{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SKYLER M HELMS","gend":1,"add":"595   REPUBLIC ROAD","city":"CHRISTIANSBURG","state":"VA","zip":240732217,"dob":"2015-01-31","age":"","mstatus":"","insh":7903804,"cliId":"","pno":5405778605,"cno":"","email":"","ename":"","eno":"","pphy":"MOGEN, THOMAS C","ppno":"","pcpadd":"205 Roanoke St","pcpcity":"Christiansburg","pcpstate":"VA","pcpzip":240733025,"pcpcounty":"","pcpid":"P9443164","pcpname":"CARILION CLINIC FAMILY MEDICINE CHRISTIANSBURG SAT"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.121","Z23","Z78.9","N39.0","R50.9","R10.9","J21.8","R06.02","J96.01","J18.9","J45.909","R09.02","J80","R06.2","R06.00","R06.03","J21.9","J06.9","J31.0","B85.0","S91.311A","W45.8XXA","Y93.9","Y92.017","X58.XXXA","Z00.129"],"date":["2019-07-17","2019-07-17","2019-07-17","2019-09-09","2019-09-09","2019-09-09","2019-09-30","2019-09-28","2019-09-30","2019-09-28","2019-09-28","2019-09-30","2019-09-28","2019-09-30","2019-09-28","2019-09-28","2019-10-03","2019-11-06","2019-11-19","2020-01-13","2020-04-21","2020-04-21","2020-04-21","2020-04-21","2020-04-21","2020-09-14"]}},{"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":""}]}]}