{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KAREN L PRATT","gend":1,"add":"1328 MORNINGSIDE ST SE","city":"ROANOKE","state":"VA","zip":240139999,"dob":"1965-04-20","age":"","mstatus":"","insh":11003591,"cliId":"1X66QN2HD66","pno":5403442869,"cno":"","email":"","ename":"","eno":"","pphy":"TU, PRISCILLA","ppno":5404279200,"pcpadd":"2145 Mount Pleasant Blvd Se","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240143632,"pcpcounty":"ROANOKE CITY","pcpid":"P0117333","pcpname":"CARILION FAMILY MEDICINE SOUTHEAST FAMILY MEDICAL"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E11.65","E03.9","E55.9","L91.8","R21","Z76.0","R53.83","I10","E11.9","G47.9","G89.29","R11.0","R06.83","G47.33","R63.4","Z71.1","Z01.419","R79.89","R23.2","F51.01","E66.9","M17.12","M25.562","Z63.8","F41.9","F32.9","G89.4","Z79.899","M79.7","J30.2","M47.816","M51.36","M54.40","E78.5","L72.3","M54.5","M62.81","M25.551","M25.552","M25.512","M25.561","D17.23","S81.809D","R07.9","M15.9"],"date":["2019-07-25","2020-10-07","2020-07-27","2019-03-28","2019-03-28","2020-03-05","2018-06-19","2020-10-07","2020-10-07","2018-09-21","2020-07-16","2018-05-15","2018-06-24","2018-06-24","2019-09-27","2019-07-02","2018-08-20","2018-08-20","2018-08-20","2018-09-04","2018-09-04","2020-02-03","2020-07-13","2019-12-20","2020-03-05","2020-10-07","2020-07-07","2020-04-07","2020-10-22","2020-04-07","2020-07-16","2020-06-24","2020-06-24","2020-07-07","2020-07-07","2020-07-13","2020-07-13","2020-07-13","2020-07-13","2020-07-13","2020-07-13","2020-08-04","2020-08-04","2020-10-07","2020-10-22"]}},{"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":[]}]},{"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":""}]}]}