{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARY E HUGHES","gend":1,"add":"6106 HEALTH CENTER LANE","city":"FREDERICKSBURG","state":"VA","zip":224079999,"dob":"1929-12-16","age":"","mstatus":"","insh":11013011,"cliId":"6WP5XF0GT54","pno":5404242920,"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":[{"index":7,"values":[{"index":"No Ethnicity"}]}],"comment":[],"score":0}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["G20","F02.81","I10","F29","F32.9","F39","Z79.01","E11.9","I82.891","Z91.81","E78.00","Z91.83","Z96.1","E03.9","B20","I50.9","I51.7","J81.0","I27.20","E10.9","D64.9","E86.0","M79.89","N39.0","G40.89","E87.5","R53.81","K59.01","B35.1","R26.89","R60.0","N17.9","M85.80","M62.81","Z23"],"date":["2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2020-05-29","2020-06-25","2020-06-19","2020-06-19","2020-06-19","2020-06-23","2020-09-16","2020-09-16","2020-09-16","2020-09-17","2020-06-18","2020-06-18","2020-06-18","2020-06-18","2020-08-17","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-22","2020-09-22"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["No","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":""}]}]}