{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GLORIA GERMAN","gend":1,"add":"7531 WASHINGTON ARCH DR","city":"MECHANICSVILLE","state":"VA","zip":231119999,"age":"","mstatus":"","insh":22027602901,"cliId":"","pno":5712989021,"cno":"","email":"GLORIAGERMAN5751@YAHOO.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1957-01-04"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M54.2","M54.16","G89.29","M25.561","R10.32","M43.16","M47.816","M51.36","M54.9","R00.1","R41.82","I49.9","R42","R51","H90.3","I10","E78.2","J30.89","H81.10","Z68.29","E78.00","Z12.39","Z12.11","Z13.1","Z68.30","Z12.31","Z13.6","R06.02","R07.89","E78.49","H81.13","I67.1","G44.59","A87.9","H81.02","Z68.32","E66.9","Z95.820","E78.5","Z79.899","Z91.013","Z88.2","Z91.018","Z28.21","Z20.828","R07.0","U07.1","Z91.018   ","Z28.21    ","D64.9","H81.03","R06.00","R94.31","          ","K62.5","K64.9","R19.4","H81.12","H90.A22","Z79.82"],"date":["2019-01-10","2019-01-10","2019-01-10","2019-01-10","2019-01-10","2019-01-10","2019-01-10","2019-01-10","2019-01-10","2020-09-11","2019-03-04","2019-03-04","2020-09-18","2020-05-17","2020-11-06","2019-04-30","2020-11-20","2020-01-03","2020-01-03","2019-07-29","2019-10-23","2019-10-03","2019-10-03","2019-10-03","2020-01-03","2019-10-23","2019-10-23","2019-11-11","2020-11-20","2019-11-11","2019-11-15","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2019-11-20","2020-05-17","2020-05-17","2020-05-28","2019-11-20","2019-11-20","2020-09-11","2020-09-11","2020-11-20","2020-09-18","2020-11-20","2020-11-04","2020-11-04","2020-11-04","2020-11-06","2020-11-06","2020-11-20"]}},{"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":[["2019-12-16","781207401","TRIAMT\/HCTZ","37.5-25","","Select","Select",""],["2020-06-29","65162044210","MECLIZINE","25MG","","Select","Select",""],["2019-11-15","68462015713","ONDANSETRON","4MG ODT","","Select","Select",""],["2019-11-18","24590102","PRALUENT","75MG\/ML","","Select","Select",""],["2020-11-27","47335070786","TOPIRAMATE","TAB 25MG   ","30","Select","Select",""],["2020-10-07","00115551110","FENOFIBRATE","TAB 54MG   ","30","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":""}]}]}