{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANIRBASLLEWOH ","gend":1,"add":"          DR YEKRATS 1075                         ","city":"ROANOKE                  ","state":"VA","zip":"24018-9998","dob":"1975-07-25","age":46,"mstatus":"","insh":"00114914","cliId":"","pno":"7604551946","cno":5406764915,"email":"","ename":"","eno":"","pphy":"COUTURE, STEPHEN A","ppno":5402832570,"pcpadd":"5304 INDIAN GRAVE RD STE B,","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240189100,"pcpcounty":"","pcpid":"","pcpname":"LEWIS GALE PHYSICIANS","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"5701 STARKEY RD                                   ","madd2":"                                                  ","madd3":"","mcity":"ROANOKE                  ","mstate":"VA","mzip":"24018-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.9","F41.9","F43.10","F12.10","G47.9","F14.11","F15.11","F31.9","E04.1","R13.10","T78.3XXA","T78.40XA","E11.9","Z79.4","Z01.419","N92.0","R87.610","M25.532","Z98.890","I25.10","E11.69","E66.9","K21.9","F41.8","Z86.010","G56.03","R10.2","N93.9","D72.829","R74.8","E11.49","E11.65","E55.9","M43.16","M47.896","M54.50","Z30.42","G56.01","K63.5","K29.50","K21.0","K44.9","K57.30","E78.5","J45.909","I25.2","F17.200","E66.01","Z68.37","Z79.82","Z80.0","K29.70","K31.89","K52.9","I20.8","I25.110","E87.6","E11.42","I10","F17.210","M51.36","Z71.6","Z95.5","Z71.3","Z79.02","R07.9","Z20.822","R06.02","R11.0","K59.00","H60.503","Z80.8","K59.09","H66.93","N72","Z32.02","E07.89","D25.1","J02.9","H92.02","K64.9","H65.92","N76.0","G56.21","M12.20","H92.01","Z86.69","M54.5","R07.89","K58.9","F32.9","L02.31","M51.9","E78.2","E83.52","M54.16","R07.81","S20.212A","W01.0XXA","S20.219A","W18.30XA","K76.0","K76.9","R94.5","I21.4","Z72.0","R68.84","M79.602","R94.31","R00.1","T82.855A","Y92.89","Y83.1","I21.A9","Z91.14","Z87.891","M67.431","M12.231","Z11.59","K75.81","Z68.39","H04.123","H52.4","Z01.818","Z01.810","Z48.812","Z30.432","F39","Z79.899","K58.1","H02.63","B86","R21","R20.2","Z04.1","S13.9XXA","R20.0","M54.9","V49.40XA","Y92.410","J06.9","M25.561","R82.90","B37.3","M17.11","Z68.38","M79.89","F33.1","N95.1","T23.202A","M79.642","X15.0XXA","Z23","M35.7","R53.1","R26.2","Z12.31","E11.40","E01.0","R29.2","R09.81","R68.83","D48.5","H02.62","H02.64","L72.0","D48.9","R05","W19.XXXA","G89.29","L60.0","M79.674","S90.211A","Z12.11","Z80.3","H92.09","R52","T14.90XA","R51","V49.50XA","M20.5X2","M67.472","S39.012A","M79.675","X50.0XXA","M21.612","M79.672","S39.011A","R10.12","X58.XXXA","Z79.84","L73.9","M62.838"," ","I20.0","Z13.89","E27.9"],"date":["2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2022-03-15","2020-01-06","2022-01-12","2022-01-12","2022-08-26","2022-08-26","2022-11-10","2020-01-13","2022-11-10","2019-10-21","2019-01-16","2022-11-08","2022-11-08","2022-11-08","2020-07-14","2019-04-05","2021-03-24","2019-01-25","2019-04-15","2022-11-10","2022-02-04","2019-11-13","2022-10-13","2022-02-17","2022-02-21","2022-02-15","2022-02-15","2022-04-29","2022-11-10","2020-07-24","2020-02-20","2020-02-20","2020-02-20","2020-07-14","2022-11-10","2022-11-08","2020-07-24","2022-08-26","2022-08-26","2020-02-20","2021-03-07","2022-08-26","2021-03-24","2020-02-20","2020-02-20","2019-02-22","2019-03-05","2021-03-07","2021-03-10","2021-11-22","2022-08-26","2021-03-07","2021-03-07","2021-03-07","2022-04-29","2021-03-07","2022-04-29","2021-03-10","2021-03-07","2021-03-08","2019-03-22","2019-03-22","2019-03-22","2021-05-21","2019-06-27","2019