{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELISSA TRELEASE","gend":1,"add":"590 NORWICH DR","city":"RUTHER GLEN","state":"VA","zip":225469999,"age":"","mstatus":"","insh":22026854201,"cliId":"","pno":8044054761,"cno":"","email":"RELEASEWITHAT@GMAIL.COM","ename":"","eno":"","pphy":"WEST END INTERNAL MEDICINE","ppno":8042827857,"pcpadd":"7001 FOREST AVE STE 2500","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232301726,"pcpcounty":"","pcpid":"P0060030    ","pcpname":"WEST END INTERNAL MEDICINE","dob":"1980-03-07"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J01.90","Z72.0","G43.009","Z00.00","G44.209","Z68.29","N93.9","N94.6","Z11.3","Z31.69","J06.9","Z68.33","N91.2","N88.8","N83.01","N83.02","Z12.31","N83.209","M54.6","N62","E66.9","Z51.81","Z13.220","J01.10","H66.003"],"date":["2019-01-11","2019-01-11","2019-02-04","2019-02-04","2019-02-04","2019-02-04","2020-06-22","2019-11-25","2019-11-25","2019-11-25","2020-02-11","2020-02-11","2020-06-22","2020-06-22","2020-06-22","2020-06-22","2020-06-22","2020-06-22","2020-09-14","2020-09-14","2020-09-14","2020-09-14","2020-09-14","2020-10-08","2020-10-08"]}},{"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":[["2020-02-11","67877057505","BENZONATATE","200MG","","Select","Select",""],["2019-02-04","51991036278","RIZATRIPTAN","5MG ODT","","Select","Select",""],["2019-11-25","68180087613","NORETHINDRON","0.35MG","","Select","Select",""],["2020-10-08","00093310905","AMOXICILLIN","CAP 500MG   ","30","Select","Select",""],["2020-10-17","65862050220","AMOX\/K","CLAV TAB 500-125  ","20","Select","Select",""],["2020-10-19","55111029236","SUMATRIPTAN","TAB 50MG   ","9","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":""}]}]}