{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LYNA PEREZ","gend":1,"add":"PO BOX 173","city":"WILLIS WHARF","state":"VA","zip":234860173,"dob":"2003-03-13","age":"","mstatus":"","insh":6963496,"cliId":"","pno":7574423723,"cno":"","email":"","ename":"","eno":"","pphy":"RIOPEL, DAVID","ppno":"","pcpadd":"9159 FRANKTOWN RD","pcpcity":"FRANKTOWN","pcpstate":"VA","pcpzip":233540001,"pcpcounty":"","pcpid":"P9058653","pcpname":"FRANKTOWN COMMUNITY HEALTH CENTER"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["G43.019","M08.80","M25.531","R51","R10.9","Z51.81","R70.0","D64.9","J02.9","Z88.0","N94.4","Z30.41","R10.33","R11.0","R11.11","Z68.54","Z00.129","R06.83","J45.20","J30.1","G43.001","E66.9","Z23","J00","J45.21","O21.9","O21.8","E86.0","Z3A.01","G40.209","Z87.891","M25.532","R60.0","R10.11","Z79.51","Z79.899","J45.909","R10.31","R10.13","G47.30","J35.1","H93.11","J30.9","R93.89","R79.82","M08.90","M54.5","H93.293","H93.13","R42","K21.9","K76.0","R74.8","M54.9","M13.80","M35.7","M65.88","M67.432","B19.10","E55.9","G43.909","R45.89","Z79.1","M25.551","M25.552","K52.9","B34.9","L85.0","K59.04","R06.02","M06.9","Z86.79","R10.12","J45.30","G47.33","G47.61","H65.01","R04.0","M08.939","R62.52","J45.41","M08.88","G47.00","G47.21","M79.604","M25.572","M25.571","K58.0","J30.89","J30.81","Z82.5","Z87.2","R68.89","L83","B34.1","R05","R09.81","H53.149","J06.9","R06.2","R20.2","M08.99","M65.9","R19.7","R40.4","L50.0","R21","X58.XXXA","Y92.89","T50.8X5A","M25.50","L53.8","M46.1","R10.32","R74.0","R10.30","R07.89","R07.9","G43.009","Z01.818","K29.80","K20.9","K29.70","K75.81","R10.10","R63.4","R10.84","Z71.3","Z71.82","F32.9","G47.10","N39.0","B37.3","F32.89","J31.0","F41.9","R06.00","H10.45","M53.3","M25.561","G47.11","G47.419","R82.90","Z87.440","G47.411","F06.4","M08.832","M46.98","M94.0","Z20.828","R26.81","M25.652","L29.8"],"date":["2018-08-17","2020-09-16","2019-08-20","2019-10-18","2020-08-01","2020-09-16","2020-09-16","2019-03-07","2020-03-12","2018-11-02","2019-11-27","2019-11-27","2020-01-10","2019-10-18","2018-11-14","2018-11-16","2020-01-06","2020-04-30","2020-10-01","2020-10-01","2018-11-16","2019-11-19","2020-01-06","2018-12-03","2019-03-15","2018-12-06","2018-12-06","2018-12-06","2018-12-06","2018-12-06","2018-12-06","2019-10-02","2018-12-22","2019-12-17","2019-01-02","2020-09-16","2020-01-28","2020-01-28","2019-10-18","2019-01-09","2019-01-09","2019-01-09","2019-01-09","2019-01-09","2019-01-09","2020-04-13","2019-01-24","2019-02-26","2019-02-26","2019-03-14","2019-11-19","2019-03-07","2020-03-11","2019-03-07","2019-03-07","2019-03-07","2019-03-07","2019-03-07","2019-03-07","2019-03-07","2019-12-09","2019-03-07","2019-03-07","2019-03-07","2020-09-15","2019-03-11","2019-03-11","2019-03-11","2019-03-14","2019-03-14","2020-09-15","2019-03-15","2020-01-10","2020-03-02","2020-03-16","2020-03-16","2019-05-13","2019-06-26","2019-06-26","2019-06-26","2019-07-01","2020-09-18","2019-07-19","2019-07-19","2019-08-20","2019-08-20","2019-08-20","2019-08-20","2020-10-01","2020-10-01","2019-08-22","2019-08-22","2020-01-22","2019-08-27","2019-09-21","2019-11-25","2019-11-25","2019-09-21","2020-03-12","2019-11-25","2019-09-23","2019-10-02","2019-10-02","2020-01-28","2019-10-18","2019-10-26","2019-10-26","2019-10-26","2019-10-26","2019-10-26","2020-08-01","2019-10-26","2020-08-01","2019-11-08","2020-08-01","2019-12-16","2019-11-25","2020-04-30","2020-08-01","2019-12-10","2019-12-16","2019-12-16","2019-12-16","2019-12-16","2019-12-16","2019-12-16","2019-12-16","2020-01-06","2020-01-06","2020-09-16","2020-04-30","2020-01-31","2020-02-14","2020-09-21","2020-03-02","2020-04-30","2020-03-02","2020-03-11","2020-03-11","2020-03-11","2020-07-17","2020-09-16","2020-03-17","2020-03-17","2020-05-12","2020-06-02","2020-05-27","2020-05-27","2020-06-02","2020-07-02","2020-09-15","2020-09-15","2020-08-01"]}},{"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":""}]}]}