{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SILVIA HERNANDEZ","gend":1,"add":"7337 WHIRLAWAY DR","city":"MIDLOTHIAN","state":"VA","zip":231129999,"age":"","mstatus":"","insh":22026894203,"cliId":"","pno":8043055284,"cno":"","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"2001-10-02"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.121","Z03.89","E78.00","E78.01","R07.2","E78.9","M79.9","R07.9","R07.89","R10.9","M79.602","M54.9","Z00.129","E78.70","N92.0","W57.XXXA","Z23","Z68.52","F41.1","F32.0","F41.0","J06.9","B97.89","Z68.23","R05","J45.40","          "],"date":["2019-03-04","2019-03-04","2019-03-04","2020-01-07","2019-03-29","2019-03-29","2019-03-29","2019-03-29","2019-03-29","2019-03-29","2019-03-29","2019-03-29","2019-08-23","2019-08-23","2019-08-23","2019-05-28","2020-01-07","2019-05-28","2020-01-07","2020-01-07","2020-01-07","2020-02-04","2020-02-04","2020-02-04","2020-05-08","2020-05-27","2020-05-27"]}},{"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":[["2020-06-23","173060102","FLOVENT DISK","250MCG","","Select","Select",""],["2020-08-05","69097083305","SERTRALINE","TAB 25MG   ","30","Select","Select",""],["2020-02-06","70377002911","ATORVASTATIN","40MG","","Select","Select",""],["2020-05-12","378827052","ALBUTEROL","0.08%","","Select","Select",""],["2020-10-27","00054327099","FLUTICASONE","SPR 50MCG   ","16","Select","Select",""],["2020-05-26","173068220","VENTOLIN HFA","","","Select","Select",""],["2020-01-07","10702001050","HYDROXYZ HCL","10MG","","Select","Select",""],["2020-10-28","65862092585","INCASSIA","TAB 0.35MG   ","84","Select","Select",""],["2020-06-23","00173060102","FLOVENT","DISK AER 250MCG  ","60","Select","Select",""],["2020-10-30","50111064701","FLUOXETINE","CAP 10MG   ","30","Select","Select",""],["2020-08-08","68462030529","NORETHINDRON","TAB 0.35MG   ","84","Select","Select",""],["2020-05-26","00173068220","VENTOLIN","HFA AER   ","18","Select","Select",""],["2020-01-07","10702001050","HYDROXYZ","HCL TAB 10MG  ","15","Select","Select",""],["2020-11-05","70461042010","FLUCLVX","QUAD INJ 2020-21  ","0.5","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":""}]}]}