{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GLORIA CASH","gend":1,"add":"1304 HIDDEN VALLEYS RD","city":"PALMYRA","state":"VA","zip":229639999,"dob":"1941-05-24","age":"","mstatus":"","insh":11011961,"cliId":"3GJ8AN1QH22","pno":4349605650,"cno":"","email":"","ename":"","eno":"","pphy":"ASAORAGOSTA, KIYOKO","ppno":4349731831,"pcpadd":"3025 Berkmar Dr Ste 1","pcpcity":"Charlottesville","pcpstate":"VA","pcpzip":229011456,"pcpcounty":"FLUVANNA","pcpid":"P0143702","pcpname":"PRIVIA MEDICAL GROUP LLC"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z45.010","I44.2","Z95.0","I50.22","I48.0","A41.59","R41.82","R40.2122","Z66","R65.21","K55.031","Q61.3","N17.9","I42.9","D62","G93.49","A09","R40.2362","R40.2242","I25.10","K43.9","A41.9","I95.9","K92.2","K55.019","R10.84","K63.89","N28.1","R40.4","R41.0","Z86.73","R07.9","Z95.2","R09.02","J98.11","Z95.1","K52.9","R79.89","A41.4","D72.820","A04.72","I50.21","R06.02","J90","J18.1","I27.20","I42.8","B96.1","E11.49","I25.709","I63.9","C02.9","I11.0","N39.0","E11.9","E87.6","S80.11XA","M15.9","R13.10","R63.3","R09.01"],"date":["2020-04-13","2020-04-13","2020-05-13","2020-10-14","2020-05-13","2020-07-20","2020-09-27","2020-07-20","2020-07-20","2020-07-29","2020-07-20","2020-07-20","2020-09-27","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-24","2020-07-20","2020-07-29","2020-09-27","2020-09-27","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-23","2020-07-23","2020-07-23","2020-07-20","2020-07-20","2020-09-27","2020-07-23","2020-07-23","2020-09-27","2020-07-21","2020-10-14","2020-07-29","2020-07-23","2020-07-24","2020-07-23","2020-07-23","2020-07-23","2020-07-23","2020-07-24","2020-07-24","2020-09-27","2020-09-27","2020-09-27","2020-09-27","2020-09-27","2020-07-29","2020-07-29","2020-09-23","2020-09-01","2020-10-14","2020-07-22","2020-07-22","2020-07-22"]}},{"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":{"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":""}]}]}