{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENNY CARSON","gend":1,"add":"3222 GROVE AVE","city":"RICHMOND","state":"VA","zip":232219999,"age":"","mstatus":"","insh":22026900301,"cliId":"","pno":8043015864,"cno":"","email":"JENNYCARSON3@GMAIL.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1976-10-13"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z01.419","Z68.20","Z31.41","Z11.59","Z13.0","Z13.21","Z01.83","Z11.3","M48.061","Z87.440","Z11.51","R82.90","N39.0","R79.0","R10.33","Z00.00","K42.9","N64.4","Z32.02","Z12.31"],"date":["2020-02-13","2020-02-13","2019-03-08","2019-03-08","2019-03-08","2019-03-08","2019-03-08","2019-03-08","2019-07-05","2019-07-05","2020-02-13","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-02-13","2020-02-13","2020-02-17"]}},{"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":[["2020-10-10","69097083512","SERTRALINE","TAB 100MG   ","30","Select","Select",""],["2020-05-04","173088210","BREO ELLIPTA","200-25","","Select","Select",""],["2020-07-02","70710113908","FLUCONAZOLE","150MG","","Select","Select",""],["2020-05-13","65862042005","SMZ\/TMP DS","800-160","","Select","Select",""],["2020-08-20","31722070530","VALACYCLOVIR","TAB 1GM   ","40","Select","Select",""],["2019-04-09","85720601","DULERA","100-5MCG","","Select","Select",""],["2020-05-21","173069500","ADVAIR DISKU","100\/50","","Select","Select",""],["2020-10-17","00054418425","DEXAMETHASON","TAB 4MG   ","12","Select","Select",""],["2020-05-04","00173088210","BREO","ELLIPTA INH 200-25  ","60","Select","Select",""],["2020-05-13","65862042005","SMZ\/TMP","DS TAB 800-160  ","20","Select","Select",""],["2020-05-21","00173069500","ADVAIR","DISKU AER 100\/50  ","60","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":""}]}]}