{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAHER AFZAL","gend":0,"add":"7131 SILVERLAKE BLVD","city":"ALEXANDRIA","state":"VA","zip":223159999,"dob":"1943-10-17","age":"","mstatus":"","insh":11011795,"cliId":"9P62XJ7EK23","pno":7034989996,"cno":"","email":"","ename":"","eno":"","pphy":"HERRERA, ALBERT A","ppno":7037802800,"pcpadd":"7131 SILVERLAKE BLVD","pcpcity":"ALEXANDRIA","pcpstate":"VA","pcpzip":223159999,"pcpcounty":"FAIRFAX","pcpid":"P0144349","pcpname":"MT VERNON INTERNAL MEDICINE PRIVIA MEDICAL GROUP"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["C73","D64.9","E78.5","I10","R73.01","C78.02","C78.01","R59.0","I51.7","E89.0","R91.8","R59.9","M79.89","K76.89","N18.3","Z85.850","E78.01","E03.9","I48.0","I34.0","G47.09"],"date":["2020-04-30","2020-03-17","2020-03-17","2020-04-07","2020-03-17","2020-03-18","2020-03-18","2020-03-18","2020-03-18","2020-03-24","2020-03-18","2020-03-18","2020-03-18","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-04-07","2020-05-11","2020-03-26","2020-03-26"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":{"indx":[{"index":7,"values":[{"index":"ASIAN\/PACIFIC"}]}],"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":""}]}]}