{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMANDA STATON","gend":1,"add":"230 TREVA RD","city":"SANDSTON","state":"VA","zip":231509999,"age":"","mstatus":"","insh":22026920001,"cliId":"","pno":8046900138,"cno":"","email":"STATON.522@GMAIL.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1983-01-23"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J01.00","G35","R20.2","R53.83","E53.8","K21.9","Z68.20","M54.2","R53.1","G47.11","R10.9","N20.0","R00.1","E87.6","F17.210","R39.11","R30.0","F32.9","F41.9","Z79.899","R20.0","M54.5","R29.898","M79.10","Z34.81","Z12.4","N91.1","Z36.87","O09.529","Z36.89","Z34.82","Z3A.16","Z20.828","Z3A.20","Z36.0","Z3A.22","Z3A.24","Z13.29","Z3A.25","          ","O99.284","E05.90","Z34.03","Z3A.29"],"date":["2019-05-08","2020-04-13","2020-03-01","2020-09-23","2019-06-13","2019-06-13","2020-03-13","2019-07-17","2019-10-01","2020-04-13","2020-02-29","2020-02-29","2020-03-05","2020-03-05","2020-03-05","2020-03-05","2020-03-05","2020-03-05","2020-03-05","2020-03-05","2020-03-01","2020-03-01","2020-03-05","2020-04-13","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-06-16","2020-06-16","2020-09-25","2020-07-27","2020-08-19","2020-08-24","2020-09-02","2020-09-02","2020-09-21","2020-09-23","2020-09-25","2020-10-23","2020-10-02","2020-10-02","2020-10-23","2020-10-23"]}},{"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":[["2020-05-05","44087882201","REBIF TITRTN","PACK","","Select","Select",""],["2020-11-09","69097083305","SERTRALINE","TAB 25MG   ","30","Select","Select",""],["2020-07-01","13107008405","LORAZEPAM","1MG","","Select","Select",""],["2019-06-11","54001925","PREDNISONE","50MG","","Select","Select",""],["2019-05-08","781185220","AMOX\/K CLAV","875-125","","Select","Select",""],["2019-05-08","60432060416","PROMETHAZINE","DM","","Select","Select",""],["2019-06-13","781223401","OMEPRAZOLE","40MG","","Select","Select",""],["2019-06-13","50742018921","METHYLPRED","4MG","","Select","Select",""],["2019-06-13","8290309577","3ML LL SYRNG","21GX1.5\"","","Select","Select",""],["2019-06-14","70069000510","CYANOCOBALAM","1000MCG","","Select","Select",""],["2020-03-07","93031401","KETOROLAC","10MG","","Select","Select",""],["2020-05-05","44087882201","REBIF","TITRTN INJ PACK  ","4.2","Select","Select",""],["2019-05-08","00781185220","AMOX\/K","CLAV TAB 875-125  ","20","Select","Select",""],["2019-06-13","08290309577","3ML","LL SYRNG MIS 21GX1.5\" ","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":""}]}]}