{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHEYENNE SHINHOLSER","gend":1,"add":"1820 RAMBLEWOOD RD","city":"PETERSBURG","state":"VA","zip":238059999,"dob":"1997-02-12","age":"","mstatus":"","insh":11004548,"cliId":"8FJ6EN0XP47","pno":8048544072,"cno":7576030686,"email":"","ename":"","eno":"","pphy":"AALAMI HARANDI, ARMIN","ppno":"","pcpadd":"4105 Lewis And Clark Dr","pcpcity":"Charlottesville","pcpstate":"VA","pcpzip":229115801,"pcpcounty":"GLOUCESTER","pcpid":"P0111022","pcpname":"UVA PRIMARY CARE FAMILY CARE OF CULPEPER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R09.81","J02.9","R05","G40.89","J98.8","R80.9","N91.0","R30.0","Z79.899","Z00.00","R07.9","J30.89","R56.9","F43.12","Z51.81","F79","G40.309","F33.0","F41.1","F42.4","F71","F98.4","G31.84","G40.B09","G47.00","K08.9","M54.5","R47.89","Z68.25","Z79.1","F39","Z00.8","M79.662","R60.0","M54.42","R20.0","G89.29","Q68.4","R62.50","L71.0","H02.409","E55.9","F43.9","Z23","L98.1","Z13.6","F31.81","N64.4","N63.20","N63.22","F43.10","R21","L01.00","L98.499","L08.9","C50.119","N30.90","L50.9"],"date":["2019-02-06","2019-02-06","2019-02-06","2019-02-26","2019-02-26","2019-04-10","2019-04-10","2019-03-06","2019-03-06","2019-03-06","2019-03-06","2019-05-01","2019-09-25","2020-09-03","2018-08-13","2019-09-25","2018-09-07","2018-09-12","2018-09-12","2018-09-12","2020-01-23","2018-09-12","2018-09-12","2018-09-12","2018-09-12","2018-09-12","2018-09-12","2018-09-12","2018-09-12","2018-09-12","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2018-10-18","2019-12-15","2018-10-19","2018-10-19","2018-10-23","2019-11-13","2019-11-13","2019-11-13","2018-11-27","2020-01-07","2020-01-07","2019-12-15","2019-12-15","2020-06-25","2020-09-11","2020-10-08"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}