{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ERICA WYATT","gend":1,"add":"5852 KIRKSTONE CIR","city":"RICHMOND","state":"VA","zip":232279999,"age":"","mstatus":"","insh":22026753401,"cliId":"","pno":8043863534,"cno":"","email":"ENWYATT89@HOTMAIL.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1989-02-22"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.00","Z12.4","Z13.220","R73.03","Z68.43","E66.01","Z97.5","E55.9","Z11.3","N76.0","Z30.09","Z30.430","J45.41","R51","M25.511","W19.XXXA","R05","R09.89","R06.02","R09.81","J06.9","K62.5","K21.9","N92.6","          "],"date":["2019-01-25","2019-01-25","2019-01-25","2019-01-25","2020-01-30","2019-01-25","2019-01-25","2019-01-25","2019-08-08","2019-08-08","2019-08-08","2019-08-20","2019-12-27","2020-01-30","2020-01-30","2020-01-30","2020-02-07","2020-02-07","2020-02-07","2020-02-07","2020-02-07","2020-07-21","2020-07-21","2020-07-21","2020-07-21"]}},{"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":{"comment":"","sub":[["2020-02-19","228202750","ALPRAZOLAM","0.25MG","","Select","Select",""],["2020-02-20","173068220","VENTOLIN HFA","","","Select","Select",""],["2020-03-25","29300022019","MONTELUKAST","10MG","","Select","Select",""],["2019-04-19","143924920","AMOX\/K CLAV","875-125","","Select","Select",""],["2019-04-19","68645056259","IBUPROFEN","600MG","","Select","Select",""],["2020-02-07","69452014320","BENZONATATE","100MG","","Select","Select",""],["2020-02-07","50383077504","LIDOCAINE","2% VISC","","Select","Select",""],["2020-02-07","487950125","ALBUTEROL","0.08%","","Select","Select",""],["2020-02-20","00173068220","VENTOLIN","HFA AER   ","18","Select","Select",""],["2019-04-19","00143924920","AMOX\/K","CLAV TAB 875-125  ","21","Select","Select",""]]}},{"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":""}]}]}