{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"A   ANNAIDHTIFFIRG ","gend":1,"add":"GNOL 628EUNEVA ","city":"COVINGTON","state":"VA","zip":"24426-2185","dob":"1985-10-17","age":36,"mstatus":"","insh":"50014065","cliId":"","pno":"3304576405","cno":5406916105,"email":"","ename":"","eno":"","pphy":"HENDERSON, ROBERT J","ppno":5408626659,"pcpadd":"2145 Mount Pleasant Blvd SE, ","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240143632,"pcpcounty":"","pcpid":"","pcpname":"PATRICIA W HENDERSON DO","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"APT H4","add3":"","madd1":"1402 Wilmont St","madd2":"","madd3":"","mcity":"Clifton Forge","mstate":"VA","mzip":"24424","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z29.9","Z68.42","Z87.891","J44.9","J20.9","R06.2","F31.9","J44.1","I10","M54.41","M51.36","M54.16","M96.1","Z79.899","R87.810","I25.10","E11.9","R07.89","E66.01","Z86.59","Z82.49","E78.49","F17.200","R68.89","G25.81","G47.00","F17.210","M25.569","I20.0","I25.119","I11.0","I50.9","J45.909","Z79.82","Z79.51","Z79.84","Z01.810","M54.5","K21.9","E78.5","Z71.6","M25.551","M54.32","K44.9","Z72.0","Z68.43","M15.9","E11.69","K21.0","F43.10","G43.909","G89.29","E66.9","F41.9","F32.9","F42.9","R11.0","Z09","M25.552","M70.61","N39.0","R10.9","R11.10","N83.201","N83.8","N13.30","Z98.84","N83.9","N13.4","R63.3","R10.13","R11.2","R53.83","F45.42","G89.4","Z79.891","E46","J06.9","R05","B97.89","R53.1","Z20.828","M54.42","M70.62","K28.9","Z68.38","E16.2","K59.00","E11.649","E78.2","Z53.29","R07.9","R06.00","R10.12","N83.202","N85.4","N83.209","R19.09","Z68.36","Z87.09","Z80.3","J45.40","J30.9","D50.9","E55.9","R60.0","D27.0","N83.11","N83.02","N83.292","N81.10","N81.6","N83.511","Z23","K66.0","N93.8","Z98.890","R19.00","R19.07","D27.1","Z80.9","Z90.710","R07.81","K31.9","K31.89","Z90.49","M79.18","Z20.822","Z79.4","Z13.79","R55","E56.9","Z86.2","E66.09","G57.12","M51.37","Z68.33","R10.84","R10.11","K27.9","M54.31","F41.1","E87.6","A41.9","R10.32","F31.63","F31.30","R33.9","N39.3","Z01.818","K20.90","R13.10","K90.49","R41.3","M47.816","M47.817","M43.17","M54.9","R45.1","R45.851","R11.12","K91.2","Z96.89","F60.3","Z76.5","Z68.34","K90.89","F32.A","E16.1","M54.50","M79.604","M79.605","E87.1","Z88.6","S00.93XA","W19.XXXA","S06.0X0A","R42","R51.9","W01.198A","S00.03XA","R40.2412","T14.90XA","E88.89","M80.051A","S72.001A","W18.09XA","Y93.01","Y92.018","Y99.9","I08.1","E78.00","M25.561","W01.0XXA","S72.002A","S72.091A","M79.651","I95.1","S72.001D","M51.87","Z91.81","Z99.81","Z79.01","J01.10","F41.0","G47.33","Z99.89","Z68.31","S30.0XXA","S70.01XA","M51.9","Z01.812","E11.8","M23.91","I25.111","N95.1","S83.241A","M67.51","S83.511A","Z88.0","Z91.018","E11.40","R10.2","M25.559","R20.0","J40","R06.09","I48.0","F39","F90.2","F31.5","M51.86","M41.86","M76.02","M76.01","I20.8","S39.012A","V49.40XA","Y92.410","Z04.1","R63.5","Z87.19","R73.09","E66.2","R06.02","L02.416","J18.9","Z01.419","F43.20","Z71.89","Z71.3","I48.91","Z95.5","F17.290"],"date":["2020-01-10","2020-05-28","2021-04-01","2022-04-04","2020-01-24","2020-01-24","2022-03-10","2020-02-07","2022-04-02","2021-12-02","2022-01-25","2022-03-31","2022-01-25","2022-03-31","2020-02-25","2022-04-02","2022-04-04","2021-12-13","2022-02-21","2020-12-23","2020-12-23","2020-12-23","2022-04-02","2020-03-19","2020-06-12","2022-02-15","2022-02-21","2020-05-07","2020-04-09","2021-07-01","2020-10-23","2020-10-23","2022-02-21","2022-03-03","2022-04-02","2022-02-21","2022-03-04","2021-02-09","2022-04-02","2022-04-02","2020-04-29","2022-04-02","2020-05-07","2020-12-21","2020-10-15","2020-06-12","2020-05-28","2020-05-28","2020-06-12","2022-02-21","2020-05-28","2022-04-02","2021-12-19","2022-01-11","2020-06-12","2020-06-12","2022-02-22","2020-09-03","2020-07-02","2022-03-31","2020-07-29","2021-10-05","2021-10-05","2021-02-22","2021-02-22","2020-07-29","2022-03-24","2021-02-16","2020-07-29","2020-07-29","2021-01-01","2021-10-05","2020-07-29","2020-08-24","2022-02-21","2020-08-24","2020-09-03","2020-10-15","2020-10-15","2020-10-15","2021-03-04","2020-10-15","2020-10-22","2022-01-25","2020-10-23","2020-10-23","2022-03-09","2022-02-21","