-04-05","2019-04-09","2019-04-09","2021-04-14","2020-09-15","2019-04-23","2020-05-01","2020-05-01","2020-05-01","2020-05-13","2020-07-24","2020-05-18","2021-05-21","2021-05-20","2020-06-03","2021-06-26","2020-09-19","2020-09-19","2019-07-05","2020-06-19","2022-10-13","2020-06-22","2020-07-07","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2019-08-02","2019-06-28","2019-06-28","2019-11-13","2019-10-04","2019-07-02","2019-07-02","2020-07-24","2019-07-02","2019-07-02","2019-07-02","2019-07-02","2019-07-02","2019-07-02","2020-09-19","2020-07-14","2020-07-24","2020-07-14","2020-07-14","2020-07-14","2018-07-20","2018-07-20","2020-07-21","2020-07-24","2019-07-29","2018-07-30","2019-07-30","2019-07-30","2022-10-31","2018-08-13","2019-09-02","2019-09-02","2021-08-26","2021-08-26","2021-08-26","2021-08-26","2021-08-26","2021-08-26","2021-08-26","2019-10-04","2018-10-30","2022-11-10","2021-09-09","2018-11-20","2018-09-11","2018-09-11","2018-12-19","2020-09-15","2020-09-19","2020-09-19","2020-09-19","2020-09-19","2018-12-20","2018-12-20","2018-12-20","2022-10-20","2019-09-30","2019-10-22","2018-10-03","2019-10-04","2019-10-15","2018-10-15","2018-10-15","2018-10-15","2018-10-15","2018-10-15","2019-10-15","2019-10-21","2018-10-23","2021-11-08","2021-11-22","2021-11-22","2019-11-13","2019-12-04","2020-12-07","2018-12-14","2018-12-14","2018-12-15","2018-12-15","2022-05-05","2022-05-05","2022-04-29","2022-04-29","2022-04-29","2022-04-29","2022-05-05","2022-08-26","2022-10-31","2022-08-26","2022-08-26","2022-10-13","2022-10-13","2022-11-10","2021-03-08","2022-11-10","2022-11-10"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}]},{"t":"Self-Assessment and Social History","q":[{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","",""],"comment":["","","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false],"comment":["","","","","","","",""],"score":["","","","","","","",""]}}]},{"t":"Activities of Daily Living","q":[{"a":[{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]}]}]},{"t":"Medical History","q":[{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"index":-1,"comment":"","sub":[]},{"a":[{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]}]}]},{"t":"Family History","q":[{"index":-1,"comment":"","sub":[]}]},{"t":"Preventive Care","q":[{"a":[["","","","",""],["","","","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","","",""],["","","N\/A","",""],["","","N\/A","",""],{"comment":""}]},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"comment":"","sub":[["","08396900718","PEN  NEEDLES","MIS 32GX4MM","100","Select","Select",""],["","00169633910","NOVOLOG","INJ FLEXPEN","45","Select","Select",""],["","00169643810","LEVEMIR","INJ FLEXTOUC","45","Select","Select",""],["","68462010340","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","51991031233","DESVENLAFAX","TAB 100MG ER","30","Select","Select",""],["","62756018488","OXCARBAZEPIN","TAB 300MG","30","Select","Select",""],["","00597015230","JARDIANCE","TAB 10MG","90","Select","Select",""],["","27241005303","ARIPIPRAZOLE","TAB 10MG","30","Select","Select",""],["","70377003012","ATORVASTATIN","TAB 80MG","90","Select","Select",""],["","68180098003","LISINOPRIL","TAB 10MG","30","Select","Select",""],["","00143211205","DOXYCYCL","TAB 100MG","10","Select","Select",""],["","52817033010","CYCLOBENZAPR","TAB 5MG","15","Select","Select",""],["","66685100200","AMOX\/K","TAB 500-125","20","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","93317431","ALBUTEROL","FAT