{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MEGAN ROTH","gend":1,"add":"1607 WHITE CEDAR LN","city":"NORTH CHESTERFIELD","state":"VA","zip":232359999,"age":"","mstatus":"","insh":22027781901,"cliId":"","pno":8046874107,"cno":"","email":"MEGANLYNN.LTS1967@GMAIL.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","dob":"1993-08-20"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F41.9","I10","Z83.49","R20.0","R20.2","Z68.30","Z30.09","F41.1","F98.8","F34.1","Z68.29","Z30.430","Z32.02","F43.21","F90.0","Z30.431","J02.9","Z01.411","L73.9","Z11.51","Z01.419","R63.5","E55.9","Z68.33","F31.81","R45.86","Z68.31","K21.9","R11.0","Z20.828","K21.0","K22.10","K29.50","K20.9","Z79.899","R19.7","          "],"date":["2020-08-19","2020-08-19","2019-06-13","2019-06-13","2019-06-13","2019-12-30","2019-08-14","2020-05-05","2019-11-22","2020-05-05","2019-10-11","2019-09-11","2019-09-11","2019-12-30","2019-10-11","2020-05-22","2019-11-11","2020-05-22","2020-05-22","2020-05-22","2020-05-22","2020-06-05","2020-06-05","2020-06-05","2020-10-14","2020-03-02","2020-03-02","2020-08-19","2020-08-19","2020-08-15","2020-08-19","2020-08-19","2020-08-19","2020-08-19","2020-08-19","2020-08-25","2020-10-14"]}},{"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":[["2020-11-02","65862001305","SERTRALINE","TAB 100MG   ","45","Select","Select",""],["2020-10-14","16729013616","CLONAZEPAM","TAB 0.5MG   ","30","Select","Select",""],["2020-11-14","68382001901","VENLAFAXINE","TAB 37.5MG   ","30","Select","Select",""],["2020-11-27","29300011416","LAMOTRIGINE","TAB 200MG   ","30","Select","Select",""],["2019-10-19","65162010150","GABAPENTIN","100MG","","Select","Select",""],["2020-10-14","66993059502","AMPHET\/DEXTR","CAP 10MG ER  ","30","Select","Select",""],["2020-08-26","68382050010","OMEPRAZOLE","CAP 40MG   ","30","Select","Select",""],["2020-07-22","65862056090","PANTOPRAZOLE","40MG","","Select","Select",""],["2020-11-11","57237007810","ONDANSETRON","TAB 8MG ODT  ","10","Select","Select",""],["2020-07-31","591079401","DICYCLOMINE","10MG","","Select","Select",""],["2020-08-27","00904582460","VITAMIN","D3 TAB 1000UNIT  ","30","Select","Select",""],["2020-09-08","00115180401","HYDROXYZ","PAM CAP 50MG  ","90","Select","Select",""],["2020-11-14","62332000231","FAMOTIDINE","TAB 40MG   ","60","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":""}]}]}