{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" E MAILLIWRJ LEINAD","gend":0,"add":"             DAOR OLO 473                         ","city":"DUNDAS                   ","state":"VA","zip":"23938-9998","dob":"1949-09-06","age":72,"mstatus":"","insh":"00114940","cliId":"","pno":"7643478436","cno":"","email":"","ename":"","eno":"","pphy":"MICHIE, DAVID W","ppno":4345842000,"pcpadd":"306 E 6TH AVE,","pcpcity":"Kenbridge","pcpstate":"VA","pcpzip":239442050,"pcpcounty":"","pcpid":"","pcpname":"PRIVIA MEDICAL GROUP LLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"374 OLO ROAD                                      ","madd2":"                                                  ","madd3":"","mcity":"DUNDAS                   ","mstate":"VA","mzip":"23938-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I63.9","Z04.9","I65.23","I65.22","R29.898","E87.1","R31.9","E11.51","C61","N39.41","M62.81","Z99.3","I69.351","E11.65","E03.9","E83.42","G40.909","L03.90","R22.0","I69.959","I10","E78.2","G47.33","I25.9","G81.11","F33.42","E55.9","L89.152","G20","E11.9","I73.9","R30.0","I11.9","A41.9","N39.0","G93.41","Z20.822","R65.20","E78.5","F32.A","G25.81","G93.89","I25.10","R32","I69.354","I69.322","E66.9","Z79.82","Z79.02","Z79.84","Z95.1","Z91.81","M25.551","N41.8","N23","Z23","R13.10","I69.398","R56.9","R25.1","Z74.09","R94.31","I51.7","I35.8","I34.8","I51.89","U07.1","R53.1","R05.9","G45.9","G81.94","I50.9","I11.0","Z66","R29.810","R47.1","Z79.899","I08.0","E11.00","I63.30","L89.92","Z86.73","Z68.30","I69.391","R29.3","E21.1","Z76.89","G60.9","I87.8","N40.0","F41.1","Z85.46","Z00.00","Z72.89","Z12.5","Z12.11","Z87.891","I77.1","I69.991","R29.818","L97.811","R25.2","L89.159","M93.90","N28.1","N32.89","N40.1","N13.8","D69.9","L21.0","M70.61","R10.9","R47.01","S50.01XA","M25.561","K56.7","K40.90","R91.8","Z13.89","M75.01","R82.71","J98.11","R41.0","I83.025","Z79.4","R26.89","I69.352","I69.392","R26.2","F32.0","R19.7","L03.811","I69.951","R05","R50.9","Z87.442","R39.198","N20.0","N45.1","Z68.28","D72.829","Z00.01","Z11.59","I65.02","R35.0","R39.15","Z86.16","M51.37","M47.816","E53.8","R21","L89.93","D68.9","M79.662","M54.50","M47.814","M43.8X4","E11.42","F33.41","M79.605","L97.909"," ","G40.89","F33.9","I67.82","R29.90","R47.81","Z98.890","Z90.89","L89.309","R29.6","S30.0XXA","Z79.85","L89.153","E11.40","K21.9","F32.9","G81.91","Z74.3","R47.9","I69.998"],"date":["2022-11-21","2022-02-12","2022-12-05","2020-02-18","2020-02-18","2021-12-10","2020-06-01","2022-12-05","2022-03-29","2022-11-24","2022-11-24","2022-11-24","2022-12-05","2022-12-05","2022-07-28","2020-06-01","2022-12-05","2019-06-08","2019-06-10","2022-10-21","2022-12-08","2022-08-25","2022-08-25","2022-12-05","2020-04-22","2022-01-27","2021-07-29","2018-07-30","2022-12-05","2022-02-12","2020-12-21","2021-09-10","2021-11-09","2021-12-01","2022-01-27","2022-12-05","2022-12-05","2021-11-09","2021-12-08","2021-11-09","2021-12-08","2021-12-08","2022-02-12","2022-07-28","2020-03-26","2020-03-26","2020-03-26","2022-12-05","2022-08-25","2022-08-25","2022-12-05","2021-11-01","2020-08-06","2020-08-06","2020-09-05","2022-10-21","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2021-12-08","2021-11-11","2021-11-11","2021-11-11","2021-11-11","2022-02-18","2022-12-05","2022-02-12","2021-12-10","2020-02-19","2020-02-18","2020-02-18","2020-02-19","2020-02-19","2020-02-19","2022-08-03","2022-12-06","2018-04-05","2021-07-29","2020-06-01","2022-07-28","2021-09-09","2021-10-08","2019-10-22","2022-07-28","2022-02-18","2022-07-28","2019-12-27","2022-02-12","2022-07-28","2022-08-25","2020-12-21","2020-12-21","2022-03-29","2022-03-29","2020-12-21","2022-07-28","2021-10-04","2022-02-12","2022-01-27","2020-02-18","2020-04-22","2020-04-22","2021-04-28","2021-04-28","2022-11-28","2021-05-11","2022-08-25","2020-09-01","2020-09-03","2020-