{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SAMANTHIA HUNT","gend":1,"add":"5706 VININGS DR","city":"RICHMOND","state":"VA","zip":232349999,"age":"","mstatus":"","insh":22027315101,"cliId":"","pno":8043017899,"cno":"","email":"SAMANTHIA_HUNT@YAHOO.COM","ename":"","eno":"","pphy":"CHARTER COLONY FAMILY PRACTICE","ppno":8044235050,"pcpadd":"13700 ST FRANCIS BLVD ST","pcpcity":"MIDLOTHIAN","pcpstate":"VA","pcpzip":231143222,"pcpcounty":"","pcpid":"P0060089    ","pcpname":"CHARTER COLONY FAMILY PRACTICE","dob":"1972-08-11"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z76.89","G43.829","R76.8","L65.9","Z90.710","A60.04","Z68.31","R51","G43.909","Z90.49","G43.831","Z68.30","R76.0","L66.9","G43.009","L66.8","Z79.899","Z23","Z00.00","Z12.31","J06.9","F32.9","N89.8","Z20.2","N90.89","Z68.32","R19.4","Z12.11","D07.1","Z12.4","A09","Z01.810","Z01.818","R00.1","R94.31","Z01.811","M35.00","M47.814","E66.9","R94.6","E03.9","M35.9","L94.9","Z01.812","Z20.828","L65.8","K52.89","K59.09","R10.84","K29.70","K29.50","A04.8","          ","R19.7"],"date":["2019-11-13","2019-01-14","2019-11-13","2019-11-13","2020-02-21","2019-01-14","2020-02-21","2019-01-26","2019-10-09","2019-01-26","2019-12-17","2019-03-12","2019-03-25","2019-10-09","2019-04-14","2019-07-31","2020-09-11","2019-09-30","2019-09-30","2019-10-25","2019-09-30","2019-10-09","2019-12-05","2019-12-05","2019-12-18","2019-12-18","2020-09-15","2020-09-11","2020-02-21","2020-01-23","2020-01-30","2020-02-10","2020-02-10","2020-02-10","2020-02-10","2020-02-10","2020-02-21","2020-02-10","2020-02-21","2020-03-21","2020-03-21","2020-09-02","2020-09-09","2020-09-08","2020-09-08","2020-09-09","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2020-09-15","2020-09-15","2020-09-15","2020-09-11"]}},{"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":[["2020-08-09","43386009663","CLOBETASOL","OIN 0.0005   ","45","Select","Select",""],["2020-11-26","69097012503","TOPIRAMATE","TAB 200MG   ","60","Select","Select",""],["2020-11-28","43547029010","BUPROPION","TAB 200MG SR  ","60","Select","Select",""],["2020-10-22","00002143611","EMGALITY","INJ 120MG\/ML   ","1","Select","Select",""],["2019-01-27","11534018701","BUT\/APAP\/CAF","","","Select","Select",""],["2020-04-06","10702004401","DIETHYLPROP","25MG","","Select","Select",""],["2020-11-18","43598072101","HYDROXYCHLOR","TAB 200MG   ","60","Select","Select",""],["2020-11-11","31722070530","VALACYCLOVIR","TAB 1GM   ","30","Select","Select",""],["2020-11-03","50111033401","METRONIDAZOL","TAB 500MG   ","42","Select","Select",""],["2020-01-30","65862039010","ONDANSETRON","4MG ODT","","Select","Select",""],["2020-11-13","16729020201","BUSPIRONE","TAB 10MG   ","180","Select","Select",""],["2019-10-22","53746010901","HYDROCO\/APAP","5-325MG","","Select","Select",""],["2019-07-28","67857080938","ZEMBRACE SYM","3\/0.5ML","","Select","Select",""],["2020-04-16","68462074635","ACYCLOVIR","5%","","Select","Select",""],["2020-01-30","143312601","DICYCLOMINE","10MG","","Select","Select",""],["2020-03-05","70710113908","FLUCONAZOLE","150MG","","Select","Select",""],["2020-11-14","93310905","AMOXICILLIN","CAP 500MG   ","84","Select","Select",""],["2020-11-28","62175018046","PANTOPRAZOLE","TAB 20MG   ","30","Select","Select",""],["2020-09-07","52268001201","SUPREP","BOWEL SOL PREP KIT ","354","Select","Select",""],["2019-07-28","67857080938","ZEMBRACE","SYM INJ 3\/0.5ML  ","2","Select","Select",""],["2020-09-23","23155001801","TETRACYCLINE","CAP 500MG   ","19","Select","Select",""],["2020-10-23","10370010250","BUPROPN","HCL TAB 300MG XL ","30","Select","Select",""],["2020-11-03","527193206","CLARITHROMYC","TAB 500MG   ","28","Select","Select",""],["2020-11-03","55111015810","OMEPRAZOLE","CAP 20MG   ","28","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":""}]}]}