{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WENDY A PELLETIER","gend":1,"add":"41   MARBRONE MANOR DRIVE","city":"RIDGEWAY","state":"VA","zip":241484441,"dob":"1970-03-22","age":"","mstatus":"","insh":5634557,"cliId":"","pno":2762249755,"cno":"","email":"","ename":"","eno":"","pphy":"CHAN M PARK FAMILY PRACTICE","ppno":2769562047,"pcpadd":"6460 Greensboro Rd","pcpcity":"Ridgeway","pcpstate":"VA","pcpzip":241483478,"pcpcounty":"","pcpid":"P9443268","pcpname":"PARK MD CHAN M FAMILY PRACTICE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["E03.9","M79.7","A41.89","J09.X1","E86.0","M62.82","A41.9","J10.00","J96.91","E87.0","C83.10","E87.1","E87.6","F17.210","G43.909","M19.90","M81.0","K59.00","J11.1","J18.9","R06.02","J96.01","J18.1","J20.1","J14","G25.81","C85.90","F10.10","F41.9","Z79.52","Z79.51","J15.9","M79.662","R51","D64.9","R05","R53.1","R50.9","Z53.21","E83.42","Z71.6","M06.9","M35.00","Z86.69","Z79.891","R91.8","R53.83","N63.21","R20.9","R11.0","Z12.31","N64.89","E05.90","N28.9","E55.9","Z00.00","R22.0","R63.4","Z02.89","R17","Z12.4","Z20.2","M54.5","K11.8","C85.80","I73.00","Z88.5","Z79.899","R59.0","R22.1","F32.9","R19.7","R10.84","R10.9","F43.9","J01.90","B34.9","F39","G47.00","M54.9","Z71.3","Z71.89","F17.219","N18.3","G89.29"],"date":["2020-09-10","2020-09-10","2019-05-17","2019-02-20","2019-05-17","2019-02-26","2019-02-26","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-05-24","2019-12-06","2019-02-20","2019-11-02","2019-11-02","2020-01-06","2019-02-26","2019-02-26","2019-02-20","2019-02-26","2019-02-26","2019-04-10","2019-04-10","2020-09-10","2019-10-15","2019-04-10","2020-09-10","2019-04-10","2019-04-10","2019-05-24","2019-03-15","2019-12-06","2019-09-25","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-05-24","2019-05-17","2020-01-03","2019-11-02","2019-05-17","2019-11-02","2019-05-17","2020-04-10","2019-06-03","2019-06-03","2020-03-17","2019-06-26","2019-06-26","2019-08-05","2019-09-18","2019-08-05","2019-08-12","2019-09-18","2020-09-10","2019-09-18","2019-09-18","2019-09-25","2019-09-25","2020-01-06","2019-10-15","2020-09-10","2019-11-02","2019-11-02","2020-04-10","2019-10-24","2019-11-02","2019-11-02","2019-11-02","2020-01-03","2020-01-03","2020-02-06","2020-02-06","2020-02-06","2020-03-17","2020-03-17","2020-06-10","2020-09-10","2020-09-10","2020-06-10","2020-09-10","2020-09-10"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-Assessment and 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 and Diagnoses","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":[]},{"a":[]}]},{"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 & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":""}]}]}