{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PARKER LLEWELLYN","gend":0,"add":"2400 OLD TIME RD","city":"POWHATAN","state":"VA","zip":231399999,"age":"","mstatus":"","insh":22027242004,"cliId":"","pno":7579714437,"cno":8043892252,"email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"2017-09-21"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z00.129","Z23","H66.001","R11.10","Z09","Z86.69","H66.006","H10.33","H65.23","Z01.818","H66.93","H65.493","J02.0","R19.7","R11.11","L22","          "],"date":["2019-03-27","2019-03-27","2019-01-31","2019-05-13","2019-02-05","2019-02-05","2019-04-12","2019-02-18","2019-11-25","2019-04-12","2019-04-15","2019-04-15","2019-05-13","2019-05-13","2019-06-16","2019-08-14","2019-11-25"]}},{"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":[["2019-08-14","51672128902","NYSTATIN","100000","","Select","Select",""],["2019-05-13","93416178","AMOXICILLIN","400\/5ML","","Select","Select",""],["2019-03-07","65862021960","CEFDINIR","250\/5ML","","Select","Select",""],["2019-06-16","65862039010","ONDANSETRON","4MG ODT","","Select","Select",""],["2019-04-15","17478071310","OFLOXACIN","0.3% OP","","Select","Select",""],["2019-02-18","781613954","AMOX\/K CLAV","600\/5ML","","Select","Select",""],["2019-02-18","24208091055","ERYTHROMYCIN","OP","","Select","Select",""],["2019-02-18","00781613954","AMOX\/K","CLAV SUS 600\/5ML  ","125","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":""}]}]}