2022-03-04","2020-12-21","2020-12-21","2022-02-21","2020-12-23","2021-10-05","2021-01-20","2021-01-20","2021-01-20","2021-02-09","2021-02-09","2021-02-09","2021-04-15","2022-03-03","2021-02-19","2021-02-19","2021-07-01","2021-02-19","2021-02-22","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-07-14","2021-02-16","2021-02-17","2021-02-22","2021-02-22","2022-02-21","2021-03-23","2021-03-23","2021-03-23","2022-02-21","2021-03-30","2022-03-03","2021-04-01","2021-04-15","2021-04-27","2021-07-01","2021-07-01","2021-07-01","2021-07-01","2021-07-01","2021-07-01","2021-07-16","2021-07-18","2021-07-18","2021-09-23","2022-02-15","2021-10-05","2021-10-05","2021-10-05","2022-03-26","2022-02-15","2021-10-20","2021-10-20","2022-03-03","2021-11-23","2021-11-23","2021-12-03","2021-12-03","2021-12-13","2021-12-13","2021-12-13","2021-12-13","2021-12-14","2022-01-11","2021-12-16","2022-03-24","2021-12-16","2021-12-19","2021-12-19","2021-12-19","2022-01-10","2022-01-11","2022-02-21","2022-03-31","2022-02-18","2022-02-18","2022-03-04","2022-02-21","2022-02-21","2022-04-02","2022-02-21","2022-04-02","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-24","2022-03-03","2022-03-04","2022-03-03","2022-03-03","2022-03-03","2022-03-03","2022-03-03","2022-03-03","2022-03-03","2022-03-03","2022-03-06","2022-03-03","2022-03-03","2022-03-04","2022-04-04","2022-04-04","2022-04-04","2022-04-04","2022-04-04","2022-03-23","2022-03-23","2022-03-24","2022-03-24","2022-03-24","2022-04-02","2022-04-02","2019-08-02","2019-01-07","2019-01-07","2019-03-05","2019-02-07","2019-02-07","2019-03-05","2019-03-05","2019-03-05","2019-03-05","2019-03-05","2019-03-05","2019-04-04","2019-04-04","2019-04-04","2019-04-24","2019-08-15","2019-08-15","2019-11-23","2019-06-18","2019-07-17","2019-07-17","2019-07-17","2019-07-24","2019-07-24","2019-11-25","2019-08-26","2019-08-26","2019-08-26","2019-08-26","2019-09-25","2019-10-03","2019-10-03","2019-10-03","2019-09-25","2019-09-26","2019-10-25","2019-11-05","2019-12-17","2019-11-14","2019-11-14","2019-11-23","2019-11-23","2019-11-24"],"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":[["","80777027399","MODERNA","80777027399 MODERNA ","0.5","Select","Select",""],["","50428085942","PREP","50428085942 PREP ","100","Select","Select",""],["","70710122600","AMITRIPTYLIN","70710122600 AMITRIPTYLIN ","30","Select","Select",""],["","65862039110","ONDANSETRON","65862039110 ONDANSETRON ","30","Select","Select",""],["","00245531711","KLOR-CON","00245531711 KLOR-CON ","30","Select","Select",""],["","65862037401","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","43598043611","NITROGLYCERN","43598043611 NITROGLYCERN ","25","Select","Select",""],["","65862005190","SIMVASTATIN","65862005190 SIMVASTATIN ","90","Select","Select",""],["","00168008031","HYDROCORT","CRE 0.025","30","Select","Select",""],["","69097014260","ALBUTEROL","69097014260 ALBUTEROL ","6.7","Select","Select",""],["","00093321205","CLONAZEPAM","00093321205 CLONAZEPAM ","60","Select","Select",""],["","63402030430","LATUDA","63402030430 LATUDA ","30","Select","Select",""],["","50428707932","STOOL","50428707932 STOOL ","30","Select","Select",""],["","10702005601","OXYCODONE","10702005601 OXYCODONE ","120","Select","Select",""],["","51991029301","OXCARBAZEPIN","51991029301 OXCARBAZEPIN ","60","Select","Select",""],["","68180032201","ESZOPICLONE","68180032201 ESZOPICLONE ","30","Select","Select",""],["","65162006205","SUCRALFATE","65162006205 SUCRALFATE ","400","Select","Select",""],["","53746010905","HYDROCO\/APAP","53746010905 HYDROCO\/APAP ","30","Select","Select",""],["","00904671980","ACETAMINOPHEN","00904671980 ACETAMINOPHEN ","60","Select","Select",""],["","29300016915","TIZANIDINE","29300016915 TIZANIDINE ","90","Select","Select",""],["","00603188016","LIDOCAINE","00603188016 LIDOCAINE ","30","Select","Select",""],["","57599000101","FREESTYLE    KIT SENSOR","57599000101 FREESTYLE    KIT SENSOR","2","Select","Select",""],["","65862052405","GABAPENTIN","65862052405 GABAPENTIN ","90","Select","Select",""],["","68462026430","ROSUVASTATIN","TAB 40MG","30","Select","Select",""],["","67877049090","EZETIMIBE","TAB 