{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CASSANDRA L JENNINGS","gend":1,"add":"2426 WESTOVER AVE SW","city":"ROANOKE","state":"VA","zip":240159999,"dob":"1990-01-27","age":"","mstatus":"","insh":11014050,"cliId":"3KY6TT8QA58","pno":5409155865,"cno":3027662771,"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":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F60.3","F33.2","I10","R42","R20.2","R53.1","E78.5","F32.9","F41.9","R20.0","F25.1","M25.552","M25.551","F31.30","F41.1","F43.10","Z72.89","S31.119A","M54.32","M25.561","M25.562","Z91.5","I15.8","F40.00","R00.0","M54.42","G89.29"],"date":["2020-11-03","2020-07-01","2020-06-08","2020-06-08","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-06-04","2020-10-25","2020-06-08","2020-06-08","2020-08-13","2020-09-16","2020-09-16","2020-09-16","2020-06-24","2020-06-24","2020-06-24","2020-06-24","2020-08-13","2020-09-16","2020-09-16","2020-09-16","2020-10-06","2020-10-06"]}},{"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":""}]}]}