{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DANNY R FILYAW","gend":0,"add":"505 W MAIN ST","city":"APPALACHIA","state":"VA","zip":242169999,"dob":"1957-02-24","age":"","mstatus":"","insh":11003215,"cliId":"8P31PY7DN32","pno":2762077815,"cno":"","email":"","ename":"","eno":"","pphy":"WATSON, BRYAN L","ppno":2766798890,"pcpadd":"310 3rd St NE","pcpcity":"Norton","pcpstate":"VA","pcpzip":242731137,"pcpcounty":"WISE","pcpid":"P9059242","pcpname":"WELLMONT MEDICAL ASSOCIATES INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.9","M10.9","E78.2","G47.00","M54.5","M25.551","K21.9","Z23","G89.29","Z47.1","Z96.641","M12.9","R53.1","R26.89","M54.16","I10","Z79.899","Z13.220","F41.9","K92.2","R10.9","R10.13","R11.2","R10.12","Z87.891","Z01.810","R50.9","E78.1","R73.9","K40.91","K29.70","K40.90","K57.90","R10.32","R11.0","R10.814","Z87.19","M54.2","Z74.3","M54.41","M54.9","M79.606","X58.XXXA","K46.9","S76.811A","R10.31","R10.813","K43.9","S20.462A","T14.8XXA","R21","W57.XXXA","Y92.009","K43.2","K43.6","K76.0","M10.072","M79.675","M79.89","M79.672","Z53.8","J06.9","J32.9","R05","R09.81","H25.812","H18.412","H52.02","H52.222","R06.7","Z79.84","R06.02","R51","R19.7","B34.9","J12.9","Z20.828","R09.02","A08.4","U07.1","J12.89","J80","E11.10","J69.0","N17.9","G93.40","E87.4","E87.0","K92.1","I50.9","I11.0","E87.5","R91.8","Z46.82","Z45.2","J96.01","R14.0","J18.9","E76.1","E88.09","R60.1","E86.1","R09.2","I51.7","R00.0","R71.8","M62.81","M47.816","Z12.5","J96.00","E87.1","R76.8","J90","R27.0","J12.81","Z99.81","L89.152","R26.2","R27.8","R27.9","K57.92","Z79.4","F32.9","R53.81","H65.93","R42","S31.000A","Z79.82","Z90.49","Z85.828","R60.0","K59.01","E78.5"],"date":["2020-09-16","2019-01-16","2019-01-16","2020-09-02","2020-09-02","2020-04-22","2020-09-02","2020-09-16","2020-09-02","2018-03-07","2019-11-05","2018-03-22","2018-03-22","2018-03-22","2019-04-04","2020-09-02","2020-08-12","2018-04-16","2020-09-16","2018-05-11","2019-09-03","2018-05-11","2020-04-15","2018-05-11","2020-04-15","2018-05-16","2020-04-21","2018-06-04","2020-04-22","2020-04-22","2018-07-05","2019-12-18","2019-07-11","2019-07-11","2019-07-11","2019-07-11","2019-09-03","2018-07-19","2020-03-09","2018-07-19","2020-03-09","2018-07-19","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2019-09-16","2019-10-20","2019-10-20","2019-10-20","2019-10-20","2019-10-20","2020-04-22","2019-11-05","2019-11-05","2018-11-12","2018-11-12","2018-11-12","2018-11-12","2019-11-20","2020-04-10","2019-12-04","2020-04-21","2019-12-04","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2019-12-04","2020-03-09","2020-09-09","2020-04-10","2020-04-21","2020-04-15","2020-09-09","2020-04-21","2020-05-07","2020-04-21","2020-09-16","2020-05-13","2020-05-19","2020-04-21","2020-04-27","2020-05-15","2020-04-21","2020-04-21","2020-05-14","2020-04-21","2020-04-21","2020-04-21","2020-09-02","2020-05-22","2020-04-28","2020-04-23","2020-09-02","2020-04-28","2020-05-23","2020-04-29","2020-05-19","2020-05-19","2020-05-14","2020-05-07","2020-05-19","2020-05-12","2020-05-19","2020-07-30","2020-09-16","2020-08-12","2020-04-27","2020-04-27","2020-04-27","2020-05-17","2020-05-17","2020-09-02","2020-08-12","2020-09-02","2020-07-01","2020-07-01","2020-07-01","2020-09-02","2020-08-12","2020-09-16","2020-06-19","2020-06-29","2020-06-29","2020-07-08","2020-09-02","2020-09-02","2020-09-02","2020-09-16","2020-08-12","2020-09-16"]}},{"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":""}]}]}