{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PEGGY H DEWESE","gend":1,"add":"4878 LEE HIGHWAY","city":"DUBLIN","state":"VA","zip":240849999,"dob":"1958-10-08","age":"","mstatus":"","insh":11004476,"cliId":"8XQ4KX1QJ50","pno":5406290669,"cno":"","email":"","ename":"","eno":"","pphy":"LARD, CHAD T","ppno":5406748804,"pcpadd":"118 BROAD STREET","pcpcity":"DUBLIN","pcpstate":"VA","pcpzip":240843211,"pcpcounty":"PULASKI","pcpid":"P0117811","pcpname":"CARILION CLINIC FAMILY MEDICINE DUBLIN"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z51.11","C50.912","Z79.899","C77.3","R97.0","R59.0","Z95.828","R91.8","M79.89","C85.90","F41.1","R20.2","R25.2","I10","Z79.82","Z87.891","R97.8","E66.9","J44.9","C50.919","E87.6","K80.20","I35.8","I34.0","C79.81","Z91.89","R79.0","Z85.3","E87.8","C79.31","R55","F17.200","G93.6","G93.9","K56.41","G93.89","S00.81XA","Z51.0","E27.9","Z17.1","Z17.0","F41.9","I07.1","K76.0","J90","I65.22","R97.1","E87.1","R82.998","N19","R73.09","E83.42","D64.9","E83.40","E61.2","E83.50","E83.59","Z92.3","Z45.2","Z68.28","Z90.12","R43.2","K76.9","Z08","C50.812","G40.409","Z92.21","F32.9","D72.829","R00.0","I95.9","R41.82","R42","R45.4","R56.9","E03.9","Z91.14","W01.0XXA","F39","K29.00","E78.5","Z51.81","R68.89","R79.89","G70.01","Z87.898"],"date":["2020-10-01","2020-10-23","2020-10-23","2020-10-01","2019-11-21","2019-07-12","2019-04-25","2019-08-01","2019-01-29","2019-01-29","2019-02-02","2019-02-02","2019-02-02","2020-03-03","2020-01-16","2019-08-01","2019-08-08","2019-07-15","2020-02-11","2020-02-21","2020-01-16","2019-04-23","2019-04-24","2020-07-22","2020-01-16","2019-06-27","2019-06-06","2020-02-11","2020-02-11","2020-10-01","2019-07-18","2019-07-16","2019-07-17","2019-07-18","2019-07-18","2019-07-17","2019-07-17","2019-07-29","2020-09-10","2020-09-10","2020-09-10","2019-09-03","2018-08-02","2018-08-02","2018-08-02","2018-08-02","2018-11-02","2019-08-14","2019-08-14","2020-03-03","2019-11-08","2019-08-29","2019-11-08","2019-12-31","2019-12-31","2019-09-03","2019-09-03","2020-10-01","2018-09-20","2018-09-25","2018-09-25","2019-10-10","2020-03-03","2020-08-26","2019-11-21","2020-01-16","2020-01-16","2020-01-18","2020-01-16","2020-01-16","2020-01-16","2020-01-16","2020-01-16","2020-01-16","2020-01-23","2020-02-11","2020-02-11","2019-07-16","2019-09-03","2019-12-10","2020-03-03","2020-04-09","2020-03-24","2020-03-24","2020-03-24","2020-10-01"]}},{"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":[]}]},{"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":""}]}]}