{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICIA A BAUMANN","gend":1,"add":"PO BOX 968","city":"ONLEY","state":"VA","zip":234180968,"dob":"1937-07-04","age":"","mstatus":"","insh":11010628,"cliId":"5CC4CD9JD62","pno":7577871549,"cno":7573877217,"email":"","ename":"","eno":"","pphy":"PERRY, ANGELICA","ppno":7574426600,"pcpadd":"9524 HOSPITAL AVENUE","pcpcity":"NASSAWADOX","pcpstate":"VA","pcpzip":234131820,"pcpcounty":"ACCOMACK","pcpid":"P9443118","pcpname":"RIVERSIDE PHYSICIAN SERVICES INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","R15.9","M62.81","K92.2","D64.9","K62.5","D64.89","J44.9","I10","E03.9","E78.5","Z91.81","Z87.891","Z79.02","Z79.82","Z79.899","Z99.81","R06.02","R05","R68.89","J44.1","J96.11","I50.42","K62.3","K59.00","I25.10","J43.1","I11.0","M35.3","F41.9","K21.9","N30.90","F32.9","Z82.49","Z88.1","Z88.8","N39.0","B96.89","I73.9","D51.9","D50.0","I49.3","I50.20","Z79.01","R07.9","Z23","E53.8","Z20.828","R10.9","R91.1","J90","E07.9","R06.2","M54.9","R00.0","R91.8","M54.6","R94.31","D53.9","E86.0","R19.7","R19.5","R53.1","I44.0","J40","E66.9","N30.00","I49.1","J44.0","R21"],"date":["2020-10-13","2020-10-13","2020-10-13","2020-01-16","2020-03-16","2020-07-02","2020-01-16","2020-06-08","2020-09-08","2020-03-16","2020-09-08","2020-01-16","2020-10-19","2020-03-04","2020-03-04","2020-06-21","2020-10-19","2020-09-10","2020-07-08","2020-07-03","2020-09-08","2020-06-08","2020-03-16","2020-07-02","2020-06-21","2020-03-16","2020-03-16","2020-03-16","2020-03-16","2020-03-04","2020-03-16","2020-03-03","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-16","2020-03-02","2020-03-16","2020-03-09","2020-09-23","2020-09-10","2020-01-17","2020-01-18","2020-01-20","2020-01-31","2020-01-31","2020-03-02","2020-06-21","2020-09-23","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-07-08","2020-09-23","2020-06-21","2020-09-10","2020-09-23","2020-07-02","2020-07-02","2020-07-02","2020-07-04","2020-07-04","2020-07-08","2020-07-08","2020-09-08","2020-09-10","2020-10-19","2020-10-19"]}},{"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":""}]}]}