{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHABIR KABA","gend":0,"add":"11129 CARRINGTON GREEN DR","city":"GLEN ALLEN","state":"VA","zip":230609999,"age":"","mstatus":"","insh":22027149001,"cliId":"","pno":8046148862,"cno":"","email":"NASIMKABA@GMAIL.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1957-07-23"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J45.41","Z68.27","Z00.00","E11.9","I25.118","E78.5","I10","J45.30","E55.9","Z68.26","Z23","N40.1","R35.1","J45.31","E87.5","R06.02","H35.63","H25.13","          "],"date":["2019-02-21","2019-03-05","2019-03-08","2020-07-31","2019-12-18","2019-11-18","2019-11-18","2019-10-08","2019-03-08","2019-07-10","2019-07-10","2019-10-10","2019-10-10","2019-11-01","2019-11-18","2019-12-18","2020-07-31","2020-07-31","2020-07-31"]}},{"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":[["2019-02-26","68180016106","AZITHROMYCIN","500MG","","Select","Select",""],["2019-07-10","67877057505","BENZONATATE","200MG","","Select","Select",""],["2019-11-01","54001829","PREDNISONE","20MG","","Select","Select",""],["2020-09-29","31722072610","MONTELUKAST","TAB 10MG   ","90","Select","Select",""],["2020-09-29","68180051202","LISINOPRIL","TAB 2.5MG   ","90","Select","Select",""],["2020-09-29","00378718705","METFORMIN","TAB 1000MG   ","180","Select","Select",""],["2020-09-29","16714087403","ATORVASTATIN","TAB 10MG   ","90","Select","Select",""],["2019-09-21","70461031903","FLUCLVX QUAD","2019-20","","Select","Select",""],["2019-12-02","58160082311","SHINGRIX","50MCG","","Select","Select",""],["2020-10-07","16729000216","GLIMEPIRIDE","TAB 2MG   ","90","Select","Select",""],["2020-09-23","65862014990","FINASTERIDE","TAB 5MG   ","90","Select","Select",""],["2020-08-04","68462063945","NITROGLYCERN","SUB 0.4MG   ","100","Select","Select",""],["2019-03-08","173071920","FLOVENT HFA","110MCG","","Select","Select",""],["2019-03-15","487020160","IPRATROPIUM\/","ALBUTER","","Select","Select",""],["2019-09-21","70461031903","FLUCLVX","QUAD INJ 2019-20  ","0.5","Select","Select",""],["2019-03-08","00173071920","FLOVENT","HFA AER 110MCG  ","36","Select","Select",""],["2020-09-12","33332042010","AFLURIA","QUAD INJ 2020-21  ","0.5","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":""}]}]}