{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALLEN HIMELRIGHT","gend":0,"add":"9035 MOUNT EAGLE RD","city":"ASHLAND","state":"VA","zip":230059999,"age":"","mstatus":"","insh":22026950801,"cliId":"","pno":8047988854,"cno":"","email":"XCOP96A@YAHOO.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1968-08-07"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M70.22","Z76.89","Z72.89","Z12.5","R20.0","R20.2","Z12.11","I10","E66.01","R06.02","E78.1","Z68.36","F17.200","M16.12","M77.02","J06.9","L02.416","J02.9","R05","R04.2","Z68.35","R06.00","F17.210","L03.811","Z68.37","Z01.818","G47.33","J00","I45.10","R94.31","Z96.642","M19.90","G47.30","Z23","E66.9","Z86.711","Z79.899","Z99.81","L03.113","Z99.81    "],"date":["2019-06-19","2019-04-01","2020-01-09","2019-04-01","2019-04-01","2019-04-01","2019-04-09","2020-01-09","2019-05-01","2019-06-03","2019-06-03","2020-01-22","2019-12-19","2020-01-09","2019-05-08","2019-05-28","2019-06-03","2019-05-28","2019-07-15","2019-06-03","2019-06-03","2019-07-15","2020-01-09","2019-10-07","2020-01-20","2019-12-26","2020-01-09","2019-12-19","2019-12-26","2019-12-26","2020-03-17","2020-01-08","2020-01-08","2020-01-09","2020-01-09","2020-01-09","2020-01-09","2020-01-09","2020-01-22","2020-01-09"]}},{"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":[["2020-01-13","68180098003","LISINOPRIL","10MG","","Select","Select",""],["2020-01-13","70377002711","ATORVASTATIN","10MG","","Select","Select",""],["2020-01-13","68180036109","FENOFIBRATE","145MG","","Select","Select",""],["2019-10-07","68180012202","CEPHALEXIN","500MG","","Select","Select",""],["2019-06-03","27808008602","HYD POL\/CPM","10-8\/5ML","","Select","Select",""],["2019-06-03","27808008602","HYD","POL\/CPM SUS 10-8\/5ML  ","115","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":""}]}]}