{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MAXINE SHIFFLETT","gend":1,"add":"267 MIDDLE MTN RD","city":"STANARDSVILLE","state":"VA","zip":229739999,"dob":"1943-04-03","age":"","mstatus":"","insh":11001524,"cliId":"5CP4YM6CV96","pno":4349906046,"cno":"","email":"","ename":"","eno":"","pphy":"TAYLOR, MARSHA L","ppno":4349852891,"pcpadd":"267 MIDDLE MTN RD","pcpcity":"STANARDSVILLE","pcpstate":"VA","pcpzip":229739999,"pcpcounty":"GREENE","pcpid":"P9307359","pcpname":"GREENE FAMILY MEDICINE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I15.0","M79.671","R42","M10.9","Z00.00","R39.81","I50.9","E11.22","I70.1","E78.5","K21.9","I25.10","I25.2","I10","N18.3","G47.00","Z72.0","L03.115","Z23","W19.XXXA","L98.9","E11.9","R06.02","I11.0","Z87.891","I13.0","I50.31","I16.1","Z66","R09.02","Z86.73","Z79.84","Z79.02","R91.8","J81.0","Z74.01","R40.4","N28.9","E87.6","L03.811","F17.210","R03.0","Z79.82","Z79.899","R53.1","R11.2","R55","N17.9","I50.32","E78.00","Z86.79","R60.9","I44.7","R05"],"date":["2019-03-05","2018-04-27","2018-04-27","2019-06-25","2019-03-05","2020-05-28","2019-06-25","2020-01-13","2019-09-26","2019-09-26","2019-09-26","2019-09-26","2019-06-25","2020-01-13","2020-01-13","2018-07-27","2019-03-05","2019-09-26","2019-09-26","2019-09-26","2018-10-11","2018-11-30","2018-01-31","2018-01-31","2020-01-13","2018-04-04","2018-02-02","2018-02-02","2018-02-01","2018-02-01","2018-04-04","2018-02-01","2018-03-26","2018-01-31","2018-02-01","2018-02-01","2018-02-01","2018-02-19","2019-03-15","2018-03-16","2018-04-04","2018-04-04","2018-04-04","2018-04-04","2019-03-27","2018-04-04","2018-04-04","2018-04-04","2018-04-04","2018-04-04","2018-04-08","2018-04-05","2018-04-08","2020-01-13"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","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 & 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":""}]}]}