{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARY E MOORE","gend":1,"add":"339 DAY AVE SW","city":"ROANOKE","state":"VA","zip":240169999,"dob":"1975-07-18","age":"","mstatus":"","insh":11008027,"cliId":"9XP8JN6VJ27","pno":5405266397,"cno":"","email":"","ename":"","eno":"","pphy":"MAZEN MADHOUN MD LLC","ppno":"","pcpadd":"6002 Winnbrook Ln","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240187907,"pcpcounty":"ROANOKE CITY","pcpid":"P0124193","pcpname":"SPRINGTREE HEALTH AND REHAB CENTER"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F11.20","K59.03","F41.9","F31.62","F17.210","Z20.2","F13.250","F33.9","R53.82","E03.9","E66.9","I10","F13.21","E55.9","N91.2","Z79.899","Z72.51","A08.4","R11.0","Z02.89","F43.10","F32.9","Z63.4","F19.90","F33.2","F32.2","Y07.03","Y92.89","F17.200","T74.31XA","Z79.890","Z91.14","Z81.8","Z82.49","Z76.0","F19.10","R45.851","F14.20","E87.6","F12.20","Z98.51","Z79.891","Z79.3","F43.12","J06.9","J02.9","R05","R07.9","J02.0","B95.1","Z72.0","F33.0","G47.00","E06.9","F14.10","F31.9","R07.89"],"date":["2020-07-29","2019-09-12","2020-02-13","2020-02-13","2020-02-13","2019-09-17","2019-09-19","2020-02-13","2019-12-02","2020-03-12","2019-12-02","2019-12-19","2019-10-08","2019-10-08","2019-10-08","2020-07-02","2019-10-01","2019-10-29","2019-11-18","2019-11-21","2020-07-29","2020-07-02","2019-11-21","2019-11-21","2020-02-20","2020-02-13","2019-12-11","2019-12-11","2019-12-11","2019-12-11","2020-02-13","2019-12-11","2019-12-11","2019-12-11","2019-08-22","2019-12-11","2020-02-13","2020-02-19","2020-02-14","2020-02-19","2020-02-13","2020-02-13","2020-02-13","2020-02-19","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-07-29","2020-07-29","2020-07-29","2020-07-29","2020-02-14","2020-02-14","2020-03-12"]}},{"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":""}]}]}