{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CRYSTAL M POWELL","gend":1,"add":"1717 Westview Ave SW","city":"Roanoke","state":"VA","zip":240162620,"dob":"1982-03-09","age":"","mstatus":"","insh":11004877,"cliId":"4YC1VE3WK98","pno":5406763925,"cno":5405974745,"email":"","ename":"","eno":"","pphy":"NAZLI, AYESHA","ppno":5403620360,"pcpadd":"3716 Melrose Ave NW","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240172716,"pcpcounty":"Roanoke City","pcpid":"P0060152","pcpname":"NEW HORIZONS HEALTH CARE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F31.12","Z11.3","Z11.4","Z11.8","F31.74","F14.21","K21.9","J30.9","Z02.89","F14.11","F10.10","F14.10","Z30.42","R09.81","F31.76","R10.2","Z79.3","L03.116","L02.91","L02.415","Z87.891","L02.416","L02.419","L03.90","B95.62","Z30.40","Z32.02","Z34.02","F31.72","E66.9","Z71.3","Z71.89","S80.821A","M79.18","R52","F31.9","F31.71","F23","R44.1","F29","R00.0","D72.829","F31.13","B85.2","F14.90","F31.60","Z87.898","J01.90","R51","M54.5","N89.8","R07.89","K08.89","Z00.00","Z28.21","F17.210","Z23","J06.9","B97.89","Z30.012","Z30.41","M62.830","B35.4","Z30.2","F31.70","F31.75","S61.346A","F31.2","F43.20","F14.20","L02.425","Z87.820","F15.10","R63.1","Z71.82","Z11.9"],"date":["2019-02-14","2020-02-27","2020-05-27","2019-02-06","2019-10-24","2019-08-12","2020-08-25","2019-10-10","2020-08-25","2019-09-12","2019-02-26","2020-08-25","2019-07-10","2019-04-05","2019-06-14","2019-05-07","2019-05-21","2019-07-02","2020-01-08","2019-07-03","2019-10-02","2019-07-03","2019-07-03","2019-07-05","2019-07-05","2019-07-10","2019-11-20","2019-07-10","2019-08-07","2019-12-18","2020-08-25","2019-12-18","2019-08-14","2019-09-03","2019-09-03","2019-10-02","2020-10-05","2019-10-02","2019-10-02","2019-10-02","2019-10-02","2019-10-03","2019-10-03","2018-10-10","2020-09-18","2018-11-16","2018-11-16","2018-12-05","2018-12-16","2018-12-12","2020-05-27","2018-12-16","2018-12-16","2019-12-18","2019-12-18","2020-08-25","2020-04-25","2020-01-16","2020-01-16","2020-01-23","2020-01-23","2020-02-12","2020-02-12","2019-12-02","2019-12-04","2020-02-05","2020-04-25","2019-10-10","2019-10-10","2019-10-10","2019-10-10","2019-10-10","2020-05-15","2020-05-27","2020-08-25","2020-05-27"]}},{"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":""}]}]}