{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAVID W CAREY","gend":0,"add":"100 E MADDISON AVENUE","city":"VINTON","state":"VA","zip":241794524,"dob":"1973-06-05","age":"","mstatus":"","insh":11003299,"cliId":"5X90XJ2XC48","pno":5405951128,"cno":"","email":"","ename":"","eno":"","pphy":"STEWART, JONATHAN","ppno":5404279200,"pcpadd":"2145 MOUNT PLEASANT BLVD SE","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":240143632,"pcpcounty":"ROANOKE","pcpid":"P0117333","pcpname":"CARILION FAMILY MEDICINE SOUTHEAST FAMILY MEDICAL"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["D75.1","I82.403","M54.5","M54.30","E05.90","E04.2","E05.20","F31.9","J44.9","I10","E78.2","R73.09","J30.2","Z76.0","E04.1","R93.89","G89.29","M47.816","M51.36","Z79.899","Z23","M51.46","D58.2","R94.6","I82.492","M79.662","E66.9","F17.200","Z68.35","M79.89","I82.402","I82.409","R05","Z86.718","Z71.3","Z72.0","Z71.82","E66.01","F39","G89.21","R07.89","R94.31","Z68.36","Z20.828"],"date":["2019-02-18","2019-02-18","2019-01-23","2019-01-23","2020-02-05","2019-04-15","2019-04-15","2018-05-10","2020-07-24","2020-08-28","2020-02-05","2020-02-05","2018-05-10","2018-05-10","2019-05-14","2019-06-17","2019-09-24","2019-09-24","2019-09-24","2020-02-05","2020-02-05","2018-10-03","2018-10-05","2018-10-05","2018-10-10","2018-10-10","2020-07-24","2020-07-24","2018-10-10","2018-10-10","2018-10-15","2018-10-15","2018-11-20","2020-02-05","2020-07-27","2020-07-27","2020-07-27","2020-07-27","2020-06-08","2020-06-08","2020-07-27","2020-07-28","2020-07-24","2020-07-25"]}},{"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":""}]}]}