{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEANA M WINGLER","gend":1,"add":"PO BOX 105","city":"NARROWS","state":"VA","zip":241240105,"dob":"1947-09-03","age":"","mstatus":"","insh":11005774,"cliId":"1P09H55MP39","pno":5409227135,"cno":"","email":"","ename":"","eno":"","pphy":"DEVEREAUX, ROBERT","ppno":5409213636,"pcpadd":"430 Boxwood Ln","pcpcity":"Pearisburg","pcpstate":"VA","pcpzip":241341168,"pcpcounty":"GILES","pcpid":"P0117831","pcpname":"CARILION CLINIC FAMILY MEDICINE GILES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M47.817","M15.0","G89.4","M23.52","Z79.899","M96.1","M62.59","M25.531","M79.644","G89.29","M18.11","G56.01","M79.604","M23.51","M19.041","M18.9","E11.9","H90.5","M19.031","M54.18","M79.641","M25.641","Z47.89","Z48.89","Z23","M51.36","M54.5","Z87.891","J45.909","Z85.3","Z79.84","H91.90","I10","E03.9","M53.9","M48.56XA","M48.54XA","M54.16","F11.20","Z00.00","R07.9","Z96.1","H04.123","H52.02","H52.11","H52.223","Z02.4","M65.4","M19.042","Z98.1","M62.830","M51.35","S22.080A","S32.010A","M41.86"],"date":["2020-09-29","2019-12-11","2020-09-29","2020-09-01","2020-09-29","2019-07-10","2019-03-04","2020-09-01","2020-05-18","2020-05-18","2019-07-02","2019-05-30","2019-04-29","2020-03-10","2020-05-29","2019-04-23","2020-05-18","2019-05-28","2019-05-30","2020-09-29","2019-07-02","2019-07-02","2019-08-27","2020-05-29","2019-10-28","2019-10-28","2019-10-28","2019-10-28","2019-10-28","2019-10-28","2019-10-28","2019-10-28","2020-05-18","2019-10-28","2019-10-28","2019-10-31","2019-10-31","2019-10-31","2018-12-04","2020-02-11","2020-05-18","2020-02-18","2020-02-18","2020-02-18","2020-02-18","2020-02-18","2020-02-11","2020-05-29","2020-05-29","2020-05-29","2019-10-28","2019-10-28","2019-10-28","2019-10-28","2019-10-28"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","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":""}]}]}