{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GREGORY A MAHANES","gend":0,"add":"406   JONES STREET","city":"APPOMATTOX","state":"VA","zip":245229999,"dob":"1950-05-01","age":"","mstatus":"","insh":11000015,"cliId":"7K54PW7EF68","pno":4342093185,"cno":"","email":"","ename":"","eno":"","pphy":"WOLF, ANDREW MICHAEL","ppno":4349245321,"pcpadd":"406   JONES STREET","pcpcity":"APPOMATTOX","pcpstate":"VA","pcpzip":245229999,"pcpcounty":"APPOMATTOX","pcpid":"P0060040","pcpname":"UVA PRIMARY CARE CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J44.1","J96.11","E66.9","Z72.0","G47.33","F20.9","D72.1","J44.9","J96.21","R06.02","E87.4","Z99.81","E78.5","F17.210","F31.9","F41.9","I10","I25.10","Z66","Z87.01","F33.2","J20.9","G47.61","F32.1","R06.2","J44.0","Z95.1","Z79.82","Z80.9","M17.11","Z79.899","Z88.5","Z88.2","M19.90","Z91.89","M17.0","M25.561","M25.562","Z01.818","G89.29","F17.200","Z01.810","R06.09","R21","H90.5","J42","R47.02","R13.10","K21.9","J40","J98.4","R91.8","R93.89","R06.9","H25.13","D62","G89.18","Z79.51","M17.9","M79.89","W19.XXXD","M54.5","I25.119","I20.9","R06.00","J84.9","R60.0","Z87.891","Z95.5","R42","R06.89","E66.09","Z68.36","Z96.651","R55","F51.04","M17.12","Z71.6","R29.6","Z23","Z99.89","Z12.11","A41.9","J18.9","E87.1","N17.9","E87.6","F12.90","R05","D12.3","D12.5","Z86.010","I49.1","I47.1","I47.2"],"date":["2019-09-09","2019-05-18","2019-05-08","2019-09-09","2019-05-08","2019-04-14","2018-12-19","2019-05-18","2019-04-14","2019-05-18","2018-12-19","2019-04-24","2019-09-09","2019-04-14","2019-04-24","2018-12-19","2019-09-09","2019-05-18","2018-12-19","2018-12-19","2019-09-09","2019-04-14","2019-01-07","2019-08-28","2019-02-06","2019-02-06","2019-05-18","2019-05-18","2019-02-06","2019-06-20","2019-05-18","2019-04-24","2019-02-06","2019-04-14","2019-02-07","2018-02-20","2019-06-20","2018-08-27","2019-03-21","2018-06-14","2019-05-08","2019-03-21","2019-03-21","2019-08-12","2019-04-09","2019-05-18","2019-04-14","2019-04-14","2019-04-14","2019-04-14","2019-04-13","2019-04-13","2019-04-13","2019-05-18","2017-04-18","2019-04-24","2019-04-24","2019-05-08","2019-04-24","2019-04-29","2017-05-02","2017-05-02","2017-05-02","2017-05-02","2019-05-08","2019-05-08","2019-05-08","2019-05-18","2019-05-08","2019-05-18","2019-05-18","2018-06-14","2018-06-14","2019-06-20","2018-08-21","2019-08-12","2019-09-06","2019-09-09","2017-10-06","2017-10-06","2017-10-06","2017-11-14","2018-11-01","2018-10-30","2018-11-01","2018-11-01","2018-11-01","2018-10-30","2018-10-30","2017-11-14","2017-11-14","2017-11-14","2017-12-15","2017-12-15","2017-12-15"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","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 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":""}]}]}