09-03","2021-11-09","2020-09-03","2020-09-03","2020-09-05","2020-09-05","2021-12-08","2019-12-19","2022-10-21","2022-01-27","2021-11-10","2021-12-08","2022-01-27","2020-02-19","2020-02-20","2020-02-18","2020-02-18","2020-02-18","2019-03-26","2020-02-21","2018-03-12","2022-03-29","2018-04-05","2018-04-05","2021-04-28","2021-04-13","2021-04-13","2018-05-21","2018-05-21","2022-12-05","2022-03-29","2021-10-06","2021-12-08","2022-11-28","2022-04-14","2022-03-29","2022-07-28","2022-07-28","2022-07-28","2022-08-03","2022-07-18","2022-07-18","2022-06-01","2022-07-28","2022-07-28","2022-07-28","2022-03-29","2022-07-28","2022-06-01","2022-07-28","2022-12-08","2021-12-01","2021-12-01","2022-12-05","2022-12-06","2022-12-05","2022-12-05","2022-12-05","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2021-12-08","2021-12-08","2021-12-08","2022-12-05"],"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":[["","","","",false],["","","","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","","",false],["","","N\/A","",false],["","","N\/A","",false],{"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":[["","62756079813","DIVALPROEX","TAB 500MG DR","84","Select","Select",""],["","60505014102","GLIPIZIDE","TAB 5MG","28","Select","Select",""],["","68001033408","LISINOPRIL","TAB 10MG","28","Select","Select",""],["","27808015801","ROSUVASTATIN","TAB 40MG","28","Select","Select",""],["","55111019605","CLOPIDOGREL","TAB 75MG","28","Select","Select",""],["","70710128500","BACLOFEN","TAB 10MG","56","Select","Select",""],["","00378023110","ATENOLOL","TAB 50MG","56","Select","Select",""],["","00093738505","VENLAFAXINE","CAP 75MG ER","28","Select","Select",""],["","00781598801","CARBAMAZEPIN","TAB 400MG ER","56","Select","Select",""],["","68382013210","TAMSULOSIN","CAP 0.4MG","28","Select","Select",""],["","13668009390","PRAMIPEXOLE","TAB 0.5MG","56","Select","Select",""],["","67877056110","METFORMIN","TAB 500MG","14","Select","Select",""],["","57664023288","NITROFUR","CAP 50MG","14","Select","Select",""],["","69238183801","LEVOTHYROXIN","TAB 150MCG","34","Select","Select",""],["","68001036206","CEFDINIR","CAP 300MG","14","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","3","Select","Select",""],["","33342032980","TRIAMCINOLON","CRE 0.001","80","Select","Select",""],["","65162010150","GABAPENTIN","CAP 100MG","90","Select","Select",""],["","57599000101","FREESTYLE    KIT SENSOR","KIT SENSOR","2","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","00169406012","VICTOZA","INJ 18MG\/3ML","6.00","Select","Select",""],["","76204020025","ALBUTEROL","NEB 0.00083","300.00","Select","Select",""],["","72578000105","DOXYCYCL","TAB 100MG","20.00","Select","Select",""],["","45802046564","KETOCONAZOLE","SHA 0.02","120","Select","Select",""],["","80777027398","MODERNA","INJ COVID-19","0.25","Select","Select",""],["","10702001850","OXYCODONE","TAB 5MG","42","Select","Select",""],["","68308015260","NYSTATIN","POW 100000","60","Select","Select",""],["","29300022601","METRONIDAZOL","TAB 250MG","14","Select","Select",""],["","00169185189","NOVOFINE","MIS 32GX6MM","100.00","Select","Select",""],["","42571025101","CLINDAMYCIN","CAP 150MG","40","Select","Select",""],["","50484001030","SANTYL","OIN 250\/GM","30","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","68462029817","CLOTRIM\/BETA","CRE DIPROP","30","Select","Select",""],["","378034501","DIAZEPAM","TAB 5MG","2","Select","Select",""],["","406012505","HYDROCO\/APAP","TAB 10-325MG","2","Select","Select",""],["","51672129303","CLOBETASOL","SOL 0.0005","50","Select","Select",""],["","45802004064","SELENIUM","LOT 0.025","120","Select","Select",""],["","57599000200","FREESTYLE    MIS READER","MIS READER","1","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":["",""]}},{"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":""}]}]}