{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILLIAM STEELE SR","gend":0,"add":"1710 main street","city":"CLIFTON FORGE","state":"VA","zip":244229999,"dob":"1973-05-07","age":"","mstatus":"","insh":11008407,"cliId":"4KV5DD4HH51","pno":5409589800,"cno":"","email":"","ename":"","eno":"","pphy":"CALDRONEY, RALPH D","ppno":5404583344,"pcpadd":"1 Health Cir","pcpcity":"Lexington","pcpstate":"VA","pcpzip":244502448,"pcpcounty":"ALLEGHANY","pcpid":"P9348563","pcpname":"CARILION CLINIC FAMILY MEDICINE CLIFTON FORGE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R49.1","Z43.0","R13.12","Z90.02","T17.908A","Z93.0","C32.9","S61.219A","W26.0XXA","G40.909","E07.9","E78.5","F41.9","I10","J45.909","Z79.890","Z87.891","G89.4","Z79.899","M47.812","M47.816","Z85.21","L03.818","Z79.891","R51","Z86.69","Z85.9","G89.28","G40.802","Z13.220","Z13.1","R78.81","G47.00","I80.8","E03.9","M79.2","I82.621","I82.413","Z71.89","L08.9","R21","M54.5","S32.030A","X58.XXXA","G47.01","R45.4","M80.88XA","M51.36","M48.04","M48.07","M48.05","S22.080A","M51.44","M51.85","M47.815","M48.061","M47.817","M46.1"],"date":["2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-05-08","2020-07-31","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2019-10-14","2020-09-11","2020-09-11","2020-01-24","2020-10-19","2020-01-24","2019-11-14","2020-09-11","2020-09-11","2020-03-13","2020-08-14","2020-09-11","2020-01-30","2020-01-30","2020-01-30","2020-01-30","2020-01-30","2020-03-03","2020-01-30","2020-09-11","2020-03-03","2020-03-03","2020-03-03","2020-07-09","2020-07-09","2020-09-11","2020-08-21","2020-08-21","2020-09-15","2020-09-15","2020-10-05","2020-10-05","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19"]}},{"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":""}]}]}