{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GALE MATHENY","gend":1,"add":"1317 ANDOVER RD","city":"HENRICO","state":"VA","zip":232299999,"age":"","mstatus":"","insh":22027060102,"cliId":"","pno":8047416349,"cno":"","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1957-05-05"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M25.511","G89.29","Z68.41","Z12.31","N64.89","M75.41","R92.8","E78.5","E03.9","Z86.010","D12.2","Z12.11","K63.5","K57.90","M19.90","K57.30","E66.01","Z68.38","Z87.891","R19.7","Z68.37","M76.71","M19.071","M25.571","I10","E78.49","E03.8","M25.561","R10.30","F11.90","E03.4","M25.562","Z23","M25.572","J02.9","R05","L82.1","L72.0","D22.5","Z80.8","Z87.891   ","M25.562   ","Z68.38    ","          "],"date":["2019-01-11","2019-01-11","2019-01-11","2020-02-24","2019-02-04","2019-01-24","2019-02-04","2020-08-13","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-10-14","2019-10-14","2019-05-10","2019-05-14","2019-05-14","2019-09-06","2019-09-06","2020-06-09","2019-10-14","2019-10-14","2020-08-13","2020-06-09","2019-10-14","2019-10-14","2019-10-14","2020-06-09","2019-10-29","2020-06-09","2020-07-06","2020-07-06","2020-07-21","2020-07-21","2020-07-21","2020-07-21","2019-05-10","2019-10-14","2019-10-14","2020-08-13"]}},{"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":[["2020-11-18","69238183607","LEVOTHYROXIN","TAB 125MCG   ","30","Select","Select",""],["2020-11-10","70377002811","ATORVASTATIN","TAB 20MG   ","30","Select","Select",""],["2019-05-03","43386005019","GAVILYTE-N","FLAV PK","","Select","Select",""],["2020-11-10","29300012510","MELOXICAM","TAB 15MG   ","30","Select","Select",""],["2020-11-24","406012301","HYDROCO\/APAP","TAB 5-325MG   ","60","Select","Select",""],["2020-11-26","59746033730","LOSARTAN\/HCT","TAB 50-12.5   ","30","Select","Select",""],["2020-04-22","228282011","HYDROCHLOROT","12.5MG","","Select","Select",""],["2019-05-14","93031101","LOPERAMIDE","2MG","","Select","Select",""],["2019-10-01","904639061","LOSARTAN POT","50MG","","Select","Select",""],["2019-08-02","59762444002","METHYLPRED","4MG","","Select","Select",""],["2019-10-01","00904639061","LOSARTAN","POT TAB 50MG  ","30","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":""}]}]}