{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JUDY S LEE","gend":1,"add":"1009 ALVIEW AVE NW","city":"ROANOKE","state":"VA","zip":240129999,"dob":"1953-07-21","age":"","mstatus":"","insh":11005869,"cliId":"2NA2MF2HU84","pno":5405952702,"cno":"","email":"","ename":"","eno":"","pphy":"GLENNEY, ROBERT","ppno":5402541239,"pcpadd":"18080 Main St","pcpcity":"Buchanan","pcpstate":"VA","pcpzip":240665482,"pcpcounty":"ROANOKE CITY","pcpid":"P0117377","pcpname":"CARILION FAMILY MEDICINE BUCHANAN"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M81.0","R26.81","G80.8","N63.10","R92.8","N63.14","N63.13","N63.12","N63.11","G40.409","G80.9","N30.90","G62.9","H91.90","R47.1","E16.2","R40.1","R56.9","G40.909","N39.0","Z51.81","Z91.19","G40.309","R63.4","M25.561","M79.89","W19.XXXA","M89.9","G40.919","D64.9","G40.019","Z12.31","Z78.0","R53.1","R63.8","R62.50"],"date":["2019-01-11","2019-01-11","2019-08-19","2019-02-04","2019-02-04","2019-02-04","2019-02-04","2019-02-04","2019-02-04","2019-03-06","2020-04-05","2019-03-06","2019-03-06","2019-03-06","2019-03-06","2019-03-06","2019-03-06","2020-04-05","2020-04-05","2019-03-07","2019-08-16","2019-03-25","2019-08-19","2019-04-08","2019-07-01","2019-07-01","2019-07-01","2019-07-01","2019-08-19","2019-08-19","2019-10-30","2018-12-27","2018-12-27","2020-04-05","2020-04-05","2020-04-05"]}},{"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":""}]}]}