{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RICHARD SUTTON","gend":0,"add":"229 BROOKSCHASE LN","city":"HENRICO","state":"VA","zip":232299999,"age":"","mstatus":"","insh":22027106801,"cliId":"","pno":8045123316,"cno":"","email":"SUTT229@VERIZON.NET","ename":"","eno":"","pphy":"PARTNER MD PC","ppno":8042822655,"pcpadd":"7001 FOREST AVE STE 302","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232301726,"pcpcounty":"","pcpid":"P0130342    ","pcpname":"PARTNER MD PC","dob":"1956-05-14"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["E78.2","R73.01","Z68.30","E66.9","M25.562","E88.81","L71.9","D22.9","L81.4","I78.1","Z87.828","Z00.01","Z23","G47.00","E55.9","M25.551","          ","L57.8","Z00.00","Z13.31"],"date":["2020-11-06","2020-11-06","2019-05-13","2020-11-06","2019-05-13","2020-11-06","2020-11-06","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2019-10-30","2020-11-06","2020-11-06","2020-11-06","2019-10-30","2020-11-06","2020-10-22","2020-11-06","2020-11-06"]}},{"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":[["2020-11-23","70377002811","ATORVASTATIN","TAB 20MG   ","30","Select","Select",""],["2020-11-21","168020230","CLINDAMYCIN","GEL 0.01   ","30","Select","Select",""],["2020-11-19","53489064701","DOXYCYCLINE","TAB 20MG   ","60","Select","Select",""],["2020-11-23","13668000805","ZOLPIDEM","TAB 10MG   ","30","Select","Select",""],["2019-10-11","68382031818","MINOCYCLINE","100MG","","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":""}]}]}