E","17","Select","Select",""],["","59762453802","MEDROXYPR","INJ 150MG\/ML","1","Select","Select",""],["","00186077760","BRILINTA","TAB 90MG","60","Select","Select",""],["","49502010102","EPINEPHRINE","INJ 0.15MG","2.00","Select","Select",""],["","67877015901","METFORMIN","TAB 500MG ER","90","Select","Select",""],["","73070010315","INSULIN","INJ FLEXPEN","39.00","Select","Select",""],["","00185012201","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","68462019001","NAPROXEN","TAB 500MG","10","Select","Select",""],["","57599000101","FREESTYLE    KIT SENSOR","KIT SENSOR","2.00","Select","Select",""],["","57599000200","FREESTYLE    MIS READER","MIS READER","1.00","Select","Select",""],["","00069046956","CHANTIX","TAB 1MG","56","Select","Select",""],["","00002143380","TRULICITY","INJ 0.75\/0.5","2","Select","Select",""],["","68645049154","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","24208063562","NEO\/POLY\/HC","SUS 1% OTIC","10","Select","Select",""],["","53885027210","ONETOUCH","TES VERIO","300","Select","Select",""],["","65162062750","TRAMADOL","TAB 50MG","20","Select","Select",""],["","64380080906","IBUPROFEN","TAB 400MG","15","Select","Select",""],["","43598043611","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","68180029506","DULOXETINE","CAP 30MG","90","Select","Select",""],["","31722088490","ROSUVASTATIN","TAB 20MG","90","Select","Select",""],["","60505464303","PRASUGREL","TAB 10MG","90","Select","Select",""],["","68382009706","PAROXETINE","TAB 10MG","30","Select","Select",""],["","45802026937","PERMETHRIN","CRE 0.05","60","Select","Select",""],["","00115180301","HYDROXYZ","CAP 25MG","10","Select","Select",""],["","49281041950","FLUZONE","INJ 2019-20","0.5","Select","Select",""],["","45802006435","TRIAMCINOLON","CRE 0.001","15","Select","Select",""],["","08317701103","RELION","MIS MONITOR","1","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00456120130","LINZESS","CAP 145MCG","30","Select","Select",""],["","55111012701","CIPROFLOXACN","TAB 500MG","20","Select","Select",""],["","23155013301","DOXYCYC","TAB 50MG","30","Select","Select",""]]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}}]},{"t":"Review of Systems and Diagnoses","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":["",""]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]}]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":[{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","","","",false],"comment":[""]}]}]},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","","","","","","","","",""],"comment":["","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false],"comment":["","","",""],"score":["","","",""]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"t":"Pain","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]]}}]},{"t":"Vital Signs","q":[{"a":["","","","","",""]},{"a":["","","","",{"txt":""},{"malnutrition":{"indx":["","","",""],"sub":{"indx":[],"comment":[],"sub":[]}}}]},{"a":{"indx":["","","","","","","","",""],"comment":["","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"t":"Exam Review","q":[{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["1",""],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"t":"Home Safety & Personal Goals","q":[{"a":{"indx":["","","","",""],"comment":["","","","",""],"score":[0,0,0,0]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[""]},{"a":[""]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"select","a10":[],"a11":"","a12":"","a13":""}]}]}