{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEREMIAH FLOYD","gend":0,"add":"207 CECIL DRIVE","city":"NORTH TAZEWELL","state":"VA","zip":246308845,"dob":"2018-04-18","age":"","mstatus":"","insh":10123140,"cliId":"","pno":2762450360,"cno":"","email":"","ename":"","eno":"","pphy":"DAVIS, JOHN E","ppno":"","pcpadd":"1 Clinic Dr","pcpcity":"Richlands","pcpstate":"VA","pcpzip":246411102,"pcpcounty":"","pcpid":"P0060216","pcpname":"CLINCH VALLEY PHYSICIANS ASSOCIATES LLC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["P22.9","P92.8","P91.819","B34.9","F88","P94.1","H66.90","L30.4","Z43.1","Z46.82","Z93.1","J98.11","R11.10","T17.908A","T17.918A","X58.XXXA","Y93.9","Y92.9","Z00.121","R62.50","G80.0","Z23","R63.3","R68.89","Z71.3","P91.60","K21.9","M43.6","H47.619","P91.63","G80.9","H47.9","R40.4","R29.898","M62.838","G81.91","G81.94","K11.7","P91.3","K59.00","G80.8","R56.9","J34.89","J06.9","J98.01","H66.92","J21.9","H66.002","H61.22","R62.51","Q02","M62.89","R29.2","H61.23","H65.93","J80","J15.9","J18.9","J96.01","J45.42","L03.113","R63.6","J18.1","J45.32","J45.22","R09.89","R06.89","R60.0","L08.9","R06.2","G47.34","L92.9"],"date":["2020-04-29","2020-04-29","2020-04-29","2018-12-02","2019-05-13","2019-05-13","2018-12-06","2018-12-06","2018-12-07","2018-12-07","2019-12-20","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2018-12-13","2020-01-06","2020-10-09","2019-12-24","2020-01-06","2020-10-09","2019-12-28","2018-12-18","2019-01-07","2020-08-04","2018-12-24","2020-10-09","2020-10-09","2019-07-01","2019-02-13","2019-09-04","2019-02-13","2019-02-13","2019-02-13","2019-02-13","2020-03-25","2019-02-13","2019-06-06","2020-10-09","2019-05-01","2019-05-08","2019-08-30","2019-05-10","2019-05-09","2019-05-10","2019-05-10","2019-05-10","2019-09-04","2020-07-30","2019-09-04","2020-08-04","2019-12-18","2019-12-18","2019-12-19","2019-12-20","2019-12-28","2019-12-28","2019-12-28","2019-12-20","2020-08-04","2019-12-24","2019-12-20","2019-12-20","2019-12-21","2019-12-24","2019-12-26","2019-12-27","2020-07-30","2020-07-30","2020-08-04"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-Assessment and 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 and Diagnoses","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":[]},{"a":[]}]},{"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 & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":""}]}]}