{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CLAUDIA SMITH","gend":1,"add":"16223 TRAINHAM RD","city":"BEAVERDAM","state":"VA","zip":230159999,"age":"","mstatus":"","insh":22027227301,"cliId":"","pno":8044491601,"cno":"","email":"SKIBABET@EMBARQMAIL.COM","ename":"","eno":"","pphy":"MCV PHYSICIANS AT MAYLAND CLIN","ppno":8045275440,"pcpadd":"3470 MAYLAND CT","pcpcity":"HENRICO","pcpstate":"VA","pcpzip":232331468,"pcpcounty":"","pcpid":"P0124600    ","pcpname":"MCV PHYSICIANS AT MAYLAND CLIN","dob":"1959-08-01"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M25.561","M25.532","M25.531","M25.559","M72.2","I10","M35.7","I95.1","M25.461","S83.241A","M23.90","M47.818","M17.0","M71.21","M23.321","M25.569","M17.11","M94.261","M25.551","H47.293","H40.013","H04.123","H25.13","H02.89","F33.0","F06.4","Z63.4","Z86.59","F41.0","Z68.33","R30.0","I95.9","Z79.899","R19.7","T43.215A","F32.9","Z68.34","R10.9","K57.92","E87.2","K57.32","E87.1","Q79.60","D72.829","E87.6","I16.0","K29.70","K31.7","Z86.2","Z90.49","Z87.11","Z90.721","Z90.81","R11.2","R10.13","K57.52","K31.89","Z23","K57.90","E78.5","I25.10","K57.30","E66.01","Z68.35","R10.31","D25.0","R05","N39.3","R73.09","Z77.011","R53.83","R10.84","Z68.36","R07.9","Z87.891","K29.70    ","K31.7     ","Z79.899   ","Z86.2     ","Z90.49    ","Z87.11    ","Z90.721   ","I25.2","          "],"date":["2019-10-02","2019-10-02","2019-10-02","2019-01-16","2019-10-02","2020-09-14","2020-09-14","2019-02-06","2019-02-18","2019-02-12","2019-02-12","2019-02-18","2019-02-18","2019-02-18","2019-02-18","2019-02-18","2019-03-07","2019-03-18","2019-04-01","2019-04-18","2019-04-18","2019-04-18","2019-04-18","2019-04-18","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2019-06-24","2019-07-16","2019-06-05","2020-08-26","2019-07-16","2019-07-16","2020-09-14","2019-08-13","2020-01-03","2019-10-07","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2020-01-03","2019-10-12","2019-10-11","2019-10-11","2019-10-09","2019-10-10","2019-10-16","2019-10-24","2019-10-24","2019-10-24","2019-10-24","2019-11-13","2019-11-13","2019-12-20","2020-01-03","2020-01-13","2020-01-13","2020-06-26","2020-06-26","2020-06-26","2019-10-07","2020-02-03","2020-08-26","2020-08-26","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2019-10-12","2020-08-26","2020-09-14"]}},{"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":[["2020-11-18","68001023803","CLONIDINE","TAB 0.2MG   ","90","Select","Select",""],["2019-02-26","67877022205","GABAPENTIN","100MG","","Select","Select",""],["2020-11-11","60505257808","ATORVASTATIN","TAB 10MG   ","30","Select","Select",""],["2020-11-16","51991087833","EPLERENONE","TAB 50MG   ","90","Select","Select",""],["2020-10-21","67877026410","DULOXETINE","CAP 30MG   ","30","Select","Select",""],["2020-11-24","69315090410","LORAZEPAM","TAB 0.5MG   ","60","Select","Select",""],["2020-07-13","31722017301","METHYLPHENID","5MG","","Select","Select",""],["2020-10-05","00591034705","HYDROCHLOROT","CAP 12.5MG   ","30","Select","Select",""],["2019-07-16","68001000100","NITROFURANTN","100MG","","Select","Select",""],["2019-10-24","43199001101","HYOSCYAMINE","0.125MG","","Select","Select",""],["2019-10-24","68001016100","PROMETHAZINE","12.5MG","","Select","Select",""],["2019-03-12","10370083009","DILTIAZEM","180MG ER","","Select","Select",""],["2019-12-30","70010001201","METHYPHENID","10MG ER","","Select","Select",""],["2020-03-02","45802000403","HYDROCORT","2.50%","","Select","Select",""],["2019-04-22","121057716","LACTULOSE","10GM\/15","","Select","Select",""],["2019-01-21","68382005101","MELOXICAM","15MG","","Select","Select",""],["2020-01-13","64980043150","OXYBUTYNIN","5MG","","Select","Select",""],["2020-01-13","173068220","VENTOLIN HFA","","","Select","Select",""],["2019-10-12","378668977","PANTOPRAZOLE","40MG","","Select","Select",""],["2019-10-12","68001036500","METRONIDAZOL","500MG","","Select","Select",""],["2020-10-08","49281042050","FLUZONE","QUAD INJ 2020-21  ","0.5","Select","Select",""],["2020-01-13","00173068220","VENTOLIN","HFA AER   ","18","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":""}]}]}