{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LULA J ROMANS","gend":1,"add":"160 PACE BLVD","city":"MARION","state":"VA","zip":243549999,"dob":"1951-08-15","age":"","mstatus":"","insh":11008606,"cliId":"3X79P11AU31","pno":2767806803,"cno":"","email":"","ename":"","eno":"","pphy":"CLAMPITT, ROBERT V","ppno":2767837167,"pcpadd":"1020 Terrace Dr","pcpcity":"Marion","pcpstate":"VA","pcpzip":243544392,"pcpcounty":"SMYTH","pcpid":"P0112904","pcpname":"FAMILY PHYSICIANS OF MARION"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["C77.3","C43.9","R53.83","R06.02","E53.8","M62.838","R05","E03.9","R51","I89.0","L30.8","L98.9","R22.32","D72.819","E11.65","R07.9","Z71.89","Z85.820","M79.9","I05.8","R93.1","I05.9","Z12.31","C43.59","C43.60","I42.9","H35.073","E11.3293","Z79.84","Z79.4","E13.10","E11.9","I10","E78.5","F41.1","F33.9","L03.114","K59.00","K21.9","F41.9","Z92.3","Z79.890","Z79.899","A41.9","E11.10","R73.9","F32.9","Z79.82","L85.3","D48.5","L82.0","D04.5","D04.39","L57.0","C44.519","R10.84","R69","L03.113","R06.09","I44.7","L57.8","L82.1","D22.5","Z85.828","I25.10","I50.9","R06.00","H25.811","H04.123","H47.212","H25.11","H26.491","H02.831","H02.834","N39.0","R30.0","R50.9","M79.602","M79.89"],"date":["2020-07-31","2020-07-31","2020-06-18","2020-07-20","2020-06-18","2020-06-18","2019-09-19","2020-06-18","2019-09-19","2020-06-18","2019-09-19","2020-06-18","2019-09-13","2019-09-13","2020-06-18","2020-07-21","2019-09-05","2020-07-20","2020-06-18","2019-09-11","2019-09-11","2019-09-11","2019-09-13","2019-09-19","2019-09-19","2020-07-21","2019-12-09","2019-12-09","2020-04-01","2020-09-14","2020-01-31","2020-09-14","2020-09-14","2020-02-27","2020-02-27","2020-02-27","2020-09-14","2020-04-01","2020-09-14","2020-04-01","2020-03-20","2020-03-20","2020-09-14","2020-03-26","2020-01-29","2020-01-29","2020-01-29","2020-01-29","2020-03-11","2020-07-20","2020-07-20","2020-03-11","2020-03-11","2020-07-20","2020-03-11","2020-03-20","2020-03-20","2020-03-22","2020-07-13","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-21","2020-07-21","2020-07-21","2020-08-06","2020-09-08","2020-07-30","2020-08-13","2020-09-08","2020-09-08","2020-09-08","2020-09-14","2020-09-14","2020-09-14","2020-09-14","2020-09-14"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}