{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICIA A SHELTON","gend":1,"add":"60 OLD D AND W RD","city":"MARTINSVILLE","state":"VA","zip":241129999,"dob":"1954-09-23","age":"","mstatus":"","insh":11014464,"cliId":"3YF4VK2PG90","pno":2767329524,"cno":"","email":"","ename":"","eno":"","pphy":"CLARK, KENNETH A","ppno":2766703300,"pcpadd":"1107 Brookdale St","pcpcity":"Martinsville","pcpstate":"VA","pcpzip":241124501,"pcpcounty":"HENRY","pcpid":"P0117725","pcpname":"CARILION MEDICAL ASSOCIATES"},{"a":{"indx":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["F33.9","F10.20","R39.81","D27.0","N87.0","K83.8","D27.1","D28.2","R19.04","N87.9","R97.1","K38.0","Z11.59","K21.9","G47.30","F41.9","F32.9","I50.9","K76.0","M81.0","K38.9","R87.612","R19.07","F33.3","E83.110","D47.3","F10.10","Z79.899","R10.12","Z90.722","Z90.79","K80.20","K57.30","Z98.890","R10.9","G89.18","R19.09","R93.5","Z03.818","F33.1","R45.851","F33.2","M25.552","N39.0","R11.2","R07.9","R91.8","S79.911A","S79.912A","M25.551","E03.9","I50.30","F31.81","L03.211","R63.6","M83.8","F33.8","R20.9","Z00.01","M19.90","H05.012"],"date":["2020-09-02","2020-09-02","2020-10-05","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2020-10-01","2020-07-03","2020-08-19","2020-07-03","2020-07-03","2020-07-03","2020-09-29","2020-07-03","2020-07-03","2020-07-03","2020-10-30","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-07-28","2020-07-15","2020-07-15","2020-07-28","2020-07-28","2020-08-18","2020-07-28","2020-07-28","2020-07-28","2020-07-28","2020-08-13","2020-08-13","2020-08-19","2020-08-31","2020-08-20","2020-08-18","2020-08-18","2020-08-20","2020-08-18","2020-08-20","2020-08-20","2020-08-20","2020-07-08","2020-09-29","2020-09-29","2020-10-01","2020-09-29","2020-09-29","2020-10-05","2020-09-29","2020-09-29","2020-09-29","2020-10-05"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","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":""}]}]}