{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"FRANCES A GIBBS","gend":1,"add":"1181 THOMPSON ST","city":"LA CROSSE","state":"VA","zip":239509999,"dob":"1961-09-03","age":"","mstatus":"","insh":11012237,"cliId":"6VX3NJ8GC90","pno":4347551864,"cno":9195598636,"email":"","ename":"","eno":"","pphy":"POWERS, LINDA P","ppno":4345842000,"pcpadd":"514 W Atlantic St","pcpcity":"South Hill","pcpstate":"VA","pcpzip":239701906,"pcpcounty":"MECKLENBURG","pcpid":"P0144597","pcpname":"SOUTH HILL FAMILY MEDICINE PRIVIA MEDICAL GROUP L"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R00.0","F41.9","R45.851","T39.091A","T39.012A","E87.2","F13.20","I10","F60.3","F43.10","E87.6","E78.5","F17.210","M19.90","R06.02","R51","Z81.8","Z82.3","Z82.49","F31.4","F31.30","G43.909","K21.9","F31.32","M25.562","Z91.81","M17.12","M79.672","M25.572","T14.8XXD","F19.20","F31.60","F41.1","F32.89","K29.00","T50.905A","F15.20","F43.12","Z91.5","F41.0","Z56.0","E78.00","Z90.710","Z11.59","Z79.899","Z91.410","F33.2","F60.9","F39","E55.9","Z91.19","F32.9","H53.2","G47.09","T39.092A","Z72.0","F10.129","T65.92XA","J44.9","Z88.8","M77.51","E11.42","B07.0","L84","Z23","G24.01"],"date":["2020-06-02","2020-07-02","2020-07-02","2020-03-18","2020-03-18","2020-03-20","2020-05-26","2020-07-02","2020-05-12","2020-07-02","2020-03-18","2020-07-02","2020-07-02","2020-03-18","2020-03-18","2020-07-02","2020-05-07","2020-03-18","2020-03-18","2020-03-20","2020-03-20","2020-07-02","2020-07-02","2020-07-14","2020-04-19","2020-06-02","2020-04-19","2020-04-19","2020-04-19","2020-04-08","2020-07-14","2020-09-08","2020-09-08","2020-09-08","2020-05-05","2020-10-20","2020-05-05","2020-05-12","2020-05-26","2020-05-07","2020-05-26","2020-05-07","2020-07-02","2020-05-07","2020-07-02","2020-05-07","2020-05-27","2020-05-26","2020-05-26","2020-05-26","2020-05-26","2020-07-02","2020-05-29","2020-08-11","2020-03-19","2020-03-19","2020-03-20","2020-03-20","2020-07-02","2020-07-02","2020-10-06","2020-10-06","2020-10-06","2020-10-06","2020-10-20","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":""}]}]}