{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANDREW M SHELTON","gend":0,"add":"1504   6TH STREET SE","city":"CHARLOTTESVILLE","state":"VA","zip":229029999,"dob":"1944-03-28","age":"","mstatus":"","insh":11002185,"cliId":"6RU0HV3GT18","pno":4342935817,"cno":4342935817,"email":"","ename":"","eno":"","pphy":"BASHORE, RANDALL T","ppno":4345813271,"pcpadd":"1504   6TH STREET SE","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":229029999,"pcpcounty":"CHARLOTTESVILLE CITY","pcpid":"P9058902","pcpname":"NEIGHBORHOOD HEALTH FAMILY HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.5","R73.03","G56.02","G89.29","J11.1","R05","R07.9","K59.00","R11.2","M54.9","R42","R51","I25.10","I50.9","F32.9","E78.5","I10","M19.90","F17.210","Z79.899","Z79.82","R06.02","I48.0","I25.119","M79.642","R27.9","M62.81","M25.642","R60.9","R68.89","J10.1","Z98.890","G56.22","J06.9","Z72.0","E87.6","G62.9","H40.059","I11.0","I20.9","I50.22","K21.9","K59.01","L98.9","M13.0","M47.816","S59.902D","Z68.27","Z79.1","Z79.891","Z95.5","Z47.89","Z48.89","R40.20","R53.1","R55","I50.32","H40.9","I95.2","E11.41","D17.23","G56.03","H35.62","H35.3221","H40.10X1","H40.10X2","H31.8","Z00.00","Z23","M47.16","R63.4","Z12.11","G89.4","M54.6","Z12.12","D12.3","D12.5","K63.89","R19.5","K63.5","I50.20","Z95.1","I67.82","R90.82","R41.82","R00.1","I95.9","Y90.5","Z20.828","D72.829","K59.09","F10.10","Z79.01","I67.81","N32.89","I65.21","I65.23","H35.052","E11.9","H25.13","H25.043"],"date":["2019-01-16","2019-01-16","2019-10-09","2020-09-01","2018-01-25","2018-01-26","2019-01-28","2019-10-17","2018-01-25","2018-01-25","2018-01-25","2018-01-25","2020-10-12","2019-01-28","2018-01-25","2020-09-02","2018-01-25","2018-04-09","2018-04-27","2018-04-27","2018-04-27","2020-09-01","2020-10-01","2019-01-28","2019-06-14","2019-06-14","2019-06-14","2019-06-14","2019-06-14","2019-06-14","2018-02-01","2019-07-29","2019-10-09","2018-04-05","2020-09-01","2018-04-27","2020-10-01","2018-04-27","2020-09-01","2018-04-27","2019-08-08","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-04-27","2018-06-05","2018-06-05","2018-06-14","2018-06-12","2020-10-12","2018-06-12","2020-09-02","2018-06-13","2018-07-03","2018-07-03","2019-08-23","2019-10-21","2019-09-12","2019-12-19","2019-12-19","2020-01-14","2019-10-01","2019-10-01","2019-10-09","2019-10-17","2019-11-08","2018-10-23","2018-10-23","2019-10-23","2019-11-08","2019-11-08","2019-11-08","2019-11-08","2019-11-08","2020-09-01","2020-09-02","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-01","2020-09-02","2020-09-02","2020-09-02","2020-10-12","2019-12-19","2019-12-19","2019-12-19","2019-12-19"]}},{"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":""}]}]}