{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANNE MYERS","gend":1,"add":"11429 BARRINGTON BRIDGE CT","city":"RICHMOND","state":"VA","zip":232339999,"age":"","mstatus":"","insh":22027128902,"cliId":"","pno":"","cno":"","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1996-11-06"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":[],"date":[]}},{"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":[["2020-08-15","57664068988","AMITRIPTYLIN","TAB 50MG   ","30","Select","Select",""],["2020-09-22","43547028910","BUPROPION","TAB 150MG SR  ","60","Select","Select",""],["2020-10-08","00093005401","BUSPIRONE","TAB 10MG   ","60","Select","Select",""],["2020-03-16","59762500801","MISOPROSTOL","200MCG","","Select","Select",""],["2020-01-02","65862067899","ALPRAZOLAM","1MG","","Select","Select",""],["2020-07-21","185067401","HYDROXYZ PAM","25MG","","Select","Select",""],["2019-04-17","59762453701","MEDROXYPR AC","150MG\/ML","","Select","Select",""],["2019-09-05","68180071160","CEFDINIR","300MG","","Select","Select",""],["2019-09-05","57237007710","ONDANSETRON","4MG ODT","","Select","Select",""],["2020-01-10","47781030301","NITROFURANTN","100MG","","Select","Select",""],["2020-01-10","172392670","DIAZEPAM","5MG","","Select","Select",""],["2020-04-02","143980305","DOXYCYCL HYC","100MG","","Select","Select",""],["2020-08-11","70954001910","PRAZOSIN","HCL CAP 1MG  ","57","Select","Select",""],["2020-09-11","14539067401","HYDROXYZ","PAM CAP 25MG  ","60","Select","Select",""],["2019-04-17","59762453701","MEDROXYPR","AC INJ 150MG\/ML  ","1","Select","Select",""],["2020-04-02","00143980305","DOXYCYCL","HYC CAP 100MG  ","14","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":""}]}]}