{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHRISTOPHER SWEET II","gend":0,"add":"PO BOX 6563","city":"CHRISTIANSBURG","state":"VA","zip":240686563,"dob":"2004-01-12","age":"","mstatus":"","insh":10125597,"cliId":"","pno":5402500927,"cno":"","email":"","ename":"","eno":"","pphy":"KADIRI, MOHAMED I","ppno":"","pcpadd":"205 Roanoke St","pcpcity":"Christiansburg","pcpstate":"VA","pcpzip":240733025,"pcpcounty":"","pcpid":"P0117368","pcpname":"CARILION FAMILY MEDICINE CHRISTIANBURG"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M41.20","M54.16","Z98.1","M51.16","M41.9","Q76.49","Z98.2","M79.604","M54.5","M79.605","Z98.890","G89.29","R25.2","J06.9","J45.909","R21","R09.81","R53.81","F90.9","K21.9","M41.84","R20.0","M41.86","Z47.82","F43.21","K13.79","K12.0","Z48.89","Z87.798","B34.9","Z23","D22.9","Z48.02","M79.644","X58.XXXA","M54.9","R52","M54.89","R09.02","J02.9","M54.40","J30.9","H91.90","S66.911A","M25.561"],"date":["2019-05-29","2019-05-29","2020-03-02","2019-01-24","2020-06-25","2019-06-01","2019-01-24","2020-03-02","2020-03-02","2020-03-02","2019-02-08","2019-02-08","2019-03-14","2019-08-27","2019-04-04","2019-04-26","2019-05-23","2019-05-23","2019-05-23","2019-05-23","2019-06-01","2019-06-01","2019-06-01","2019-06-01","2019-07-08","2019-08-23","2019-08-23","2019-09-30","2019-09-30","2019-10-29","2019-10-16","2019-10-24","2019-10-29","2019-11-19","2020-01-28","2020-01-28","2020-01-28","2020-01-28","2020-01-28","2020-02-28","2020-03-02","2020-03-05","2020-03-05","2020-08-20","2020-08-24"]}},{"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":""}]}]}