{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CECILIA V BROUGHTON","gend":1,"add":"3867 CAULDER COURT","city":"RICHMOND","state":"VA","zip":232245032,"dob":"1991-07-12","age":"","mstatus":"","insh":11011464,"cliId":"8W33AJ6DN01","pno":8046661853,"cno":"","email":"","ename":"","eno":"","pphy":"ARMISTEAD, SCOTT","ppno":8043201333,"pcpadd":"3867 CAULDER COURT","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232245032,"pcpcounty":"Richmond City","pcpid":"P0060162","pcpname":"VCUHS HAYES E WILLIS HEALTH CENTER"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["L02.416","J11.1","E11.65","F32.9","B20","G89.29","Z79.2","Z79.4","S81.802A","H25.12","H25.89","E11.9","J45.909","F32.3","B88.9","Z79.899","Z23","A08.4","R11.2","R10.84","R07.2","R06.02","R07.89","R10.13","R07.9"],"date":["2020-02-04","2020-02-03","2020-02-04","2020-02-04","2020-04-16","2020-02-04","2020-02-04","2020-02-25","2020-02-11","2020-02-18","2020-02-18","2020-04-16","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-03-14","2020-03-14","2020-03-14","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16"]}},{"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":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}}]},{"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":""}]}]}