{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRENDA P DRAPER","gend":1,"add":"579 BOTETOURT RD #1","city":"FINCASTLE","state":"VA","zip":240909999,"dob":"1962-04-08","age":"","mstatus":"","insh":11002414,"cliId":"3GX0KR1PU02","pno":5406207531,"cno":5405251918,"email":"","ename":"","eno":"","pphy":"STIDHAM, GREGORY A","ppno":5409924100,"pcpadd":"150 Market Ridge Ln","pcpcity":"Daleville","pcpstate":"VA","pcpzip":240833258,"pcpcounty":"BOTETOURT","pcpid":"P0117780","pcpname":"CARILION CLINIC FAMILY MEDICINE DALEVILLE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M25.561","M17.11","W19.XXXA","Y92.009","Z23","S83.271A","S83.411A","M94.261","S83.281A","Z12.11","K64.8","Z80.0","I50.9","I42.0","I65.09","I69.359","G40.909","K21.9","Z79.01","Z79.82","S83.206D","T17.308A","R13.14","E78.2","Z86.73","Z91.09","F51.01","I10","J30.1","I63.219","M70.50","E78.5","J30.9","N39.41","Z68.24","Z79.02","Z79.51","I11.0","Z87.891","X50.9XXA","Y92.007","Z01.810","Z86.79","J30.2","Z79.899"],"date":["2019-11-11","2020-01-23","2019-09-23","2019-09-23","2020-10-06","2020-01-20","2019-11-11","2020-01-20","2020-01-23","2019-12-02","2019-12-02","2019-12-02","2020-01-20","2020-01-20","2019-12-02","2020-01-20","2020-06-10","2020-06-10","2020-01-20","2020-01-20","2019-12-13","2018-01-24","2018-01-24","2020-06-10","2020-06-10","2019-03-07","2019-03-07","2020-01-23","2018-05-08","2018-05-08","2019-09-06","2018-09-14","2018-09-14","2018-09-14","2018-09-14","2018-09-14","2018-09-14","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-01-20","2020-06-10","2020-06-10"]}},{"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":""}]}]}