{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KRISTAL L WELCHER","gend":1,"add":"101 Hounds Chase Ln Sw Apt 3","city":"Roanoke","state":"VA","zip":240141300,"dob":"1974-02-23","age":"","mstatus":"","insh":11014889,"cliId":"7DE7E44PV47","pno":5403131315,"cno":"","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":"P0117790","pcpname":"HURT PARK TEEN HEALTH CENTER"},{"a":{"indx":[{"index":1}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G89.29","M54.2","M54.41","M79.18","M54.5","F33.1","F43.12","F41.1","F43.29","M62.81","M25.512","M54.6","F41.9","E66.01","J45.40","K27.9","E78.5","K21.9","M79.7","G89.4","M47.812","M47.817","M79.641","M79.642"],"date":["2020-10-12","2020-09-16","2020-10-12","2020-10-12","2020-08-19","2020-09-08","2020-09-08","2020-09-08","2020-09-08","2020-09-16","2020-09-16","2020-09-16","2020-09-28","2020-09-28","2020-09-28","2020-09-28","2020-09-28","2020-09-28","2020-09-28","2020-09-28","2020-10-12","2020-10-12","2020-10-12","2020-10-12"]}},{"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":""}]}]}