{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STACI WARREN","gend":1,"add":"3821 PASSAGE WAY DR","city":"CHESTER","state":"VA","zip":238319999,"dob":"1985-10-19","age":"","mstatus":"","insh":11013352,"cliId":"4RY7NV0FN57","pno":8048956351,"cno":"","email":"","ename":"","eno":"","pphy":"BECKWITH, DOUGLAS E","ppno":8047962373,"pcpadd":"12901 Briggs Rd","pcpcity":"Chester","pcpstate":"VA","pcpzip":238315335,"pcpcounty":"CHESTERFIELD","pcpid":"P0151332","pcpname":"SOUTHSIDE PHYSICIANS NETWORK-FAMILY MEDICINE"},{"a":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["O09.521","O99.211","E66.9","Z3A.13","Z39.1","Z34.82","Z34.83","O99.212","Z3A.20","Z68.32","R63.5","Z13.1","K64.4","O22.42","O99.810","R52","N89.8","O26.843","Z3A.32","M79.604","M79.605","O26.849","Z36.85","Z11.3","O80","Z37.0","O99.344","F31.9","O69.81X0","Z87.440","Z91.14","Z91.040","F33.2"],"date":["2020-04-23","2020-04-23","2020-06-09","2020-04-23","2020-06-08","2020-07-27","2020-06-08","2020-06-09","2020-06-09","2020-06-09","2020-06-30","2020-07-27","2020-07-28","2020-07-28","2020-07-29","2020-08-20","2020-08-21","2020-08-31","2020-08-31","2020-08-20","2020-08-20","2020-08-20","2020-09-18","2020-09-18","2020-10-20","2020-10-20","2020-10-20","2020-10-20","2020-10-20","2020-10-20","2020-10-20","2020-10-20","2020-10-21"]}},{"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":[]}]},{"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":""}]}]}