{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DORIS V ELDRIDGE","gend":1,"add":"62 NORTH GOLDHILL VILLAGE","city":"NEW CANTON","state":"VA","zip":231239999,"dob":"1936-11-19","age":"","mstatus":"","insh":11002723,"cliId":"1H06P00NE62","pno":4345811134,"cno":"","email":"","ename":"","eno":"","pphy":"HUOT, RACHEL","ppno":8046321030,"pcpadd":"1508 K V Rd","pcpcity":"Victoria","pcpstate":"VA","pcpzip":239742624,"pcpcounty":"BUCKINGHAM","pcpid":"P9058448","pcpname":"CAROLINE FAMILY PRACTICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E07.9","E04.1","E04.2","E08.21","N18.4","I10","K21.9","Z79.4","N18.3","N17.9","E78.5","E87.2","M20.21","M20.22","B35.3","E11.42","M79.674","M79.675","B35.1","M17.12","S86.912A","M25.562","X50.1XXA","E11.9","E11.22","E55.9","G31.84","I12.9","J30.2","K08.409","L90.5","M13.161","M13.162","N18.9","R39.15","R60.0","Z68.25","Z79.82","Z79.899","M10.071","M17.11","M1A.3790","J06.9","R05","B97.89","R19.7","Z87.891","R09.02","R50.9","J34.89","H04.129","J30.9","E61.1","J30.89","G56.02","L29.9","Z00.00","Z23","R80.9","E83.9","M89.9","Z96.1","H04.123","R80.1","N18.5","I16.1","R06.02","I13.0","I50.33","D63.1","D72.829","E11.21","Z03.818","J90","J98.11","J96.01","J81.0","E87.79","R42","R00.0","R06.89","I34.0","I34.2","Z91.89","I13.2","J18.9","N18.6","M10.9","Z88.0","I16.0","E11.69","D64.9","R79.89","M79.89","M79.604","M79.605","R91.8","E87.70","E11.65","N25.81","E83.52","E78.00","N81.4","N25.0","Z51.5","I50.32","F51.01","G93.41","R29.6","E16.2","N39.0","E87.4","I95.3","G89.29","M85.80","M19.011","S29.9XXA","N17.1","R06.00","J81.1","Z45.2","Z46.82","R53.81","W19.XXXA","T82.49XA","S99.911A","E11.40","Z91.81","Z99.2","D50.9","Z11.59","Z11.1","R11.2","R52"],"date":["2019-01-07","2019-01-07","2020-08-01","2020-08-05","2020-08-19","2020-09-18","2020-09-14","2020-09-18","2020-07-01","2020-09-02","2020-08-31","2020-08-01","2020-05-28","2020-05-28","2019-02-19","2020-05-28","2020-05-28","2020-05-28","2020-05-28","2019-03-19","2019-02-28","2019-03-19","2019-02-28","2020-09-18","2020-09-14","2018-04-24","2018-04-24","2020-08-01","2018-04-24","2018-04-24","2018-04-24","2018-04-24","2018-04-24","2020-09-03","2018-04-24","2020-08-01","2018-04-24","2020-06-26","2020-09-14","2020-05-28","2020-09-18","2019-05-10","2018-05-29","2020-07-13","2018-05-29","2018-05-29","2020-06-26","2018-05-29","2018-05-29","2018-06-02","2019-11-12","2020-08-01","2019-09-05","2019-09-05","2019-09-05","2019-09-05","2019-11-01","2020-10-01","2019-11-11","2020-09-03","2020-09-03","2020-06-26","2019-11-12","2020-02-24","2020-09-18","2020-06-26","2020-07-01","2020-06-18","2020-09-14","2020-10-01","2020-06-30","2020-09-18","2020-06-18","2020-09-05","2020-06-18","2020-09-02","2020-06-28","2020-06-19","2020-06-18","2020-06-18","2020-06-18","2020-06-19","2020-06-19","2020-06-20","2020-09-14","2020-06-26","2020-10-19","2020-09-14","2020-06-26","2020-07-01","2020-07-01","2020-09-07","2020-06-30","2020-06-26","2020-06-26","2020-06-26","2020-06-26","2020-09-02","2020-09-14","2020-09-07","2020-08-01","2020-08-01","2020-08-01","2020-08-31","2020-07-13","2020-08-31","2020-07-13","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2020-09-02","2020-09-01","2020-09-05","2020-09-04","2020-09-05","2020-09-07","2020-09-07","2020-09-08","2020-09-09","2020-09-14","2020-09-14","2020-09-14","2020-10-01","2020-09-10","2020-09-10","2020-10-01","2020-10-01"]}},{"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":""}]}]}