{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRENDA HAMNER","gend":1,"add":"8157 S MAYFIELD LN","city":"MECHANICSVILLE","state":"VA","zip":231119999,"age":"","mstatus":"","insh":22027288301,"cliId":"","pno":8042343413,"cno":"","email":"BJ274@LIVE.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1956-09-07"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["K92.0","A41.9","A08.4","R65.20","D64.9","E78.00","E78.5","E83.42","E87.6","F10.20","K22.6","M19.90","M81.0","Z79.82","Z80.0","Z80.3","Z82.3","Z82.49","Z83.511","Z90.710","R73.03","R74.0","E80.6","Z20.828","D50.9","E78.2","Z78.9","R73.01","R94.5","R79.89","D75.89","R42","K92.2","K22.70","R74.8","M19.90    ","M81.0     ","Z79.82    ","Z80.0     ","Z80.3     ","Z82.3     ","Z82.49    "],"date":["2020-06-12","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-06-12","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-05-01","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-06-12","2020-06-12","2020-04-22","2020-06-12","2020-04-22","2020-06-12","2020-06-12","2020-06-12","2020-05-01","2020-05-01","2020-05-01","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16"]}},{"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":[["2020-05-11","65862056090","PANTOPRAZOLE","40MG","","Select","Select",""],["2020-04-16","832532511","POT CL MICRO","20MEQ ER","","Select","Select",""],["2020-04-16","37205037053","ANTI-DIARRHE","2MG","","Select","Select",""],["2020-05-20","60505294509","EZETIMIBE","10MG","","Select","Select",""],["2020-04-16","00832532511","POT","CL MICRO TAB 20MEQ ER","7","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":""}]}]}