{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROBIN JENKINS","gend":1,"add":"9601 RAVEN WING DR","city":"CHESTERFIELD","state":"VA","zip":238329999,"age":"","mstatus":"","insh":22026893901,"cliId":"","pno":8047394338,"cno":"","email":"RDUSTY@HOTMAIL.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1957-02-21"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J18.9","Z68.20","J98.11","J98.4","J01.00","R06.09","J44.9","Z87.891","J40","R93.1","I49.3","E78.5","E78.41","J06.9","B97.89","          ","R93.89","I10","Z71.9"],"date":["2019-01-09","2019-11-13","2019-01-09","2019-01-09","2019-03-23","2019-03-07","2020-11-17","2019-05-08","2019-04-13","2019-11-13","2019-11-13","2019-11-13","2019-11-13","2019-12-13","2019-12-13","2020-11-17","2020-11-17","2020-11-17","2020-11-17"]}},{"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":[["2020-07-14","50742061610","METOPROL SUC","50MG ER","","Select","Select",""],["2020-11-16","72205002790","ROSUVASTATIN","TAB 5MG   ","30","Select","Select",""],["2020-03-09","60505317007","OMEGA-3-ACID","1GM","","Select","Select",""],["2019-11-02","597015561","STIOLTO","2.5-2.5","","Select","Select",""],["2019-12-17","65862050220","AMOX\/K CLAV","500-125","","Select","Select",""],["2019-02-13","68382024701","BENZONATATE","100MG","","Select","Select",""],["2019-01-04","55111028130","LEVOFLOXACIN","750MG","","Select","Select",""],["2019-04-13","603533932","PREDNISONE","20MG","","Select","Select",""],["2019-07-05","781261305","AMOXICILLIN","500MG","","Select","Select",""],["2019-03-23","68180071160","CEFDINIR","300MG","","Select","Select",""],["2019-07-05","406048410","APAP\/CODEINE","300-30MG","","Select","Select",""],["2020-11-10","50742061610","METOPROL","SUC TAB 50MG ER ","30","Select","Select",""],["2019-12-17","65862050220","AMOX\/K","CLAV TAB 500-125  ","14","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":""}]}]}