{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARK WILLIAMS","gend":0,"add":"3807 CHAMBERLAYNE AVE APT 8","city":"RICHMOND","state":"VA","zip":232279999,"dob":"1954-07-08","age":"","mstatus":"","insh":11013769,"cliId":"3FK1GT3XN27","pno":8049393318,"cno":"","email":"","ename":"","eno":"","pphy":"DONATO, ALPA PATEL","ppno":7579552828,"pcpadd":"885 Kempsville Rd Ste 320","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235023800,"pcpcounty":"HENRICO","pcpid":"P0133974","pcpname":"SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS"},{"a":{"indx":[{"index":1}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I46.9","J96.01","I50.43","J96.02","J18.9","I13.0","E87.2","N17.9","G93.40","I48.20","B18.2","E11.22","I25.10","I25.5","I48.0","N18.3","R00.1","K92.2","J91.8","I49.3","I25.2","R94.31","R42","S29.9XXA","J90","I51.7","I50.23","F17.210","Z79.01","Z95.1","I49.1","R41.82","D50.9","E11.21","I12.9","I08.8","I87.8","I11.0","I50.20","Z79.4","I49.5","Z95.810","Z95.5","Z45.018","J98.4","N18.9","R50.9","Z95.0","I50.22","R50.82","Z86.74","E83.42","M13.10","M19.031","M19.041","M79.89","R78.81","B96.89","M10.9","D69.6","I08.2","R91.8","J81.1","Z98.890","J94.8","I21.9","B95.7","D64.9","B02.9","R07.9","I47.1","J98.11","Z45.02","M79.10","F10.20","I21.19","I49.9","R09.89","R55","T40.2X1A","G92","N18.4","K21.0","F12.10","R09.02","F11.10","F14.10","M19.072","E11.9","M25.572","M77.32","M67.874","I50.9","R06.00"],"date":["2020-07-20","2020-07-14","2020-07-13","2020-07-07","2020-09-11","2020-09-11","2020-09-11","2020-10-11","2020-09-12","2020-07-14","2020-09-11","2020-09-11","2020-09-11","2020-09-09","2020-09-11","2020-07-23","2020-07-04","2020-07-31","2020-07-04","2020-07-04","2020-10-10","2020-10-10","2020-07-04","2020-07-04","2020-10-10","2020-07-31","2020-09-11","2020-09-11","2020-09-09","2020-09-11","2020-09-11","2020-07-07","2020-07-07","2020-07-07","2020-07-18","2020-07-08","2020-07-08","2020-09-09","2020-09-09","2020-09-19","2020-07-13","2020-09-11","2020-07-31","2020-07-14","2020-07-14","2020-07-17","2020-07-22","2020-10-10","2020-07-23","2020-07-22","2020-08-14","2020-07-19","2020-07-20","2020-07-18","2020-07-18","2020-07-18","2020-07-23","2020-07-19","2020-09-19","2020-07-23","2020-07-22","2020-10-10","2020-07-22","2020-07-22","2020-07-31","2020-07-22","2020-07-23","2020-09-11","2020-07-31","2020-07-31","2020-07-31","2020-10-10","2020-08-14","2020-08-23","2020-09-11","2020-09-11","2020-09-11","2020-10-10","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2020-09-19","2020-09-19","2020-09-19","2020-09-19","2020-09-19","2020-10-11","2020-10-11"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}