{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LESSIE M HOLLAND","gend":1,"add":"506 17TH ST NW","city":"ROANOKE","state":"VA","zip":240179999,"dob":"1951-02-23","age":"","mstatus":"","insh":11003550,"cliId":"2M35N18DJ89","pno":5402048402,"cno":"","email":"","ename":"","eno":"","pphy":"BELL, VICTOR HOLLOWAY","ppno":5403620360,"pcpadd":"506 17TH ST NW","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":240179999,"pcpcounty":"ROANOKE CITY","pcpid":"P0060152","pcpname":"NEW HORIZONS HEALTH CARE"},{"a":[]},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["C50.112","Z17.0","C79.51","I10","F32.9","C50.919","G89.3","Z00.01","K21.9","Z98.890","Z12.11","Z12.4","Z71.89","Z76.0","Z23","R53.83","T50.904A","F11.23","F41.9","T40.2X5A","M19.90","C50.419","C79.9","F17.210","I25.2","R94.31","K59.00","Z08","Z92.3","Z85.3","Z85.830","R06.02","R05","R91.8","Z51.0","Z85.9","R51","K08.409","M47.812","C50.912","R18.0","D64.9","D70.9","Z86.73","Z79.82","Z87.891","R14.0","C79.89","R18.8","D61.818","R63.4","Z66","R53.1","R10.84"],"date":["2020-04-03","2020-04-10","2020-04-03","2020-04-10","2019-02-25","2020-04-10","2019-02-25","2019-02-25","2020-04-10","2019-02-25","2019-02-25","2019-02-25","2019-02-25","2019-02-25","2019-02-25","2020-02-28","2018-06-16","2018-06-17","2018-06-17","2018-06-17","2018-06-17","2018-06-17","2018-06-17","2018-06-17","2018-06-17","2018-06-17","2020-04-03","2018-10-23","2020-04-03","2018-07-11","2018-07-11","2018-10-23","2018-10-23","2020-04-03","2018-10-23","2018-10-23","2018-12-04","2018-12-04","2018-12-04","2020-04-03","2020-04-10","2020-04-10","2020-04-10","2020-04-10","2020-04-10","2020-04-10","2020-04-03","2020-04-03","2020-04-04","2020-04-03","2020-04-03","2020-04-03","2020-04-03","2020-04-03"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","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":""}]}]}