{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WAYNE NOEL","gend":0,"add":"2216 CAROLINE STREET","city":"FREDERICKSBURG","state":"VA","zip":224019999,"dob":"1948-08-22","age":"","mstatus":"","insh":11009918,"cliId":"3UG0V58JG10","pno":5402878976,"cno":"","email":"","ename":"","eno":"","pphy":"CHANG, NORMAN A","ppno":5403714141,"pcpadd":"611 Jefferson Davis Hwy Ste 201","pcpcity":"Fredericksburg","pcpstate":"VA","pcpzip":224018402,"pcpcounty":"FREDERICKSBURG CITY","pcpid":"P9307324","pcpname":"COMMONWEALTH INTERNAL MEDICINE PC"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["E03.9","E11.9","I10","K21.9","J96.01","I50.23","J15.9","I60.8","J90","F17.210","Z20.828","Y90.1","I21.A1","I21.09","R47.01","I42.9","I67.1","I65.22","I11.0","R59.0","I27.20","I08.3","R06.02","R07.9","R05","J98.11","I28.8","Z48.813","I60.9","Z46.82","I36.1","I35.0","I34.0","F80.1","E78.3","I25.2","I60.7","G93.6","G93.5","J18.9","I21.4","G91.1","I42.8","T82.897A","I47.2","F14.10","F12.90","I25.10","I63.50","R91.8","J96.91","I50.21","I50.9","R10.9","J96.90","Z95.5","I25.5","R10.84","J91.8","I35.1","E11.649","E78.5","E78.00","Z79.890","Z79.4","Z11.59","I50.22","Z86.73","R03.0","R53.81","R69","I25.119","Z91.19","Z28.21","I35.2","Z95.820","M19.019","Z86.79","Z01.818","I65.23","Z99.81","Z01.810","R94.2","R44.1","I50.43","G47.00","F32.9","F41.9","R22.2","R44.3","I50.20","R18.8","N17.8","K80.20","N20.9"],"date":["2020-10-16","2020-10-16","2020-10-11","2020-09-10","2020-09-05","2020-11-04","2020-08-05","2020-08-05","2020-10-27","2020-08-31","2020-10-16","2020-07-03","2020-07-03","2020-07-05","2020-07-05","2020-07-05","2020-07-16","2020-07-05","2020-10-25","2020-07-03","2020-08-31","2020-09-10","2020-10-25","2020-10-27","2020-07-03","2020-10-19","2020-07-03","2020-07-05","2020-08-19","2020-07-03","2020-07-04","2020-09-10","2020-07-04","2020-07-05","2020-07-05","2020-10-16","2020-07-06","2020-07-05","2020-07-05","2020-07-16","2020-08-24","2020-07-05","2020-10-16","2020-07-05","2020-07-05","2020-07-05","2020-07-05","2020-10-26","2020-07-05","2020-07-09","2020-07-05","2020-10-26","2020-10-01","2020-07-06","2020-07-11","2020-07-09","2020-10-16","2020-07-29","2020-10-17","2020-10-16","2020-08-31","2020-10-16","2020-10-16","2020-08-02","2020-08-02","2020-08-31","2020-10-07","2020-09-10","2020-09-17","2020-09-18","2020-10-22","2020-10-16","2020-08-24","2020-08-31","2020-08-31","2020-08-31","2020-09-04","2020-09-04","2020-10-23","2020-09-04","2020-09-23","2020-09-23","2020-10-07","2020-10-17","2020-10-17","2020-10-16","2020-10-16","2020-10-16","2020-10-19","2020-10-21","2020-10-25","2020-10-25","2020-10-25","2020-10-25","2020-10-25"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-assessment & 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":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems","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":[null,null,null,null,null,null,""]},{"a":[0,"","",0,{"txt":""},{"malnutrition":[]}]}]},{"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","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"icd-10","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a9":"","a10":[],"a11":""}]}]}