{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EBENEZER AWUKU-DJAN","gend":0,"add":"3709   ROLLING HILLS AVENUE","city":"ALEXANDRIA","state":"VA","zip":223093752,"dob":"1947-08-26","age":"","mstatus":"","insh":11011989,"cliId":"1Q28P08NA31","pno":5717898399,"cno":"","email":"","ename":"","eno":"","pphy":"BISHWAKARMA, DAN B","ppno":7037468408,"pcpadd":"3709   ROLLING HILLS AVENUE","pcpcity":"ALEXANDRIA","pcpstate":"VA","pcpzip":223093752,"pcpcounty":"Fairfax","pcpid":"P9058986","pcpname":"PRIME MEDICAL CARE LLC"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G46.4","I10","N39.9","R39.81","I69.359","Z99.3","A41.89","R06.03","U07.1","J12.89","R65.21","J80","D65","G93.41","N17.0","E87.4","E87.1","I69.351","D62","N13.8","K50.90","N18.3","E11.22","R91.8","Z46.82","Z45.2","R94.31","J18.9","N17.9","N18.2","I95.9","A41.9","E87.2","E83.51","J96.00","E87.5","J96.01","Z86.79","E83.39","J96.90"],"date":["2020-05-04","2020-05-04","2020-05-04","2020-03-02","2020-03-02","2020-03-02","2020-05-05","2020-05-05","2020-05-17","2020-05-05","2020-05-10","2020-05-05","2020-05-05","2020-05-05","2020-05-10","2020-05-05","2020-05-05","2020-05-05","2020-05-05","2020-05-05","2020-05-05","2020-05-05","2020-05-05","2020-05-16","2020-05-16","2020-05-07","2020-05-10","2020-05-18","2020-05-17","2020-05-07","2020-05-10","2020-05-09","2020-05-09","2020-05-10","2020-05-10","2020-05-07","2020-05-20","2020-05-17","2020-05-10","2020-05-16"]}},{"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":"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":""}]}]}