{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICIA D MOON-SHAVER","gend":1,"add":"3550 Green Creek Rd","city":"Schuyler","state":"VA","zip":229691500,"dob":"1959-10-11","age":"","mstatus":"","insh":11002851,"cliId":"1QP0D03CM10","pno":4344654560,"cno":4344654560,"email":"","ename":"","eno":"","pphy":"LOCKMAN, ANDREW R","ppno":4342434660,"pcpadd":"4916 Plank Rd Unit 205","pcpcity":"North Garden","pcpstate":"VA","pcpzip":229591613,"pcpcounty":"ALBEMARLE","pcpid":"P0060034","pcpname":"UVA CROSSROADS FAMILY PRACTICE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N39.3","M54.5","J43.9","J44.9","R69","K04.7","K08.89","K02.9","F17.200","R22.0","E66.9","F17.210","F33.1","F41.9","G47.00","G50.1","K21.9","M54.9","M79.604","M79.605","R13.10","R60.0","Z68.31","Z79.51","Z79.899","Z87.01","G47.33","K59.01","M79.602","F43.21","F33.41","M79.7","G89.29","Z23","J44.1","R53.83","K59.00","R06.81","Z12.31"],"date":["2020-10-25","2019-10-09","2020-04-15","2019-02-15","2018-02-19","2019-03-23","2019-03-25","2019-03-25","2019-10-09","2019-03-25","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2019-10-09","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2018-06-20","2019-10-09","2020-04-15","2019-10-09","2019-10-09","2019-10-09","2020-04-15","2019-10-09","2019-10-09","2018-11-21","2018-11-21","2018-11-21","2018-11-21","2018-11-21"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}