{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JULIAN PHIPPS","gend":0,"add":"P BOX 1074","city":"CEDAR BLUFF","state":"VA","zip":246091074,"dob":"2002-11-11","age":"","mstatus":"","insh":7592570,"cliId":"","pno":2762102240,"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":["J10.1","R11.0","J01.90","R05","R04.0","E66.9","E88.81","Z91.030","K59.00","R10.11","K21.9","R07.9","K21.0","R10.13","K82.9","R11.10","Z23","M54.5","H10.45","R42","R55","K08.89","J98.8","Z98.890","F32.9","R22.1","R06.00","Z00.129","Z00.3"],"date":["2019-01-23","2019-08-20","2019-04-29","2019-04-29","2019-04-30","2019-05-02","2020-05-29","2019-07-03","2019-08-20","2019-08-20","2020-05-29","2020-01-20","2019-08-20","2019-08-20","2019-08-20","2019-08-20","2020-06-05","2019-10-14","2019-11-21","2020-01-20","2020-01-21","2020-05-29","2020-05-29","2020-05-29","2020-05-29","2020-05-29","2020-05-29","2020-06-05","2020-06-05"]}},{"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":""}]}]}