{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KIMBERLY STEARNS","gend":1,"add":"6819 W GRACE ST","city":"RICHMOND","state":"VA","zip":232269999,"age":"","mstatus":"","insh":22028833301,"cliId":"","pno":8043051438,"cno":"","email":"KYMBLY123@VERIZON.NET","ename":"","eno":"","pphy":"WEST END INTERNAL MEDICINE","ppno":8042827857,"pcpadd":"7001 FOREST AVE STE 2500","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232301726,"pcpcounty":"","pcpid":"P0060030    ","pcpname":"WEST END INTERNAL MEDICINE","dob":"1956-06-24"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J30.1","I10","J30.89","R05","          "],"date":["2020-04-22","2020-07-29","2020-07-29","2020-07-29","2020-07-29"]}},{"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":[["2020-11-27","50111043303","TRAZODONE","TAB 50MG   ","30","Select","Select",""],["2020-11-27","31722072630","MONTELUKAST","TAB 10MG   ","30","Select","Select",""],["2020-07-29","68382024701","BENZONATATE","100MG","","Select","Select",""],["2020-05-04","65862001501","AMOXICILLIN","875MG","","Select","Select",""],["2020-08-30","69097083512","SERTRALINE","TAB 100MG   ","60","Select","Select",""],["2020-08-30","00173068220","VENTOLIN","HFA AER   ","18","Select","Select",""],["2020-11-25","62332054715","CLOBETASOL","CRE 0.0005   ","15","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":""}]}]}