{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BESSIE M KNOTT","gend":1,"add":"906 BELMORE AVE","city":"STAUNTON","state":"VA","zip":244019999,"dob":"1935-12-06","age":"","mstatus":"","insh":11013679,"cliId":"1DP2R41AJ27","pno":5408495957,"cno":"","email":"","ename":"","eno":"","pphy":"CHERNOFF, DAVID B","ppno":5408866269,"pcpadd":"1906 BELLEVIEW AVENUE","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":240141838,"pcpcounty":"STAUNTON CITY","pcpid":"P0117444","pcpname":"CARILION FAMILY MEDICINE STAUNTON"},{"a":{"indx":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R44.3","R45.1","R41.82","T14.8XXA","S09.90XA","G93.40","F91.8","F32.9","I10","Z11.59","Z04.6","Z79.899","Z91.14","Z88.5","F32.1","F02.81","E11.9","E78.5","K21.0","Z87.440","R13.12","R41.841","R27.8","R26.89","M62.81","J32.9","E11.65","N30.00","G30.9","B96.89","G30.1","J32.0","Z79.4","R90.89","F02.80","F03.90","N39.0","M25.512","W19.XXXA","M75.102","R94.31","Z04.89","F05","R40.4","Z20.828","G93.49","J45.909","M19.012","F03.91"],"date":["2020-06-01","2020-09-17","2020-09-17","2020-06-06","2020-06-06","2020-09-23","2020-06-10","2020-06-10","2020-09-23","2020-09-19","2020-06-10","2020-06-10","2020-06-10","2020-06-10","2020-09-01","2020-09-17","2020-09-23","2020-09-17","2020-09-01","2020-09-01","2020-08-03","2020-08-03","2020-08-03","2020-08-03","2020-08-03","2020-09-23","2020-09-19","2020-09-23","2020-09-23","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-19","2020-09-23","2020-09-23","2020-09-24","2020-09-24","2020-09-24","2020-09-24","2020-09-24","2020-09-25","2020-09-25","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-24"]}},{"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":""}]}]}