{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENNIFER D SHORTER","gend":1,"add":"510 BELLFIELD DR","city":"NEWPORT NEWS","state":"VA","zip":236089999,"dob":"1972-12-18","age":"","mstatus":"","insh":11012177,"cliId":"3N53Y20GA93","pno":7577521538,"cno":"","email":"","ename":"","eno":"","pphy":"BAGNALL, RICHARD D","ppno":7573452555,"pcpadd":"120 Kings Way Ste 1400","pcpcity":"Williamsburg","pcpstate":"VA","pcpzip":231852508,"pcpcounty":"NEWPORT NEWS CITY","pcpid":"P9059023","pcpname":"RIVERSIDE WILLIAMSBURG FAMILY MEDICINE"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z79.899","R29.898","G43.909","F44.5","D47.02","Z79.891","G89.3","R63.4","F31.81","N89.8","Z11.3","R10.2","N98.9","N76.6","C21.0","C96.20","C96.21","L29.9","M51.16","R10.817","R19.7","D47.01","D47.09","F31.64","R53.82","R63.0","C21.1","R68.89","R53.83","E55.9","K59.00","R06.02","R30.0","R51","Z45.2","N83.202","Z92.21","Z85.048","Z08","D72.822","Z87.19","Z98.0","R53.1","Z74.09","Z74.1","K50.00","G43.409","F17.210"],"date":["2020-03-17","2019-08-29","2019-08-29","2019-08-29","2019-08-29","2020-10-20","2020-10-20","2020-06-16","2020-04-17","2020-05-05","2020-05-05","2020-08-26","2020-05-05","2020-05-05","2020-10-20","2020-10-20","2020-09-11","2020-05-12","2020-08-25","2020-08-25","2020-08-25","2020-05-15","2020-05-15","2020-10-20","2020-07-13","2020-08-25","2020-07-13","2020-07-17","2020-08-25","2020-07-28","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2020-09-15","2020-08-26","2020-10-20","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-10-14","2020-10-14","2020-10-14","2020-10-20","2020-10-20","2020-10-20"]}},{"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":""}]}]}