{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DORIS L VIA","gend":1,"add":"9230 OLD COUNTRY RD","city":"GROTTOES","state":"VA","zip":244419999,"dob":"1951-08-21","age":"","mstatus":"","insh":11007636,"cliId":"1D88E40UU62","pno":5404052246,"cno":"","email":"","ename":"","eno":"","pphy":"BROOKINGS, MICHAEL E","ppno":5402457470,"pcpadd":"1140 Keezletown Rd","pcpcity":"Weyers Cave","pcpstate":"VA","pcpzip":244862337,"pcpcounty":"ROCKINGHAM","pcpid":"P0114087","pcpname":"AUGUSTA HEALTH URGENT CARE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M50.13","E11.9","I10","K58.9","E78.00","E07.9","J45.909","Z85.850","Z96.612","Z96.652","Z80.0","Z88.2","Z91.030","Z91.038","Z79.899","Z79.84","Z79.890","M54.12","L03.115","S89.91XA","R21","W20.8XXA","Y93.H2","Z86.718","Z98.42","Z98.41","Z96.1","S81.801D","X58.XXXD","E11.622","L97.812","I82.409","M10.9","E11.621","Z23","M17.11","Z12.31","Z96.651","Z01.810","Z01.818","E78.5","R06.09","F41.9","E66.01","K21.9","Z92.29","E89.0","F32.9","I51.7","R07.9","I34.0","R60.9","R06.02","M16.0","M25.551","M70.61","Y83.6","Z68.41","D62","M21.061","M25.761","D72.829","M79.661","M79.89","E11.40","J44.9","Z47.1","R14.0","R10.9","M79.604","E03.9","R53.1","R29.6","R06.00","R22.41","R26.2","R60.0","E11.65","M43.16","M47.816","M43.8X6","M54.5","M47.896","M46.86","M46.87","M51.36","M54.16","M48.061","M51.26","M51.27","M48.07","M51.16","M51.17","Z82.49","Z91.09","M79.7","Z79.1","Z83.3","Z96.653","J45.901","E11.36","I89.0","S81.811D","L97.819","Z90.710","H26.491"],"date":["2019-07-09","2020-09-16","2020-09-24","2020-09-24","2020-09-24","2019-07-09","2020-09-24","2020-09-24","2019-07-09","2019-07-09","2019-07-09","2020-08-26","2020-07-14","2020-07-14","2020-07-14","2020-07-14","2020-09-24","2019-07-09","2019-09-02","2019-09-02","2019-09-02","2019-09-02","2019-09-02","2020-09-24","2019-09-02","2019-09-02","2020-09-16","2020-08-19","2020-08-19","2019-10-07","2019-10-07","2019-09-09","2019-09-09","2019-10-07","2019-10-09","2020-08-26","2019-12-06","2020-08-26","2020-01-07","2020-01-07","2020-01-23","2020-01-23","2020-01-23","2020-01-20","2020-09-24","2020-01-21","2020-09-24","2020-01-23","2020-01-09","2020-01-23","2020-01-09","2020-01-09","2020-01-21","2020-01-13","2020-01-13","2020-01-15","2020-01-20","2020-01-21","2020-01-20","2020-01-20","2020-01-20","2020-01-23","2020-01-20","2020-02-03","2020-01-20","2020-04-01","2020-08-26","2020-01-21","2020-01-21","2020-08-19","2020-08-19","2020-04-01","2020-04-01","2020-04-01","2020-02-03","2020-03-03","2020-08-19","2019-08-15","2020-09-08","2020-04-02","2020-04-02","2020-09-24","2020-04-02","2020-04-02","2020-04-02","2020-09-08","2020-09-24","2020-05-28","2020-04-16","2020-04-16","2020-04-16","2020-09-24","2020-09-24","2020-07-14","2020-05-05","2020-07-01","2020-09-24","2020-07-14","2020-09-24","2020-07-17","2020-09-24","2020-08-26","2020-08-26","2020-08-26","2020-09-24","2020-10-13"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","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":""}]}]}