{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SANDRA A SHELTON","gend":1,"add":"1721 TAYLOR STREET","city":"LYNCHBURG","state":"VA","zip":245049999,"dob":"1964-11-08","age":"","mstatus":"","insh":11002998,"cliId":"3KP5X04EK88","pno":4344202015,"cno":"","email":"","ename":"","eno":"","pphy":"CROW, WILLIAM","ppno":4342005200,"pcpadd":"1818 LANGHORNE SQUARE","pcpcity":"LYNCHBURG","pcpstate":"VA","pcpzip":245019999,"pcpcounty":"LYNCHBURG CITY","pcpid":"P9058800","pcpname":"LYNCHBURG FAMILY MEDICINE CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F33.2","J44.9","Z72.0","L28.2","G47.09","Z91.89","J44.1","R05","E66.01","Z68.43","M17.9","R06.09","I10","E11.69","J98.4","Z78.9","M17.10","E66.9","Z12.11","F31.81","F17.210","R91.8","M19.042","M19.041","M79.89","M79.641","M79.672","S93.602A","M67.472","H60.90","M47.812","M50.21","M48.02","M50.30","M54.2","M77.50","M75.41","G60.9","M19.079","S93.602D","Z96.7","H91.92","J31.0","J45.21","F17.200","F41.9","J45.909","I50.9","J30.9","H10.13","E78.5","K27.9","M62.838","K59.09","S60.011A","G47.33","W23.1XXA","M79.674","Z86.010","K64.4","Z68.42","R06.02","G47.30","R06.83","R06.89","R40.0","R53.82","S90.31XA","M79.671","W20.8XXA","W22.8XXA","S99.921A","M54.32","A53.0","R11.2","K21.9","F41.8","Z79.899","M77.31","S99.911A","R25.2","R13.12","S93.601A","R19.7","R10.9","F32.89","I12.9","N18.3","R07.9","Z09","F32.9","Z01.818","S93.691A","J43.9","X50.0XXA","Z91.14","R65.10","I50.32","S63.509A","F31.9","F31.30","S63.501A","I11.0","S69.91XA","M19.031","T14.8XXA","E11.42","I50.22","R55","Z12.31","R94.31","R13.10","Z87.19","G47.10","N95.1","L73.9","M17.0","R11.0","L03.116","Z98.890","M25.331","I51.7","Z87.891","E78.2","F32.0","R06.2","W17.89XA","R45.851","M79.602","Z63.4","S59.902A","S49.92XA","M70.22","M18.11","M25.531","M19.039","Y92.003","Z79.51","S29.9XXA","R52","R60.9","J42","M19.90","W19.XX","R63.0","Z91.19","M19.231","W19.XXXD","K59.00","Z82.49","Z90.89","K82.0","Z90.710","G89.18","Z86.59","F33.9","Z91.81","J96.01","M21.372","M19.072","Z47.89","Z48.89","M25.562","K42.9","F43.21","G89.29","Z23","M17.12","M25.462","Z80.9","Z99.81","M19.131","S62.011K","K43.9","Z91.11","M25.512","J41.0","R33.9","Z00.00","Z68.41","G24.5","R00.0","R42","I20.9","R73.03","R32","R10.11","M62.81","I50.30","M19.012","M75.82","M65.812","R10.33","R12","Z71.9","M79.645","S60.411A","J06.9","M75.22","S60.411D","J20.9","N36.1","N94.10"],"date":["2020-10-27","2020-09-24","2020-09-09","2019-01-11","2019-01-11","2019-01-11","2020-08-16","2019-12-30","2020-08-16","2020-10-16","2019-12-11","2019-01-11","2019-08-11","2019-01-11","2019-11-15","2019-01-11","2019-01-11","2019-08-10","2019-04-30","2020-10-26","2020-07-30","2020-02-12","2019-02-07","2020-03-05","2020-04-16","2020-01-13","2020-10-21","2019-02-28","2018-03-02","2019-03-12","2020-10-26","2018-03-13","2018-03-13","2018-03-16","2018-03-16","2020-05-13","2018-03-16","2020-10-21","2020-05-13","2019-03-21","2018-12-13","2019-03-28","2019-09-19","2019-03-28","2020-08-16","2020-03-09","2019-04-03","2020-03-18","2019-08-19","2019-04-15","2020-08-16","2019-04-15","2019-04-15","2019-12-30","2018-04-24","2020-08-16","2018-04-24","2018-04-25","2019-04-30","2019-04-30","2019-04-30","2020-09-08","2020-09-17","2020-09-17","2019-05-23","2019-05-23","2019-05-23","2020-02-12","2019-07-17","2019-05-10","2020-02-12","2020-02-13","2019-09-19","2019-11-14","2020-09-01","2020-08-27","2019-06-17","2020-08-27","2019-06-17","2019-06-17","2018-06-20","2018-06-20","2019-07-17","2018-07-19","2020-03-06","2018-07-19","2018-07-19","2018-07-19","2020-08-19","2020-08-27","2020-08-16","2018-07-31","2019-08-01","2020-03-18","2019-08-10","2020-09-24","2019-08-11","2020-10-16","2019-08-11","2020-08-16","2019-08-11","2019-08-10","2020-03-09","2019-08-10","2020-03-09","2019-08-10","2019-08-28","2019-09-19","2019-09-26","2019-09-19","2019-09-19","2018-10-04","2018-10-04","2020-09-17","2019-11-14","2019-11-14","2019-11-14","2019-11-14","2019-11-25","2020-10-15","2019-11-25","2018-11-30","2018-11-30","2018-11-30","2018-11-30","2018-11-30","2019-12-30","2019-12-30","2020-03-02","2019-12-30","2019-12-31","2019-12-31","2020-01-07","2020-03-26","2020-05-07","2020-03-26","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2019-11-27","2020-03-18","2020-02-05","2020-02-13","2020-08-27","2020-02-28","2020-07-16","2020-07-30","2020-03-05","2020-03-06","2020-03-06","2020-03-06","2020-03-09","2020-03-09","2020-03-09","2020-03-09","2020-03-05","2020-08-26","2020-04-10","2020-06-04","2020-06-04","2020-05-27","2020-06-24","2020-05-27","2020-05-27","2020-05-27","2020-07-16","2020-06-27","2019-08-19","2019-08-19","2020-02-28","2020-02-28","2020-06-24","2020-07-07","2020-08-28","2020-10-16","2020-10-16","2020-07-30","2020-08-16","2020-08-16","2020-08-16","2020-08-16","2020-08-16","2020-08-16","2020-10-16","2020-08-18","2020-10-15","2020-08-27","2020-08-28","2020-09-10","2020-08-28","2020-09-01","2020-09-01","2020-09-01","2020-10-02","2020-09-03","2020-09-09","2020-09-10","2020-10-02","2020-09-24","2020-10-16","2020-10-16"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":""}]}]}