{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SU CHEN","gend":1,"add":"1516 BRIGHAM RD","city":"RICHMOND","state":"VA","zip":232269999,"age":"","mstatus":"","insh":22027069301,"cliId":"","pno":8043814136,"cno":"","email":"WCHENH@YAHOO.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1956-07-10"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R05","R00.0","R10.30","R10.84","J30.2","H72.03","J30.9","S09.20XA","H70.10","J30.89","H66.92","H92.12","          "],"date":["2020-09-02","2019-05-16","2019-05-16","2019-05-16","2019-09-06","2019-09-06","2019-11-12","2019-11-12","2019-11-12","2020-09-02","2020-09-02","2020-09-17","2020-09-17"]}},{"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":[["2019-07-08","50111043301","TRAZODONE","50MG","","Select","Select",""],["2020-05-30","60505083305","AZELASTINE","0.10%","","Select","Select",""],["2020-10-26","17478071311","OFLOXACIN","DRO 0.003 OP  ","10","Select","Select",""],["2020-09-02","68382024701","BENZONATATE","CAP 100MG   ","15","Select","Select",""],["2019-01-10","64679096105","AZITHROMYCIN","250MG","","Select","Select",""],["2019-01-10","59310057922","PROAIR HFA","","","Select","Select",""],["2019-09-09","67877021620","CEFUROXIME","500MG","","Select","Select",""],["2020-09-02","45802057178","FEXOFENADINE","TAB 180MG   ","30","Select","Select",""],["2020-09-02","66685100200","AMOX\/K","CLAV TAB 500-125  ","20","Select","Select",""],["2019-01-10","59310057922","PROAIR","HFA AER   ","8.5","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":""}]}]}