{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARTHA A ALLEN","gend":1,"add":"7793 CONNER RD","city":"COPPER HILL","state":"VA","zip":240799999,"dob":"1950-08-21","age":"","mstatus":"","insh":11002429,"cliId":"8G64FH5EN94","pno":5406513159,"cno":"","email":"","ename":"","eno":"","pphy":"LLAVORE, JEREMY A","ppno":5403345511,"pcpadd":"22890 Virgil H Goode Hwy","pcpcity":"Boones Mill","pcpstate":"VA","pcpzip":240654989,"pcpcounty":"FLOYD","pcpid":"P0117371","pcpname":"CARILION FAMILY AND INTERNAL MEDICINE BOONES MILL"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J06.9","Z12.31","H25.13","H52.03","H52.4","Z00.00","E78.49","I10","R73.01","R74.8","R05","J01.00","E78.4","N39.0","M15.0","Z23","J40","Z72.0","R73.03","E66.9","F43.21","G89.29","Z68.32","Z79.891","Z80.3","Z82.3","Z82.49","Z83.3","Z88.5","Z88.8","H25.013","E78.5","F51.01","Z79.899"],"date":["2018-01-04","2019-02-26","2020-08-24","2020-08-24","2019-03-18","2020-09-21","2020-02-10","2020-10-01","2019-04-08","2020-10-01","2018-04-23","2018-06-28","2018-07-03","2018-07-03","2019-08-15","2020-10-01","2020-02-10","2020-09-21","2020-10-01","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2020-08-24","2020-10-01","2020-09-21","2020-10-01"]}},{"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":""}]}]}