{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RADCLIFFE CHAMBERS","gend":0,"add":"3515 MOSS SIDE AVE","city":"RICHMOND","state":"VA","zip":232229999,"age":"","mstatus":"","insh":22026874301,"cliId":"","pno":8043212524,"cno":"","email":"CHAMBERS.RADCLIFFE@ICLOUD.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1958-10-27"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["B20","F32.9","H04.123","I10","Z79.899","E78.5","J45.909","E03.9","G89.29","Z96.643","Z96.612","E55.9","E29.1","L98.9","L65.9","E78.00","Z00.00","J45.901","R05","Z23","F33.9","F33.2","Z21","Z88.2","F41.9","Z91.041","Z91.013","Z88.8","Z92.240","R09.81","F41.8","Z91.048","B19.20","H00.14","H25.13","H02.811","H02.884","L72.3","D23.121","L98.9     ","L65.9     ","Z91.041   ","Z91.013   ","Z21       ","Z88.2     ","Z88.8     ","Z91.048   ","J32.9","N40.0","B18.2","          "],"date":["2020-09-14","2020-09-14","2020-06-24","2020-09-08","2020-09-08","2019-03-29","2020-03-17","2020-09-08","2019-03-29","2020-03-17","2019-03-29","2019-03-29","2019-03-29","2019-03-29","2019-03-29","2020-03-17","2020-01-27","2019-04-10","2019-04-12","2020-10-27","2019-11-22","2020-03-17","2020-03-17","2020-03-17","2020-03-10","2020-03-03","2020-03-17","2020-03-10","2020-01-13","2020-01-27","2020-09-08","2020-03-10","2020-03-23","2020-05-13","2020-05-13","2020-06-24","2020-06-24","2020-06-24","2020-07-23","2019-03-29","2019-03-29","2020-01-31","2020-03-03","2020-01-13","2020-03-10","2020-03-10","2020-03-10","2020-09-08","2020-09-08","2020-09-14","2020-10-27"]}},{"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":[["2020-11-08","49702024213","JULUCA","TAB 50-25MG   ","30","Select","Select",""],["2020-11-11","378180510","LEVOTHYROXIN","TAB 75MCG   ","30","Select","Select",""],["2020-11-10","93720298","PRAVASTATIN","TAB 40MG   ","30","Select","Select",""],["2020-11-06","16571020106","DICLOFENAC","TAB 75MG DR  ","60","Select","Select",""],["2020-07-05","70436001102","BUPROPN HCL","300MG XL","","Select","Select",""],["2020-07-09","50742061510","METOPROL SUC","25MG ER","","Select","Select",""],["2020-05-05","24208039830","IPRATROPIUM","0.03%","","Select","Select",""],["2019-06-02","43598075201","BUPROPION","150MG SR","","Select","Select",""],["2020-11-06","16729008910","FINASTERIDE","TAB 1MG   ","30","Select","Select",""],["2019-07-06","50428016183","CVS D3","2000UNIT","","Select","Select",""],["2020-11-06","54327099","FLUTICASONE","SPR 50MCG   ","16","Select","Select",""],["2019-03-06","49702022813","TIVICAY","50MG","","Select","Select",""],["2020-05-13","53489011905","DOXYCYCL HYC","100MG","","Select","Select",""],["2019-04-10","173068220","VENTOLIN HFA","","","Select","Select",""],["2019-04-10","54001729","PREDNISONE","10MG","","Select","Select",""],["2019-04-12","68180016013","AZITHROMYCIN","250MG","","Select","Select",""],["2019-03-14","61958210101","ODEFSEY","","","Select","Select",""],["2019-01-09","57664050658","METOPROL TAR","25MG","","Select","Select",""],["2020-07-23","24208091055","ERYTHROMYCIN","OP","","Select","Select",""],["2020-09-14","00228202950","ALPRAZOLAM","TAB 0.5MG   ","30","Select","Select",""],["2020-11-06","10370010150","BUPROPN","HCL TAB 150MG XL ","30","Select","Select",""],["2020-11-06","50742061510","METOPROL","SUC TAB 25MG ER ","45","Select","Select",""],["2019-07-06","50428016183","CVS","D3 CAP 2000UNIT  ","30","Select","Select",""],["2020-11-10","59779061239","ALLERGY","RELF TAB 10MG  ","30","Select","Select",""],["2020-05-13","53489011905","DOXYCYCL","HYC CAP 100MG  ","28","Select","Select",""],["2019-04-10","00173068220","VENTOLIN","HFA AER   ","18","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":""}]}]}