{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SIDNEY E HAVENS","gend":0,"add":"1522B WENONAH AVE","city":"PEARISBURG","state":"VA","zip":241349999,"dob":"1944-06-02","age":"","mstatus":"","insh":11002073,"cliId":"2N26X81YH47","pno":5409210379,"cno":"","email":"","ename":"","eno":"","pphy":"COMBS, KIMBERLY H","ppno":4348467374,"pcpadd":"2019 Tate Springs Rd Ste A","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245011131,"pcpcounty":"GILES","pcpid":"P9058961","pcpname":"PIEDMONT FAMILY PRACTICE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J44.9","G47.00","G58.8","G70.9","F41.8","E55.9","I87.2","M50.33","M24.542","I73.9","R06.02","Z87.891","R00.1","R06.00","R91.8","Z11.59","J98.11","Z99.81","Z86.718","Z79.01","R94.31","J43.9","F22","R41.82","F60.0","R07.9","R44.1","R44.0","R09.89","F33.3","E53.8","Z86.711","K21.9","G62.9","F10.10","F41.1","F51.05","G31.84","K64.9","Z79.899","Z91.19","F09","G57.20","F32.9","Z78.9","Z87.898","M19.90","M62.81","F41.9","R53.1","R42","R10.84","R45.89","I95.9","R55","E86.0","Z79.51","R41.89","Z74.3","M25.572","M06.9","Z74.2","F03.91","R45.851","F10.959","J18.1","J44.1","H61.21","J18.9","R05","R06.2","R06.09","J44.0","J96.11","I27.0","Z23","J96.91","Z86.010","R68.89","G93.89","I65.29","J98.4","R53.83","R06.82","R40.4","I70.213","D64.9","R73.9","Z88.8","A41.9","E87.2","E46","Z68.1","I10","H81.10","F10.20","F15.10","R33.9","B50.9","F20.0","F39","M79.89","R79.1","R79.89","R60.9","R26.0","I70.0","I77.1","R93.89","E43","R64","K76.0","Z88.3","Z91.02","Z79.02","R50.9","R27.9","R78.81","H61.20","Z91.14","R09.02","Z11.1","Z76.89","Z13.21","H61.23","R76.11","R19.7","R52"],"date":["2020-09-17","2019-04-26","2019-04-26","2019-04-26","2019-04-26","2020-04-23","2019-04-26","2019-04-26","2019-04-26","2019-04-26","2020-02-21","2020-02-04","2019-03-06","2019-02-20","2020-02-04","2018-02-21","2019-03-01","2020-01-18","2020-02-21","2019-03-06","2020-01-27","2020-02-21","2020-02-04","2019-12-27","2019-05-09","2019-03-06","2019-03-06","2019-03-06","2020-01-27","2019-04-11","2019-04-11","2020-02-21","2020-08-13","2019-04-11","2019-05-18","2019-04-11","2019-04-11","2019-04-11","2019-04-11","2020-08-17","2020-01-23","2019-04-11","2019-04-08","2020-02-21","2019-04-08","2019-03-12","2019-04-26","2019-05-09","2020-02-21","2019-12-29","2020-01-18","2019-05-09","2019-05-09","2019-05-18","2020-01-30","2019-12-30","2020-02-21","2019-05-18","2019-05-18","2018-06-07","2018-06-21","2018-09-04","2018-09-04","2018-09-04","2018-11-06","2018-11-06","2020-02-21","2020-02-21","2020-01-18","2020-08-13","2018-10-11","2018-10-11","2019-12-28","2018-11-05","2018-11-01","2018-11-01","2018-11-03","2018-12-04","2018-12-04","2019-12-27","2019-12-27","2019-12-27","2019-12-28","2019-12-28","2019-11-21","2019-12-04","2020-04-29","2019-12-12","2019-12-27","2020-02-04","2019-12-28","2019-12-28","2020-02-04","2020-02-21","2020-02-04","2020-02-04","2019-12-28","2019-12-29","2020-01-02","2020-01-09","2020-08-17","2020-01-18","2020-01-18","2020-01-18","2020-01-18","2020-01-23","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-04","2020-02-07","2020-01-18","2020-02-06","2020-02-27","2020-02-27","2020-02-04","2020-06-12","2020-02-08","2020-04-23","2020-06-12","2020-06-12","2020-08-13","2020-08-17"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","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 & 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":""}]}]}