{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WAYNE JOHNSON","gend":0,"add":"14507 HOUGHTON ST","city":"CHESTERFIELD","state":"VA","zip":238329999,"age":"","mstatus":"","insh":22026819701,"cliId":"","pno":8046474762,"cno":"","email":"MBJOHNS23@YAHOO.COM","ename":"","eno":"","pphy":"ST FRANCIS FAMILY MEDICINE CEN","ppno":8047396142,"pcpadd":"13540 HULL STREET RD","pcpcity":"MIDLOTHIAN","pcpstate":"VA","pcpzip":231122107,"pcpcounty":"","pcpid":"P0060023    ","pcpname":"ST FRANCIS FAMILY MEDICINE CEN","dob":"1957-05-20"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z85.038","D12.5","Z12.11","K63.5","D12.3","Z08","K64.8","Z98.0","Z90.49","K21.9","Z79.899","F17.210","R10.11","Z76.89","Z68.27","R52","R10.30","M22.2X1","M25.561","M25.562","R03.0","I83.893","I87.2","Z72.0","I83.811","M25.551","Z68.28","          "],"date":["2019-10-04","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-05-22","2019-06-21","2019-06-21","2019-10-25","2019-09-13","2019-09-13","2019-10-04","2019-10-25","2019-10-25","2019-10-25","2019-10-31","2019-10-31","2019-10-31","2019-11-06","2019-12-20","2019-12-20","2019-12-20"]}},{"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":[["2019-10-25","49884093547","DICLOFENAC","1%","","Select","Select",""],["2019-10-04","65162019050","NAPROXEN","500MG","","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":""}]}]}