{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEANNE HESS","gend":1,"add":"1001 SALEM TURNPIKE APT 40","city":"BEDFORD","state":"VA","zip":245239999,"dob":"1950-04-21","age":"","mstatus":"","insh":11007116,"cliId":"1C59FE5QQ26","pno":2536250467,"cno":"","email":"","ename":"","eno":"","pphy":"LICHTENSTEIN, SUSANNAH OBENCHAIN","ppno":4345256964,"pcpadd":"1001 SALEM TURNPIKE APT 40","pcpcity":"BEDFORD","pcpstate":"VA","pcpzip":245239999,"pcpcounty":"BEDFORD","pcpid":"P9307466","pcpname":"PRIVIA MEDICAL GROUP LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M54.5","E83.42","I10","J44.9","F41.1","N18.3","Z13.6","G47.62","Z00.00","Z23","Z72.0","Z13.31","Z78.0","Z72.89","I73.89","M47.816","M41.9","N17.9","R79.82","R73.9","R82.81","I73.9","R00.0","R09.89","N39.0","F34.9","F43.21","G47.00","G89.29","J30.9","K21.9","M79.2","M81.0","R32","Z79.51","Z79.82","Z79.891","Z81.1","Z82.49","Z85.828","R10.31","R31.21","J02.9","F17.210","M51.36","M54.16","M47.817"],"date":["2020-10-06","2020-01-06","2020-02-11","2020-04-06","2020-04-06","2020-04-06","2019-10-04","2019-10-04","2019-10-04","2020-10-06","2020-02-11","2019-10-04","2019-10-04","2019-10-04","2020-10-06","2020-01-08","2020-01-08","2020-01-08","2020-01-08","2020-01-08","2020-01-08","2020-08-23","2020-02-11","2020-02-11","2020-10-06","2019-08-07","2019-08-07","2019-08-07","2020-08-23","2019-08-07","2019-08-07","2019-08-07","2019-08-07","2019-08-07","2020-08-23","2020-08-23","2020-08-23","2019-08-07","2019-08-07","2019-08-07","2020-07-07","2020-07-21","2020-08-23","2020-08-23","2020-10-06","2020-10-06","2020-10-06"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}