{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHARON G CROUCH","gend":1,"add":"5450 Colonial Hwy","city":"Evington","state":"VA","zip":245502319,"dob":"1971-11-07","age":"","mstatus":"","insh":11003339,"cliId":"8HF2CU1NN83","pno":4342215760,"cno":4344851058,"email":"","ename":"","eno":"","pphy":"PIELECK, ANDREW","ppno":5402977181,"pcpadd":"1613 Oakwood St","pcpcity":"Bedford","pcpstate":"VA","pcpzip":245231213,"pcpcounty":"CAMPBELL","pcpid":"P9338912","pcpname":"CENTRA MEDICAL GROUP"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F41.1","G47.33","R35.0","Z68.24","L30.9","J06.9","R63.0","R68.89","R10.31","Z68.23","R52","R19.7","R11.2","B37.3","N32.81","N39.46","D13.0","K20.9","K20.8","R13.10","K21.0","K31.84","Z72.0","K22.8","N83.202","N83.201","N88.8","A63.0","R10.2","N95.2","N94.10","N95.8","Z11.3","N80.3","N83.209","Z80.41","Z11.4","N95.9","R53.83","M54.10","M54.5","J30.1","R21","T78.40XA","R87.610","R87.810","R87.619","K62.5","Z12.31","H04.123","G43.709","N20.0","Z90.49","R10.9","R31.0","Z87.442","L02.223","L40.0","S16.1XXA","M54.2","M54.9","V89.2XXA","Y92.410","S39.012A","Z87.891","V49.50XA","T14.8XXA","M54.6","H93.13","S06.0X0A","G47.00","R56.9","R51","E11.9","F17.210","I10","Z88.1","Z88.0","Z88.2","Z88.8","S09.90XA","S19.9XXA","G40.909","G43.019","G43.909","G56.21","D12.0","G43.009","R40.4","M79.669","R41.3","J30.9","M46.1","R30.0","K58.9","M53.3","G89.29","M51.27","M51.36","M51.37","M79.604","M25.551","M41.9","M54.41","D72.829","F32.9","L02.91","M54.16","Z79.899","M54.30","R50.9","R60.0","R19.00","Z23","R73.03","Z12.4","Z01.419","Z87.410","Z11.51","K30","G56.01","G47.30","M79.641","M79.601","M79.602","M47.812","M48.02","E78.1","R11.0","Z04.1","J01.90","K52.9","R06.89","R07.9","R06.02","M19.90","R05","R91.8","K63.5","K21.9","D12.7","Z86.010","D12.6","Z86.018","D12.4","G43.719","Z20.828","F31.9","R00.0","R01.1","K13.0","T46.4X5A","Z11.59"],"date":["2020-09-23","2020-09-01","2019-02-05","2020-05-07","2019-01-24","2020-09-14","2019-01-24","2019-01-25","2019-02-11","2019-08-22","2019-02-05","2020-05-11","2020-10-04","2019-02-05","2019-05-10","2019-02-07","2019-02-08","2019-02-08","2019-02-08","2019-02-08","2019-02-08","2020-08-13","2020-08-13","2019-02-08","2019-02-11","2019-11-11","2019-02-11","2019-11-11","2019-11-11","2019-11-11","2019-02-14","2019-02-14","2019-11-11","2019-11-11","2019-02-14","2019-02-14","2019-11-11","2019-03-19","2019-03-19","2019-10-31","2019-08-22","2020-09-21","2018-04-18","2018-04-18","2018-04-24","2018-04-24","2018-05-07","2018-04-24","2019-10-10","2019-06-12","2019-07-29","2019-05-10","2019-05-10","2019-05-10","2019-06-06","2019-05-10","2018-05-30","2018-05-30","2019-07-07","2019-11-11","2020-05-14","2019-07-10","2019-07-07","2019-07-07","2019-10-31","2019-07-07","2019-07-07","2019-07-10","2019-07-10","2019-07-10","2019-07-24","2019-07-18","2020-05-14","2020-05-14","2020-05-14","2020-10-20","2019-07-18","2020-05-14","2020-05-14","2019-07-18","2019-07-18","2019-07-18","2020-03-23","2019-07-29","2018-07-26","2018-07-26","2020-05-11","2020-10-15","2019-08-16","2019-08-05","2019-08-05","2018-08-07","2018-08-07","2018-10-01","2018-08-07","2018-09-27","2018-10-10","2018-08-26","2018-08-26","2018-08-26","2018-08-26","2018-09-17","2018-09-07","2018-09-07","2018-09-07","2020-05-14","2018-09-17","2018-09-27","2019-12-27","2018-09-20","2020-04-29","2018-09-27","2018-10-08","2019-10-31","2020-10-20","2019-11-11","2019-11-11","2019-11-11","2019-11-11","2018-11-19","2019-12-13","2019-12-13","2019-12-27","2020-01-27","2020-01-27","2020-02-19","2020-02-19","2020-10-20","2020-03-23","2019-07-07","2020-05-07","2020-05-11","2020-05-14","2020-05-14","2020-05-14","2020-05-14","2020-10-04","2020-05-14","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-10-02","2020-10-04","2020-10-15","2020-10-15","2020-10-15","2020-10-20","2020-10-20","2020-10-20"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}