{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NIAKIETIA GOINS","gend":1,"add":"PO Box 504","city":"Stuarts Draft","state":"VA","zip":244770504,"dob":"1981-08-24","age":"","mstatus":"","insh":11002424,"cliId":"2JC1E49EJ17","pno":5402904003,"cno":5404148179,"email":"","ename":"","eno":"","pphy":"HOSTETTER, SAMUEL A","ppno":5403373710,"pcpadd":"24 Gloucester Rd","pcpcity":"Stuarts Draft","pcpstate":"VA","pcpzip":244773321,"pcpcounty":"Augusta","pcpid":"P0060033","pcpname":"UVA STUARTS DRAFT FAMILY PRACTICE ASSOCIATES"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R06.02","J84.9","J98.4","M34.9","K21.9","M60.89","M34.81","R06.00","Z79.899","R52","M79.604","M79.605","R94.2","R05","R69","Z45.2","M33.21","M79.18","M54.6","G89.29","M41.9","R09.02","S22.32XA","X58.XXXA","R07.9","Z79.52","N30.00","R30.0","R35.0","M81.0","M85.88","J84.10","Z87.09","J40","R07.89","R91.8","S22.42XA","R07.81","K31.9","Z99.81","Z91.030","Z88.1","M80.80XD","R13.10","M25.512","V89.2XXA","M54.2","J44.9","S19.9XXA","S29.9XXA","F32.4","M60.88","E55.9","J45.998","N39.0","M79.669","M41.84","M47.814","ZZ1.11","J45.909","F32.5","M54.89","Z88.3","R06.09","L08.9","B08.8","L03.213","R51","R22.0","H05.012","I27.20","M60.9","K21.0","M51.34","Z98.890","Z91.038","B35.3","I51.7","Z13.6","Z23","M79.1","J06.9","M80.80XA","N91.1","Z01.818","E28.39","M47.896","M47.894","I87.8","A08.4","R03.0","I10","Z13.31","I99.8","M48.062","Z76.82","M54.5","R31.29","Z92.21","L94.0","R93.1","Z01.810","Z86.79","R94.30","R31.0","L98.9","R21","Z48.02","J30.2","K02.9","S02.5XXB","K01.1","I27.0"],"date":["2020-10-08","2020-06-30","2019-02-26","2020-08-19","2019-04-05","2020-08-19","2020-10-08","2020-02-17","2020-08-19","2018-02-05","2018-04-04","2018-04-04","2019-02-26","2019-02-05","2018-02-06","2018-12-17","2018-12-21","2019-02-14","2020-08-13","2019-10-15","2019-02-14","2020-09-16","2019-02-24","2019-03-10","2019-03-10","2019-03-07","2019-03-06","2019-03-06","2019-03-06","2020-05-15","2019-03-07","2020-05-08","2018-03-09","2019-12-27","2019-04-05","2018-03-09","2019-04-05","2019-03-10","2019-03-10","2019-03-10","2019-06-27","2019-06-27","2019-03-20","2020-02-17","2019-04-05","2019-04-05","2019-04-05","2019-04-05","2019-04-05","2019-04-06","2019-04-10","2019-05-01","2020-05-15","2019-05-20","2020-11-03","2018-05-30","2019-10-15","2018-05-31","2018-05-31","2020-10-08","2020-08-13","2018-06-14","2018-06-14","2018-11-13","2019-06-14","2019-06-26","2019-06-27","2019-11-23","2019-06-27","2019-06-28","2020-10-26","2019-08-06","2018-08-07","2018-09-05","2019-10-15","2018-08-13","2019-08-15","2019-09-17","2019-09-17","2020-09-15","2018-09-24","2018-10-01","2019-10-15","2019-10-07","2019-10-07","2019-10-07","2019-10-15","2019-10-15","2018-11-05","2019-10-29","2019-11-23","2019-11-25","2019-12-10","2018-01-03","2020-02-13","2020-02-17","2019-10-15","2020-01-09","2020-01-09","2020-02-21","2020-05-08","2020-05-08","2020-05-08","2020-05-08","2020-06-01","2020-06-05","2020-06-05","2020-06-15","2020-08-13","2020-10-07","2020-10-07","2020-10-07","2020-10-08"]}},{"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":""}]}]}