{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DONTE R MCCADDEN","gend":0,"add":"824 HOWBERT AVENUE SW","city":"ROANOKE","state":"VA","zip":240151804,"dob":"1995-04-05","age":"","mstatus":"","insh":11015116,"cliId":"2FH9CM7AU29","pno":5408929052,"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":"P0117792","pcpname":"PARTRICK HENRY TEEN HEALTH CENTER"},{"a":{"indx":[{"index":0}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["J32.4","R04.0","J31.0","F31.9","F41.9","E84.9","R06.00","R51","R07.1","R06.89","K80.20","R05","E11.8","Z79.4","G89.29","F41.8","K21.9","G91.9","Z53.21","R00.0","R07.9","Z74.3","E43","J96.11","J47.9","Z99.81","J47.1","J96.21","K86.89","F11.20","R62.7","J18.9","J98.4","F90.0","R50.81","E84.8","R76.8","R10.10","Z22.322","E11.9","Z79.899","R07.81","Z79.2","R55","E84.19","E46","E84.0","J96.12","E10.9","F90.9","F42.9","G43.909","Z45.2","Z87.01","K86.81","E08.9","R11.2","R06.02","M79.645","R35.0","Z11.3","R53.81"],"date":["2020-09-17","2020-08-03","2020-08-03","2020-10-09","2020-10-09","2020-11-01","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-28","2020-09-04","2020-09-28","2020-10-09","2020-09-05","2020-09-26","2020-09-26","2020-09-04","2020-09-04","2020-09-28","2020-11-01","2020-09-26","2020-09-26","2020-09-05","2020-09-28","2020-09-05","2020-09-05","2020-10-07","2020-09-05","2020-10-10","2020-09-05","2020-09-17","2020-10-09","2020-09-17","2020-10-07","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-29","2020-09-29","2020-09-29","2020-10-10","2020-10-10","2020-10-10","2020-09-26","2020-09-26","2020-09-26","2020-09-26","2020-09-26","2020-09-26","2020-09-26","2020-09-28","2020-09-28","2020-09-28","2020-11-01","2020-10-15","2020-10-15","2020-10-15","2020-10-30"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","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":""}]}]}