{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"QUINTEN J FLORA","gend":0,"add":"196 CLOVERDALE LANE","city":"INDEPENDENCE","state":"VA","zip":243484600,"dob":"2018-09-29","age":"","mstatus":"","insh":3263234,"cliId":"","pno":2762331748,"cno":"","email":"","ename":"","eno":"","pphy":"PRYOR, ROBERT E","ppno":"","pcpadd":"199 Hospital Dr","pcpcity":"Galax","pcpstate":"VA","pcpzip":243332453,"pcpcounty":"","pcpid":"P0117816","pcpname":"CARILION MEDICAL ASSOCIATES GALAX FAMILY"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z76.2","J21.0","R05","J18.9","J98.4","J20.5","Z00.129","Z23","H02.401","M43.6","A08.4","R11.10","J06.9","R09.81","R50.9","B37.2","L22","Q07.8","R06.2","R21","J18.1","L23.7"],"date":["2019-04-01","2019-02-10","2020-01-09","2019-10-27","2019-02-10","2019-02-12","2020-04-15","2020-04-15","2020-01-13","2019-02-20","2019-03-26","2019-03-26","2020-01-09","2019-04-08","2019-10-27","2019-06-19","2019-04-18","2019-05-15","2020-01-09","2019-10-27","2019-10-27","2020-08-08"]}},{"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":""}]}]}