-07-15","2020-10-29","2020-08-18","2020-07-15","2020-08-18","2020-08-03","2020-08-08","2020-08-18","2020-08-18","2020-08-18","2020-04-28","2020-05-16","2020-05-16","2020-05-16","2020-06-08","2020-06-08","2020-06-08","2020-06-15","2020-06-15","2020-06-15","2020-06-15","2020-06-03","2020-10-05","2020-10-05","2020-10-05","2020-10-28","2020-10-28","2020-10-28"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}