{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARGARET BRIDGEMAN","gend":1,"add":"1364 MITCHELL VALLEY RD","city":"MARION","state":"VA","zip":243549999,"dob":"1950-02-15","age":"","mstatus":"","insh":11008035,"cliId":"5M40C76QJ29","pno":2767810398,"cno":2767832924,"email":"","ename":"","eno":"","pphy":"HAMMAN, CHELSEA C","ppno":2767838123,"pcpadd":"1364 MITCHELL VALLEY RD","pcpcity":"MARION","pcpstate":"VA","pcpzip":243549999,"pcpcounty":"SMYTH","pcpid":"P0112904","pcpname":"FAMILY PHYSICIANS OF MARION"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R15.9","C18.9","L22","I25.10","R07.9","F33.1","D50.9","Z85.038","D51.9","Z51.81","Z79.899","E11.9","J44.9","I10","N39.0","Z68.22","R07.89","I42.8","I25.6","I51.89","R94.39","I48.0","C19","D50.0","Z23","E03.9","E78.5","Z68.21","Z12.31","H16.223","H35.363","Z79.84","Z79.4","H25.13","H43.393","K59.00","R10.30","J20.9","R35.0","G62.9","Z92.21","Z12.79","Z79.891","B85.2","B85.0","L30.9","D63.0","R30.0","R10.9","S61.411A","W45.0XXA","E78.00","E05.90","Z79.82","Z87.891","E53.8","C20","J44.1"],"date":["2020-10-27","2020-10-27","2020-10-27","2020-05-13","2019-09-25","2020-09-23","2020-10-20","2020-10-20","2020-10-20","2019-09-13","2020-10-03","2020-10-03","2020-09-13","2020-10-03","2020-07-21","2020-08-20","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-27","2020-09-22","2020-09-22","2019-12-18","2020-10-29","2020-08-20","2019-12-18","2020-01-10","2020-05-28","2020-02-18","2020-10-03","2020-02-18","2020-02-18","2020-02-18","2020-09-22","2020-09-22","2020-09-22","2020-09-22","2020-09-22","2020-09-22","2019-12-17","2020-03-23","2020-09-22","2020-05-06","2020-08-20","2020-06-30","2020-07-21","2020-09-22","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2020-10-20","2020-10-20","2020-10-29"]}},{"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":""}]}]}