{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LORAINE BROADNAX","gend":1,"add":"2557 NOLE ST","city":"RICHMOND","state":"VA","zip":232379999,"age":"","mstatus":"","insh":22027165801,"cliId":"","pno":8042433776,"cno":"","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1957-06-16"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.00","E11.9","I10","E78.00","Z68.20","K64.9","Z68.22","K64.4","B37.0","          "],"date":["2020-02-05","2020-02-05","2020-02-05","2020-02-05","2019-01-18","2019-10-09","2019-10-09","2020-02-05","2020-05-08","2020-05-08"]}},{"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":[["2020-10-12","00093505998","ATORVASTATIN","TAB 20MG   ","30","Select","Select",""],["2020-10-12","60505024701","MIRTAZAPINE","TAB 15MG   ","30","Select","Select",""],["2020-10-12","68645058259","METFORMIN","TAB 500MG   ","60","Select","Select",""],["2020-10-12","68645051554","AMLODIPINE","TAB 5MG   ","30","Select","Select",""],["2020-10-12","68645055254","LISINOPRIL","TAB 10MG   ","30","Select","Select",""],["2020-05-19","60432053716","NYSTATIN","100000","","Select","Select",""],["2019-02-19","93005805","TRAMADOL HCL","50MG","","Select","Select",""],["2019-02-19","68645056354","IBUPROFEN","800MG","","Select","Select",""],["2019-02-19","603158658","PROMETHAZINE","DM","","Select","Select",""],["2019-01-18","68180071160","CEFDINIR","300MG","","Select","Select",""],["2020-10-12","31722071390","PANTOPRAZOLE","TAB 40MG   ","30","Select","Select",""],["2019-02-19","00093005805","TRAMADOL","HCL TAB 50MG  ","15","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":""}]}]}