{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KAYCIE J BIRD","gend":1,"add":"906   GRAND ARBRE DRIVE","city":"BEDFORD","state":"VA","zip":245233027,"dob":"2005-01-24","age":"","mstatus":"","insh":4221991,"cliId":"","pno":5408757452,"cno":"","email":"","ename":"","eno":"","pphy":"BOHON, SONYA N","ppno":"","pcpadd":"390 S Main St Ste 101","pcpcity":"Rocky Mount","pcpstate":"VA","pcpzip":241511767,"pcpcounty":"","pcpid":"P0117734","pcpname":"CARILION FRANKLIN MEMORIAL HOSPITAL HOSPITALISTS"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F32.0","L70.0","L21.9","K52.9","R50.9","R04.2","J02.9","M41.125","L82.1","J06.9","N94.6","J18.9","N39.0","R05","R00.0","R91.8","J98.4","K83.9","R53.83","Z02.5","S06.0X9A","J11.89","R53.1","S09.90XA","Z23","S06.0X0A","K59.00","I49.9","Z82.49"],"date":["2020-10-14","2019-04-30","2019-01-29","2019-02-04","2019-07-18","2019-02-27","2019-07-15","2019-03-28","2019-04-30","2019-07-15","2019-08-02","2019-07-18","2019-07-18","2019-07-18","2020-05-22","2019-07-18","2019-07-18","2019-08-02","2019-08-02","2019-08-02","2019-12-13","2019-11-28","2019-11-28","2019-12-10","2019-12-13","2019-12-13","2020-05-11","2020-05-11","2020-05-14"]}},{"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":""}]}]}