{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RAUL A TOYOS","gend":0,"add":"2906   FURMAN LANE #T3","city":"ALEXANDRIA","state":"VA","zip":223069999,"dob":"1962-11-17","age":"","mstatus":"","insh":11014083,"cliId":"8GP9UC8UV46","pno":2022301256,"cno":"","email":"","ename":"","eno":"","pphy":"SHAHCHERAGHI, ALI","ppno":7035355568,"pcpadd":"6677 Richmond Hwy","pcpcity":"Alexandria","pcpstate":"VA","pcpzip":223066647,"pcpcounty":"FAIRFAX","pcpid":"P9058330","pcpname":"ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES INC"},{"a":{"indx":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I10","R33.9","R39.81","N31.9","A41.89","J96.01","R65.21","J80","J15.9","J12.89","G93.41","U07.1","E87.2","D68.69","I24.8","E87.0","I69.354","E87.1","R56.9","Z78.9","E11.649","G93.89","J18.1","J96.00","Z03.818","R06.00","R06.03","Z74.3","J98.4","R91.8","R31.9","N32.81","R94.5","J20.9","J18.9","E11.9","I69.30","G40.89","E78.5","N40.0","M62.81","R26.2","R53.1","Z71.2","R11.0","I48.91","M54.5","N18.3","N17.8","E87.5","N31.8","I50.9","R74.8","N30.00","D64.9","N39.0","E11.40","F03.90","G83.9","I63.9","I69.352","Z74.01","L89.149","L89.90","L98.499","R05","R11.11"],"date":["2020-10-31","2020-10-22","2020-10-29","2020-10-22","2020-06-15","2020-08-01","2020-06-19","2020-06-15","2020-06-15","2020-06-25","2020-06-15","2020-08-01","2020-06-15","2020-06-15","2020-06-15","2020-06-15","2020-09-20","2020-07-21","2020-06-15","2020-06-15","2020-08-01","2020-06-15","2020-06-15","2020-06-15","2020-06-19","2020-06-19","2020-06-15","2020-06-15","2020-06-20","2020-06-20","2020-10-29","2020-10-29","2020-06-25","2020-06-25","2020-08-01","2020-10-29","2020-08-01","2020-08-01","2020-08-01","2020-08-01","2020-08-21","2020-08-01","2020-08-03","2020-07-21","2020-07-06","2020-07-07","2020-07-09","2020-07-13","2020-07-21","2020-07-13","2020-08-10","2020-07-20","2020-07-16","2020-07-21","2020-07-31","2020-07-31","2020-09-20","2020-09-20","2020-09-21","2020-10-29","2020-10-29","2020-10-29","2020-10-29","2020-08-21","2020-08-21","2020-09-03","2020-09-03"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}