{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SUDHA KODURU","gend":1,"add":"301 VIRGINIA ST UNIT 1213","city":"RICHMOND","state":"VA","zip":232199999,"age":"","mstatus":"","insh":22026843601,"cliId":"","pno":2022553661,"cno":"","email":"KODSUD@GMAIL.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1975-08-06"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R22.32","S89.91XA","M25.531","R11.0","R22.33","Z68.26","M25.561","M79.645","M84.451A","L02.01","Z91.89","Q83.1","Z12.31","Z11.3","Z12.39","R92.2","E78.5","Z79.3","Z82.3","Z83.3","Z88.0","L73.9","J40","B34.9","Z20.828","N76.0","N89.8","          "],"date":["2019-01-21","2019-02-04","2019-02-04","2019-02-04","2019-02-04","2019-05-24","2019-03-25","2019-03-06","2019-03-25","2019-03-26","2019-08-05","2019-11-18","2020-06-09","2019-07-24","2019-08-05","2019-08-05","2020-03-14","2019-11-19","2019-11-19","2019-11-19","2019-11-19","2020-01-26","2020-03-09","2020-03-14","2020-06-24","2020-05-18","2020-05-18","2020-06-24"]}},{"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":[["2020-03-09","378064110","PREDNISONE","10MG","","Select","Select",""],["2020-03-09","67877057305","BENZONATATE","100MG","","Select","Select",""],["2019-10-17","116200116","CHLORHEX GLU","0.12%","","Select","Select",""],["2019-10-14","50419040203","YASMIN 28","3-0.03MG","","Select","Select",""],["2019-02-04","10702000710","CYCLOBENZAPR","10MG","","Select","Select",""],["2019-02-04","65862039010","ONDANSETRON","4MG ODT","","Select","Select",""],["2019-10-25","49281041950","FLUZONE QUAD","2019-20","","Select","Select",""],["2020-05-18","168000615","TRIAMCINOLON","0.10%","","Select","Select",""],["2020-01-26","53489011905","DOXYCYCL HYC","100MG","","Select","Select",""],["2019-07-31","70710113908","FLUCONAZOLE","150MG","","Select","Select",""],["2019-10-17","00116200116","CHLORHEX","GLU SOL 0.0012  ","473","Select","Select",""],["2020-09-08","61314063705","PREDNISOLONE","SUS 0.01 OP  ","5","Select","Select",""],["2019-10-14","50419040203","YASMIN","28 TAB 3-0.03MG  ","28","Select","Select",""],["2019-10-25","49281041950","FLUZONE","QUAD INJ 2019-20  ","0.5","Select","Select",""],["2020-01-26","53489011905","DOXYCYCL","HYC CAP 100MG  ","20","Select","Select",""],["2020-10-15","47781030301","NITROFURANTN","CAP 100MG   ","10","Select","Select",""],["2020-10-18","65862007601","CIPROFLOXACN","TAB 250MG   ","6","Select","Select",""],["2020-10-25","70461032003","FLUCLVX","QUAD INJ 2020-21  ","0.5","Select","Select",""],["2020-11-27","70377002711","ATORVASTATIN","TAB 10MG   ","30","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":""}]}]}