{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ARLENE T STEEPLES","gend":1,"add":"285 GEORGIA DR","city":"EVINGTON","state":"VA","zip":245501738,"dob":"1969-07-13","age":"","mstatus":"","insh":11003128,"cliId":"1X08DE6UH45","pno":4346640250,"cno":"","email":"","ename":"","eno":"","pphy":"RENNINGER, VALERIE","ppno":4349475967,"pcpadd":"800 5th St","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245042848,"pcpcounty":"Lynchburg City","pcpid":"P0124787","pcpname":"CENTRA MEDICAL GROUP LLC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","R15.9","K92.1","L22","N92.0","D18.03","K76.9","D25.9","R10.2","R10.9","E11.9","R51","G89.29","I10","E66.01","Z88.5","J45.40","M47.817","M50.00","G89.4","Z79.899","M54.9","E66.9","Z78.9","Z13.31","L02.219","G51.0","B37.0","N18.2","Z63.0","M54.5","M54.2","K59.09","F11.20","E78.5","J45.909","M51.36","N92.5","R20.0","R05","E11.40","R73.09","E55.9","R63.5","M79.602","R22.32","M79.632","J44.9","Z79.84","R69","L72.8","L91.8","L72.3","J98.01","M25.562","M17.0","K44.9","I87.8","Z90.49","Z79.82","R60.0","M16.0","E11.65","L03.116","H35.033","N61.1","Z71.3","Z68.44","G47.33","K21.9","E56.9","M79.604","M79.605","M54.16","R09.81","M79.661","M79.662","Z79.891","H61.22","M62.552","R93.2","R10.84","R11.2","Z17.1","S61.212A","L03.319","Z01.89","W57.XXXA","E66.2","M25.561","I82.431","Z99.89","R22.41","M79.18","M47.26","M25.569","R26.2","H25.13"],"date":["2020-10-27","2020-10-27","2020-10-27","2020-10-27","2019-01-10","2019-01-15","2019-01-15","2019-01-15","2019-01-15","2020-02-27","2020-10-30","2019-01-15","2020-08-31","2020-09-22","2020-08-31","2020-02-27","2019-09-30","2020-10-29","2020-10-29","2020-06-10","2020-06-10","2019-10-30","2019-02-18","2019-02-04","2019-02-04","2019-02-07","2019-02-18","2019-02-04","2019-02-07","2019-02-07","2019-10-30","2019-08-14","2019-08-14","2019-02-21","2019-10-23","2020-09-22","2019-03-20","2018-03-23","2019-04-09","2019-04-10","2020-09-22","2018-12-19","2020-09-22","2018-12-21","2020-08-31","2018-05-25","2018-05-25","2018-05-25","2020-02-27","2020-10-22","2019-07-08","2019-07-08","2018-07-16","2018-08-21","2019-09-20","2020-10-29","2019-09-08","2019-09-08","2020-02-27","2020-02-27","2019-09-09","2020-10-06","2020-10-28","2020-06-03","2020-10-28","2018-09-30","2019-12-16","2020-09-22","2020-07-13","2020-02-27","2019-11-15","2020-07-02","2020-08-31","2020-08-31","2019-11-20","2018-12-21","2018-12-21","2018-12-21","2020-01-15","2020-03-18","2020-02-27","2020-02-27","2020-02-27","2019-09-10","2020-03-30","2020-05-18","2020-06-30","2020-07-02","2020-07-13","2020-08-31","2020-07-14","2020-07-13","2020-07-14","2020-08-31","2020-10-29","2020-09-22","2020-09-22","2020-10-28"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}