{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEBORAH P TURNER","gend":1,"add":"715 MADISON ST APT 202","city":"PORTSMOUTH","state":"VA","zip":237049999,"dob":"1957-02-18","age":"","mstatus":"","insh":11012925,"cliId":"3UD8G34XE64","pno":7575379476,"cno":"","email":"","ename":"","eno":"","pphy":"HUMADI, SAHIRA A","ppno":7574465955,"pcpadd":"1701 High St","pcpcity":"Portsmouth","pcpstate":"VA","pcpzip":237043103,"pcpcounty":"PORTSMOUTH CITY","pcpid":"P9058629","pcpname":"EVMS MEDICAL GROUP"},{"a":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["S52.502A","S52.602A","G56.02","M25.532","S52.532A","F17.200","Z79.899","R56.9","Z98.890","W19.XXXA","Y93.41","W18.39XA","Z12.31","Z01.818","Z11.59","Z53.09","Z79.1","Z88.5","Z68.23","S52.602G","Z87.81","Z68.22"],"date":["2020-09-09","2020-08-12","2020-07-28","2020-07-08","2020-07-08","2020-07-08","2020-07-28","2020-07-08","2020-09-09","2020-07-28","2020-07-08","2020-07-08","2020-07-13","2020-07-16","2020-07-23","2020-07-21","2020-07-28","2020-07-28","2020-08-12","2020-09-09","2020-09-09","2020-09-09"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}