{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LELA M MCCRACKEN","gend":1,"add":"614 Meadow St","city":"Coeburn","state":"VA","zip":242304113,"dob":"1947-03-10","age":"","mstatus":"","insh":11004600,"cliId":"2NR9RH1TN22","pno":2763951747,"cno":"","email":"","ename":"","eno":"","pphy":"KANWAL, GURCHARAN","ppno":2763956244,"pcpadd":"116 Center St","pcpcity":"Coeburn","pcpstate":"VA","pcpzip":242302200,"pcpcounty":"Wise","pcpid":"P9058534","pcpname":"COEBURN CLINIC INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R39.81","R53.1","G37.3","N32.81","N39.46","H90.6","R30.0","M25.50","R79.89","M81.0","R32","E03.9","R12","R13.10","Z71.89","M05.60","H90.3","H90.5","S61.452A","S69.92XA","S61.412A","W54.0XXA","Y93.9","Y92.9","K21.9","Z23","H81.11","H25.11","H25.12","R26.89","R19.5","Z00.00","Z53.29","Z28.21","E55.9","G05.4","G62.9","H57.02","K08.409","M47.816","M62.542","N39.42","R15.9","Z68.23","Z79.52","Z97.2","N39.0","A49.9","N32.9"],"date":["2020-10-05","2020-10-05","2020-10-05","2020-10-05","2020-10-05","2019-02-05","2019-12-07","2019-05-29","2019-09-25","2019-05-29","2019-12-18","2019-08-01","2019-05-29","2019-05-29","2019-05-29","2019-07-16","2019-07-29","2019-07-30","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-09-05","2019-10-10","2019-10-24","2018-11-20","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2019-09-25","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2018-10-23","2019-12-18","2019-12-18","2019-12-18"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","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 and 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 and Diagnoses","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":[]},{"a":[]}]},{"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 & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":""}]}]}