{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MENITA D WRIGHT","gend":1,"add":"5054 NORTHWOOD DR NW","city":"ROANOKE","state":"VA","zip":240179999,"dob":"1985-06-04","age":"","mstatus":"","insh":11004998,"cliId":"2NT8DN7CH39","pno":5409158460,"cno":5409820687,"email":"","ename":"","eno":"","pphy":"BELL, VICTOR HOLLOWAY","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":["R00.1","R00.0","R00.2","I95.1","R07.9","I47.1","D68.51","K21.9","G40.909","D64.9","Z87.891","J45.909","R53.83","R09.02","J01.90","R05","R07.89","R06.02","D50.9","Z32.02","N92.0","M79.89","Z11.1","R76.11","M25.562","Z13.6","E55.9","N89.8","M79.662","M79.606","R60.0","S86.912A","M79.605","I20.9","K08.89","Z11.3","Z12.4","E66.9","Z71.3","Z71.89","T36.95XA","R42","Z79.899","R51","N76.0","R10.9","E11.9","R19.7","R68.84","Z28.21","Z78.9","Z34.90","R11.2","N92.6","Z20.828","R52","Z11.59","G44.201","J02.9","J98.8","M54.2","M54.5","V89.2XXA"],"date":["2020-10-19","2020-09-18","2020-03-11","2019-01-16","2019-10-15","2020-03-18","2019-08-03","2019-05-28","2019-05-28","2019-08-03","2019-10-15","2020-09-18","2020-09-18","2020-09-18","2019-01-25","2020-08-04","2019-10-15","2019-08-03","2020-01-21","2019-01-31","2019-05-10","2019-03-19","2019-04-16","2019-04-16","2019-05-13","2019-05-14","2020-01-21","2019-05-27","2019-05-27","2019-05-28","2019-05-28","2019-05-28","2019-05-28","2019-05-28","2019-06-19","2019-07-18","2019-07-18","2020-06-15","2020-06-15","2020-06-15","2019-08-02","2019-08-03","2019-08-03","2019-08-10","2019-09-13","2019-10-11","2019-10-11","2019-10-11","2019-10-11","2020-01-15","2020-01-21","2020-06-15","2020-06-09","2020-08-14","2020-07-09","2020-08-04","2020-08-04","2020-08-04","2020-08-04","2020-08-04","2020-09-08","2020-09-08","2020-09-08"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["Yes","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":""}]}]}