{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TERRI THOMAS","gend":1,"add":"2263 Mountain View Ter SW Apt 7","city":"Roanoke","state":"VA","zip":240155538,"dob":"1984-07-15","age":"","mstatus":"","insh":11009101,"cliId":"1Y62D60WR28","pno":5402780920,"cno":5403303797,"email":"","ename":"","eno":"","pphy":"LANTZ, JERI LYNN","ppno":5409858100,"pcpadd":"1030 S Jefferson St Ste 106","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240164418,"pcpcounty":"ROANOKE CITY","pcpid":"P0117792","pcpname":"PARTRICK HENRY TEEN HEALTH CENTER"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F41.8","Z86.69","R07.0","R09.81","R09.89","R68.2","Z03.89","K22.8","R13.10","J02.9","K29.50","F45.8","K31.7","K20.9","E66.9","Z68.34","K20.8","R11.10","Z13.6","R13.14","R63.4","K29.70","R12","B37.0","R09.82","J39.2","R13.12","M79.5","T18.9XXA"],"date":["2019-10-03","2019-10-03","2020-04-20","2020-02-12","2020-04-21","2020-04-02","2020-04-02","2020-04-15","2020-05-22","2020-04-18","2020-04-15","2020-04-15","2020-04-15","2020-04-15","2020-04-15","2020-04-15","2020-04-15","2020-04-18","2020-04-21","2020-04-14","2020-06-02","2020-04-15","2020-04-20","2020-04-21","2020-04-21","2020-04-24","2020-06-19","2020-06-19","2020-06-19"]}},{"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":""}]}]}