{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHAWNEE GOODIN","gend":1,"add":"3706 PINOAK RD","city":"RICHMOND","state":"VA","zip":232231618,"age":"","mstatus":"","insh":22027253001,"cliId":"","pno":8046529060,"cno":"","email":"SHAWNEE@RICKLANDDIRECT.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1966-12-16"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["E11.9","I10","M79.641","M67.441","R20.0","R20.2","Z68.31","F41.9","G56.01","M65.331","G56.21","M67.40","Z79.84","Z79.899","S80.811A","W45.8XXA","Y92.814","Z68.33","G43.109","F33.1","G43.909","G47.00","E78.5","Z91.09","Z68.34","E66.01","Z12.39","Z20.828","Z68.35","          "],"date":["2020-07-15","2020-07-15","2019-01-09","2019-02-06","2019-01-09","2020-02-21","2019-01-09","2020-07-15","2019-02-25","2019-02-25","2019-02-25","2019-02-25","2019-02-25","2019-02-25","2019-07-16","2019-07-16","2019-07-16","2019-07-16","2020-02-21","2020-07-15","2020-07-15","2020-02-27","2020-07-15","2020-02-27","2020-05-07","2020-07-15","2020-07-15","2020-07-15","2020-07-15","2020-07-15"]}},{"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":[["2020-11-24","13668013701","ESCITALOPRAM","TAB 20MG   ","30","Select","Select",""],["2020-11-24","33342004910","IRBESARTAN","TAB 300MG   ","30","Select","Select",""],["2020-05-07","67877057505","BENZONATATE","200MG","","Select","Select",""],["2020-11-09","42806008301","BUSPIRONE","TAB 7.5MG   ","60","Select","Select",""],["2020-05-07","378064205","PREDNISONE","20MG","","Select","Select",""],["2020-05-31","173068220","VENTOLIN HFA","","","Select","Select",""],["2020-02-27","65862020390","LOSARTAN POT","100MG","","Select","Select",""],["2020-11-19","70377000612","ROSUVASTATIN","TAB 5MG   ","30","Select","Select",""],["2020-11-24","68382075810","METFORMIN","TAB 500MG   ","120","Select","Select",""],["2019-03-02","53746010901","HYDROCO\/APAP","5-325MG","","Select","Select",""],["2019-04-04","6027731","JANUVIA","100MG","","Select","Select",""],["2019-07-16","68180012202","CEPHALEXIN","500MG","","Select","Select",""],["2020-07-15","10370010150","BUPROPN HCL","150MG XL","","Select","Select",""],["2019-03-09","69097094312","GABAPENTIN","300MG","","Select","Select",""],["2019-02-06","68382091634","METHYLPRED","4MG","","Select","Select",""],["2020-02-25","51862017901","BUT\/APAP\/CAF","","","Select","Select",""],["2020-11-24","55111032201","GLIMEPIRIDE","TAB 4MG   ","30","Select","Select",""],["2020-11-24","68180071909","AMLODIPINE","TAB 2.5MG   ","30","Select","Select",""],["2020-11-24","45802065078","LORATADINE","TAB 10MG   ","30","Select","Select",""],["2020-11-19","70710122501","AMITRIPTYLIN","TAB 10MG   ","30","Select","Select",""],["2020-06-02","47781030301","NITROFURANTN","100MG","","Select","Select",""],["2020-11-19","69238115409","EZETIMIBE","TAB 10MG   ","30","Select","Select",""],["2020-11-03","10370010250","BUPROPN","HCL TAB 300MG XL ","30","Select","Select",""],["2020-05-31","00173068220","VENTOLIN","HFA AER   ","18","Select","Select",""],["2020-02-27","65862020390","LOSARTAN","POT TAB 100MG  ","30","Select","Select",""],["2020-09-10","65862042005","SMZ\/TMP","DS TAB 800-160  ","10","Select","Select",""],["2020-11-03","591321901","BUT\/ASA\/CAFF","CAP    ","50","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":""}]}]}