{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHELIA MEDLER","gend":1,"add":"321 N COMMERCE  AVENUE","city":"WAYNESBORO","state":"VA","zip":229805119,"dob":"1953-11-25","age":"","mstatus":"","insh":11009757,"cliId":"8G10MQ8TT04","pno":5402219474,"cno":"","email":"","ename":"","eno":"","pphy":"SEATON, SCOTT M","ppno":5409421200,"pcpadd":"15 Pratts Run","pcpcity":"Waynesboro","pcpstate":"VA","pcpzip":229806606,"pcpcounty":"Waynesboro City","pcpid":"P0060086","pcpname":"UVA WAYNESBORO PRIMARY CARE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R20.0","R20.2","G56.01","E11.8","Z79.4","I10","F17.200","K80.50","R74.0","I25.10","Z72.0","F17.210","K80.70","A41.9","R65.20","N17.9","Z68.41","E11.9","R09.02","I25.118","I25.2","Z95.5","E66.01","J44.9","E78.5","R07.89","R10.13","R07.9","R10.84","K80.20","K80.30","K80.41","E66.9","R06.03","Z23","K83.8","K85.10","R74.8","K80.81","K86.1","K80.61","E11.65","Z79.82","Z79.899","R10.11","Z96.89","Z71.6","Z79.1","K85.90","R10.9","R79.89","R10.10","I49.1","K85.91","R17","Z46.82","I51.7","J81.1","J90","K80.10","Z90.49"],"date":["2020-01-06","2020-01-06","2020-01-06","2020-09-22","2020-09-22","2020-09-22","2020-09-22","2020-08-11","2020-06-12","2020-08-08","2020-08-08","2020-08-08","2020-08-10","2020-06-10","2020-06-10","2020-06-13","2020-08-08","2020-08-10","2020-06-10","2020-06-10","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-06-10","2020-06-10","2020-06-11","2020-06-10","2020-08-08","2020-06-11","2020-06-11","2020-06-11","2020-06-11","2020-06-23","2020-08-10","2020-08-10","2020-08-10","2020-08-10","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-09","2020-08-08","2020-08-08","2020-08-08","2020-08-10","2020-08-11","2020-08-10","2020-08-10","2020-08-12","2020-08-12","2020-08-12","2020-08-12","2020-09-02"]}},{"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":""}]}]}