{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOSEPHINE GATLING","gend":1,"add":"4812 SUECLA DR","city":"RICHMOND","state":"VA","zip":232319999,"age":"","mstatus":"","insh":22027186101,"cliId":"","pno":8043079072,"cno":"","email":"JPHINE1993@COMCAST.NET","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1957-12-09"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z96.653","M25.661","M25.662","E66.9","Z79.899","Z96.659","Z00.00","H81.13","I27.20","M35.02","I47.1","J84.9","K22.0","Z68.37","R06.02","M35.00","M06.9","J44.9","I10","Z98.84","E78.2","Z68.36","R76.8","Z68.34","G43.709","E66.01","K91.1","R10.13","Z12.31","M89.9","M94.9","Z68.35","Z78.0","Z13.820","R00.2","L30.8","L66.9","R21","D48.5","I48.0","I48.91","B18.1","G89.29","M19.90","R51","Z77.22","Z80.9","Z82.3","Z82.49","K22.4","D72.819","T14.8XXA","Z01.810","Z01.818","I49.1","R94.31","E78.00","Z68.32","A08.4","R19.7","R10.32","Z87.19","Z68.33","Z23","Z82.3     ","Z82.49    ","Z79.899   ","Z01.419","B00.9","          ","Z71.9"],"date":["2019-10-23","2019-01-31","2019-01-31","2019-10-05","2019-10-23","2019-01-31","2020-10-09","2019-03-07","2020-07-20","2020-07-20","2020-07-20","2020-11-11","2020-01-14","2019-03-07","2019-03-18","2020-11-11","2020-11-11","2020-04-29","2020-04-29","2020-04-29","2020-04-29","2019-05-31","2019-08-13","2020-07-20","2020-07-20","2019-10-23","2019-10-23","2019-08-14","2020-09-29","2019-08-14","2019-08-14","2019-10-28","2019-09-16","2019-09-16","2020-04-29","2019-09-19","2019-09-19","2020-01-14","2019-09-19","2020-11-11","2019-10-05","2019-10-05","2019-10-05","2019-10-05","2019-10-05","2019-10-05","2019-10-05","2019-10-05","2019-10-05","2019-10-07","2019-10-14","2019-10-14","2019-10-23","2019-10-23","2019-10-23","2019-10-23","2019-10-23","2020-01-14","2020-03-07","2020-03-11","2020-03-11","2020-03-11","2020-04-29","2020-07-20","2019-10-05","2019-10-05","2019-10-23","2020-09-23","2020-09-23","2020-11-11","2020-11-11"]}},{"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":[["2020-11-22","527169501","BUT\/APAP\/CAF","TAB    ","30","Select","Select",""],["2020-11-16","228282011","HYDROCHLOROT","TAB 12.5MG   ","30","Select","Select",""],["2020-03-23","68682099498","DILTIAZEM","180MG ER","","Select","Select",""],["2019-09-21","59651000305","OMEPRAZOLE","40MG","","Select","Select",""],["2020-11-16","69238199107","DIGOXIN","TAB 0.125MG   ","30","Select","Select",""],["2020-03-12","68180012202","CEPHALEXIN","500MG","","Select","Select",""],["2019-10-23","57237007530","ONDANSETRON","4MG","","Select","Select",""],["2020-01-30","65162044210","MECLIZINE","25MG","","Select","Select",""],["2020-03-26","33342002208","LEVOFLOXACIN","500MG","","Select","Select",""],["2019-07-20","68462010340","FLUCONAZOLE","150MG","","Select","Select",""],["2020-07-22","68382009605","HYDROXYCHLOR","200MG","","Select","Select",""],["2019-04-16","45802006435","TRIAMCINOLON","0.10%","","Select","Select",""],["2019-04-16","168041660","TACROLIMUS","0.10%","","Select","Select",""],["2020-07-22","62037059890","CARTIA XT","180\/24HR","","Select","Select",""],["2020-05-22","93081101","NORTRIPTYLIN","25MG","","Select","Select",""],["2019-09-30","68462025217","DESONIDE","0.05%","","Select","Select",""],["2020-03-31","42571025201","CLINDAMYCIN","300MG","","Select","Select",""],["2019-11-12","42858010201","OXYCOD\/APAP","5-325MG","","Select","Select",""],["2019-03-23","143211205","DOXYCYCL HYC","100MG","","Select","Select",""],["2019-04-28","527132410","DIGOX","0.125MG","","Select","Select",""],["2020-10-06","68462074617","ACYCLOVIR","OIN 0.05   ","15","Select","Select",""],["2020-11-16","62037059890","CARTIA","XT CAP 180\/24HR  ","30","Select","Select",""],["2020-11-22","31722070530","VALACYCLOVIR","TAB 1GM   ","60","Select","Select",""],["2019-03-23","00143211205","DOXYCYCL","HYC TAB 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":""}]}]}