{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PETRA GONZALEZ","gend":1,"add":"2425 TATE SPRINGS RD","city":"LYNCHBURG","state":"VA","zip":245019999,"dob":"1933-04-22","age":"","mstatus":"","insh":11009571,"cliId":"7DE2YD2NT86","pno":4349444705,"cno":4344396101,"email":"","ename":"","eno":"","pphy":"ALBERS, GREGG","ppno":4348468421,"pcpadd":"2811 Linkhorne Dr Ste A","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245033354,"pcpcounty":"LYNCHBURG CITY","pcpid":"P9120196","pcpname":"PRIVIA MEDICAL GROUP LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R05","R06.02","R60.9","R39.81","R53.81","M77.41","L84","M20.11","M77.42","R30.0","M51.16","I35.1","Z01.810","J44.9","I10","K61.1","J44.1","I87.2","M21.542","M21.541","M54.5","K21.9","E03.9","G47.33","M19.91","Z96.651","Z91.81","Z86.718","Z86.73","N39.0","R54","R29.898","G82.20","M25.511","M54.2","M75.101","G89.29","M15.9","N39.46","E79.0","Z51.81","B35.1","L60.3","M19.072","M79.89","R60.0","S80.12XA","Z88.0","Z88.6","E66.9","Z68.30"],"date":["2020-01-02","2020-01-02","2020-10-07","2020-10-31","2020-10-31","2020-09-09","2020-09-09","2020-05-18","2020-09-09","2020-05-19","2020-10-21","2020-10-07","2020-04-15","2020-07-31","2020-07-31","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-06-24","2020-06-24","2020-06-01","2020-07-31","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-05-19","2020-05-19","2020-05-19","2020-05-19","2020-05-26","2020-05-26","2020-05-26","2020-06-24","2020-06-24","2020-06-24","2020-06-24","2020-06-24","2020-09-09","2020-06-30","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-10-07","2020-10-07"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}