{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DOROTHY KEYS","gend":1,"add":"4061 CHALKLEVEL RD","city":"LOUISA","state":"VA","zip":230939999,"dob":"1938-02-02","age":"","mstatus":"","insh":11006809,"cliId":"8D87EW0UP30","pno":5406036772,"cno":"","email":"","ename":"","eno":"","pphy":"ASRAR, LUNA","ppno":4342439466,"pcpadd":"4061 CHALKLEVEL RD","pcpcity":"LOUISA","pcpstate":"VA","pcpzip":230939999,"pcpcounty":"LOUISA","pcpid":"P0110912","pcpname":"UVA PRIMARY AND SPECIALITY CARE ZIONS CROSS"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N32.81","E11.65","R53.1","R26.81","I69.351","I10","M17.0","K21.9","H40.9","M47.9","E03.9","Z79.82","Z79.4","Z87.891","E66.01","Z68.36","M25.561","M25.562","G89.29","M85.852","M85.88","H40.1113","H40.1122","E11.40","E89.0","E11.8","R32","S92.902A","T14.90XA","W01.0XXA","E87.6","M17.11","M17.12","M70.62","M79.674","M79.675","R51","H81.10","M25.552","M54.2","Z86.73","E11.9","R42","E78.5","M79.89","R07.9","R10.31","R10.9","R19.8","S79.922A","S39.93XA","R20.2","E11.42","E11.51","I70.203","B35.1","Z23","M79.604","M79.661","Z96.1","H43.391"],"date":["2020-01-02","2019-09-26","2019-03-01","2019-03-01","2019-03-01","2019-08-13","2019-12-20","2019-03-01","2019-03-01","2019-03-01","2019-09-16","2019-03-01","2019-07-31","2019-07-31","2019-03-08","2019-03-08","2019-12-20","2019-12-20","2019-12-20","2019-09-26","2019-03-18","2019-11-11","2019-11-11","2019-03-28","2019-09-26","2019-10-08","2019-10-08","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-06-14","2019-06-14","2019-06-14","2019-06-20","2019-06-20","2019-07-31","2019-07-31","2019-07-31","2019-07-31","2019-07-31","2019-07-31","2019-07-31","2019-08-13","2019-12-20","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2019-09-16","2019-09-24","2019-09-24","2019-09-24","2019-09-24","2019-09-24","2019-10-15","2019-12-20","2019-12-20","2019-12-30","2019-12-30"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}