{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LORRAINE M MITCHELL","gend":1,"add":"3038 MELROSE AVE NW","city":"ROANOKE","state":"VA","zip":240179999,"dob":"1943-05-07","age":"","mstatus":"","insh":11008389,"cliId":"4WH3H56UY04","pno":5409155316,"cno":"","email":"","ename":"","eno":"","pphy":"AUSTIN, ANN","ppno":5402245170,"pcpadd":"3038 MELROSE AVE NW","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":240179999,"pcpcounty":"ROANOKE CITY","pcpid":"P0117426","pcpname":"CARILION CLINIC INTERNAL MEDICINE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["S82.261A","W00.0XXA","S52.501A","S52.601A","E87.0","E83.51","E87.6","F17.210","H26.9","S82.101A","Z88.0","Z98.890","Z79.83","S82.831A","S82.101D","S82.831D","Z01.818","R07.9","S99.919A","S52.502D","M62.81","R26.2","M25.531","S52.501D","S52.611D","M79.661","H40.10X2","Z96.1","H26.491","E55.9","R60.0","S52.611A","M79.604","R22.41","R20.8","M62.838","R53.81","H40.9","R27.9","S82.191D","S52.592D","S52.692D","H44.513","M85.9","S52.592S","Z87.81","Z47.89"],"date":["2019-12-13","2019-12-13","2019-12-14","2019-12-13","2019-12-14","2020-03-10","2019-12-14","2019-12-13","2019-12-13","2019-12-14","2019-12-13","2019-12-13","2019-12-13","2019-12-13","2020-05-20","2019-12-13","2019-12-13","2019-12-13","2019-12-13","2020-05-11","2020-05-11","2020-05-11","2020-03-10","2020-05-20","2020-01-08","2020-05-20","2020-01-13","2020-01-13","2020-01-13","2020-03-10","2020-03-10","2019-12-13","2020-02-20","2020-02-20","2020-02-20","2020-03-10","2020-03-10","2020-03-10","2019-12-20","2020-04-19","2020-04-19","2020-04-19","2020-04-19","2020-04-19","2020-04-05","2020-04-08","2020-04-08"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","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":""}]}]}