{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STEVEN C ROBINSON","gend":0,"add":"7423 CANTERBURY RD","city":"SOUTH PRINCE GEORGE","state":"VA","zip":238059999,"dob":"1982-09-11","age":"","mstatus":"","insh":11004303,"cliId":"6MJ9KR0UG41","pno":4343948137,"cno":4348085047,"email":"","ename":"","eno":"","pphy":"CABRERA, MARY E","ppno":4346965555,"pcpadd":"1418 6TH STREET","pcpcity":"VICTORIA","pcpstate":"VA","pcpzip":239740001,"pcpcounty":"LUNENBURG","pcpid":"P9058487","pcpname":"CENTRA SOUTHSIDE PROFESSIONAL LLC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R05","J30.2","J06.9","E66.3","Z68.34","N40.0","E66.9","M25.572","N40.1","R39.9","S93.402A","S99.912A","S01.111A","W20.8XXA","T14.8XXA","S61.219A","Z78.9","W18.30XA","Z68.28"],"date":["2020-10-27","2019-02-27","2019-02-27","2020-10-27","2020-01-26","2020-01-26","2020-01-26","2019-04-02","2019-04-08","2019-04-08","2018-12-22","2018-12-22","2020-01-26","2020-01-26","2019-11-27","2019-11-27","2020-10-27","2018-12-22","2020-10-27"]}},{"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":""}]}]}