{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CLEVE C JONES JR","gend":0,"add":"409 COLLEGE PARK DRIVE","city":"LYNCHBURG","state":"VA","zip":245022409,"dob":"1968-09-14","age":"","mstatus":"","insh":11007547,"cliId":"2G28EY9DQ63","pno":4349419251,"cno":4349440964,"email":"","ename":"","eno":"","pphy":"BEVERLY, WALTER B","ppno":4349473908,"pcpadd":"130 Enterprise Dr","pcpcity":"Danville","pcpstate":"VA","pcpzip":245404070,"pcpcounty":"LYNCHBURG CITY","pcpid":"P9307471","pcpname":"PRIVIA MEDICAL GROUP LLC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R32","N39.0","I10","G82.20","L89.309","E11.9","L89.329","L89.154","W34.00XS","M46.28","E87.1","G82.21","N31.9","E87.6","L08.9","D50.9","L29.9","M16.10","Z93.3","Z87.891","Z79.84","Z74.01","L89.214","L89.224","E11.622","M25.451","M86.9","L98.499","M86.39","Z45.2","Z16.35","L89.159","L89.44","Z51.89","T81.89XA","L89.324","M19.90","Z46.89","Z43.3","L89.144","L89.314","L89.213","R53.81","Z93.50","Z79.899","Z91.89","F10.99","Z86.59","L89.94","L89.95","D64.9","R18.8","M16.9","R89.9","Z86.14","L89.310","E11.69","S24.103S","Z91.81","Z87.828","Z87.440","R82.79","R53.1","D47.3","D63.8","R79.89","K21.9","T50.2X5A","L89.90","Z93.59","N28.1","R10.9","N10","T83.510A","D69.6","Z00.00","M86.60","A41.9","L89.304","Z16.24","B96.89","Z80.6","R00.0","R41.82","M86.68","K62.6","A49.9","K60.4","S24.113S","M62.81","G82.22","L89.104","S34.109S"],"date":["2020-10-25","2020-06-23","2020-10-21","2020-10-28","2019-07-19","2020-10-28","2020-08-26","2020-08-24","2020-06-22","2020-07-21","2020-07-08","2020-10-25","2020-07-02","2020-07-08","2020-07-07","2020-07-01","2019-08-05","2019-08-05","2020-10-28","2020-10-08","2020-10-21","2019-08-05","2020-10-25","2020-10-25","2020-10-21","2019-08-06","2020-06-23","2019-08-07","2019-08-19","2020-07-21","2019-08-19","2020-10-08","2019-09-11","2019-09-11","2020-04-13","2020-10-28","2020-07-01","2019-11-01","2019-11-01","2020-10-05","2020-10-28","2019-10-23","2020-10-26","2020-07-01","2020-07-07","2019-08-05","2019-08-05","2019-08-05","2019-08-05","2019-08-05","2020-07-02","2019-08-19","2019-08-19","2019-10-14","2019-10-13","2020-03-04","2020-07-21","2020-07-01","2020-10-28","2020-06-01","2020-06-01","2020-06-17","2020-07-07","2020-07-01","2020-08-24","2020-06-22","2020-10-28","2020-06-22","2020-06-23","2020-08-24","2020-06-22","2020-06-22","2020-06-25","2020-06-25","2020-07-01","2020-07-02","2020-07-02","2020-07-08","2020-07-07","2020-07-20","2020-07-07","2020-07-07","2020-07-07","2020-07-07","2020-08-24","2020-07-11","2020-07-21","2020-08-24","2020-08-24","2020-10-25","2020-10-09","2020-10-09","2020-10-09"]}},{"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":""}]}]}