{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOEY C KINCER","gend":0,"add":"3522 SHIRLEYS HILL ROAD","city":"PARTLOW","state":"VA","zip":225343059,"dob":"1969-06-22","age":"","mstatus":"","insh":11011185,"cliId":"7RQ9P62VY39","pno":5404206452,"cno":5408789803,"email":"","ename":"","eno":"","pphy":"WOODFORD, DANIEL W","ppno":8046335840,"pcpadd":"121 Courthouse Ln","pcpcity":"Bowling Green","pcpstate":"VA","pcpzip":224279336,"pcpcounty":"SPOTSYLVANIA","pcpid":"P9443041","pcpname":"MWMG FAMILY INTERNAL MEDICINE BOWLING GREEN"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["N28.1","N20.0","R10.9","G89.4","M54.16","M51.36","M48.061","G44.201","N53.14","N40.1","R39.11","R39.198","M54.5","G89.29","G35","G44.309","M79.671","M19.071","M19.072","G62.9","R20.2","E11.42","S92.511A","M47.816","M54.30","G44.89","M13.80","R52","G47.33","I10","E78.5","E11.9","J44.9","F41.8","N40.0","M70.62","M70.61","K57.30","E66.01","Z12.5","M25.561","F51.01","H72.92","H91.93","M53.3","G47.19","M53.88","G57.11","G57.12","M79.10","M25.562","M54.17"],"date":["2020-03-17","2020-03-17","2020-02-11","2020-09-07","2020-10-20","2020-07-09","2020-07-09","2020-02-28","2020-02-11","2020-03-17","2020-03-17","2020-03-17","2020-10-19","2020-10-13","2020-09-14","2020-02-21","2020-03-18","2020-03-18","2020-03-18","2020-10-13","2020-03-18","2020-03-18","2020-03-18","2020-03-27","2020-03-27","2020-02-12","2020-02-12","2020-02-12","2020-08-14","2020-08-14","2020-08-14","2020-08-14","2020-08-14","2020-08-14","2020-08-14","2020-05-08","2020-05-08","2020-05-08","2020-05-11","2020-05-11","2020-10-13","2020-06-30","2020-07-14","2020-06-30","2020-08-03","2020-08-14","2020-09-01","2020-10-13","2020-10-13","2020-09-01","2020-10-13","2020-10-20"]}},{"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":{"indx":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}}]},{"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":""}]}]}