{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RICHARD INGRAM","gend":0,"add":"13606 PRINCE JAMES DR","city":"CHESTERFIELD","state":"VA","zip":"238329999","dob":"1961-08-01","age":"","mstatus":"","insh":"22028256501","cliId":"","pno":"8043493187","cno":"","email":"RKENTINGRAM@MSN.COM","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["I10","K76.9","E78.5","R10.32","R52","G89.29","Z68.43","M16.0","M25.551","M25.552","D75.1","E66.01","G47.33","M19.90"],"date":["2020-05-11","2019-11-27","2019-11-27","2020-02-11","2020-05-11","2020-02-11","2020-05-11","2020-06-09","2020-02-27","2020-02-27","2020-05-11","2020-05-11","2020-05-11","2020-05-11"]}},{"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":[["2020-07-07","50111043401","TRAZODONE","100MG","","Select","Select",""],["2020-07-07","55111018015","TIZANIDINE","4MG","","Select","Select",""],["2020-07-07","57664016758","METOPROL TAR","100MG","","Select","Select",""],["2020-01-15","68382059516","DILTIAZEM","120MG ER","","Select","Select",""],["2020-07-11","65162062711","TRAMADOL HCL","50MG","","Select","Select",""],["2020-07-11","52817033200","CYCLOBENZAPR","10MG","","Select","Select",""],["2020-02-22","16571020150","DICLOFENAC","75MG DR","","Select","Select",""],["2020-05-11","55111012205","ATORVASTATIN","20MG","","Select","Select",""],["2020-05-13","65862018501","CLINDAMYCIN","150MG","","Select","Select",""],["2020-05-15","406012505","HYDROCO\/APAP","10-325MG","","Select","Select",""],["2020-07-16","42799012101","BUMETANIDE","2MG","","Select","Select",""],["2020-05-13","59746000103","METHYLPRED","4MG","","Select","Select",""],["2020-05-13","52376002102","PAROEX","0.12%","","Select","Select",""],["2020-05-13","67877032105","IBUPROFEN","800MG","","Select","Select",""],["2020-05-13","59762219801","AZITHROMYCIN","250MG","","Select","Select",""],["2020-07-16","591367101","NABUMETONE","750MG","","Select","Select",""],["2020-07-16","65862020399","LOSARTAN POT","100MG","","Select","Select",""],["2019-11-24","27241009903","DULOXETINE","60MG","","Select","Select",""],["2020-01-30","93101042","MUPIROCIN","2%","","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":""}]}]}