10MG","30","Select","Select",""],["","00378020810","FUROSEMIDE","00378020810 FUROSEMIDE ","30","Select","Select",""],["","08214070734","ADV","MIS DEVICE","1","Select","Select",""],["","56151014701","TRUPLUS","MIS 33G","100","Select","Select",""],["","13668000705","ZOLPIDEM","13668000705 ZOLPIDEM ","30","Select","Select",""],["","00548585000","GLUCAGON","KIT 1MG","1.00","Select","Select",""],["","13668008130","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","00228207610","TEMAZEPAM","00228207610 TEMAZEPAM ","30","Select","Select",""],["","65862067905","ALPRAZOLAM","65862067905 ALPRAZOLAM ","90","Select","Select",""],["","68382041205","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","65862001205","SERTRALINE","65862001205 SERTRALINE ","30","Select","Select",""],["","69315013601","BENZTROPINE","69315013601 BENZTROPINE ","60","Select","Select",""],["","68382065005","ISOSORB","68382065005 ISOSORB ","60","Select","Select",""],["","00173069600","ADVAIR","00173069600 ADVAIR ","60","Select","Select",""],["","60505079204","ENOXAPARIN","60505079204 ENOXAPARIN ","12","Select","Select",""],["","69452015120","VITAMIN","69452015120 VITAMIN ","12","Select","Select",""],["","43547028810","BUPROPION","TAB 100MG SR","60","Select","Select",""],["","16729020301","BUSPIRONE","16729020301 BUSPIRONE ","90","Select","Select",""],["","67877025001","QUETIAPINE","TAB 100MG","60","Select","Select",""],["","13668042990","PANTOPRAZOLE","13668042990 PANTOPRAZOLE ","30","Select","Select",""],["","57599000200","FREESTYLE    MIS READER","57599000200 FREESTYLE    MIS READER","1","Select","Select",""],["","70000010801","ENEMA","ENE TO-USE","133","Select","Select",""],["","99073012050","FREESTYLE    TES","99073012050 FREESTYLE    TES","100","Select","Select",""],["","13107000334","MIRTAZAPINE","13107000334 MIRTAZAPINE ","30","Select","Select",""],["","00536110301","ALCOHOL","00536110301 ALCOHOL ","100","Select","Select",""],["","69097012715","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","68180036309","FENOFIBRATE","TAB 160MG","30","Select","Select",""],["","00078081181","SANDOSTATIN","KIT LAR 10MG","1.00","Select","Select",""],["","55111046701","METOPROL","TAB 50MG ER","60","Select","Select",""],["","00378247401","DICLOFEN","TAB 50MG","60","Select","Select",""],["","00536124701","SENEXON-S","00536124701 SENEXON-S ","30","Select","Select",""],["","00904679480","ASPIRIN","CHW 81MG","30","Select","Select",""],["","69315090410","LORAZEPAM","69315090410 LORAZEPAM ","7","Select","Select",""],["","45963067611","METOPROLOL","TAB 50MG ER","60","Select","Select",""],["","12843013105","BAYER","CHW 81MG","30","Select","Select",""],["","00904645780","DOK","CAP 100MG","20","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","40.00","Select","Select",""],["","67457024501","OCTREOTIDE","INJ 100MCG","90.00","Select","Select",""],["","00069047103","CHANTIX","00069047103 CHANTIX ","53","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","40","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","69097017364","IPRATROPIUM\/","SOL ALBUTER","180","Select","Select",""],["","00143980350","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","62332042731","BENZONATATE","CAP 200MG","20","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10.2","Select","Select",""],["","65162074510","PROMETHAZINE","65162074510 PROMETHAZINE ","120","Select","Select",""],["","55111028130","LEVOFLOXACIN","TAB 750MG","5","Select","Select",""],["","50458058030","XARELTO","TAB 10MG","30","Select","Select",""],["","69097084615","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","11845014775","D","CAP 1000UNIT","60","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","10","Select","Select",""],["","10019055303","TRANSDERM-SC","DIS 1MG\/3DAY","9","Select","Select",""],["","50111043402","TRAZODONE","TAB 100MG","30","Select","Select",""],["","00228212750","CLONIDINE","00228212750 CLONIDINE ","30","Select","Select",""],["","43547027110","ROPINIROLE","TAB 2MG","90","Select","Select",""],["","00832125030","RAMELTEON","00832125030 RAMELTEON ","30","Select","Select",""],["","00093216568","NALOXONE","SPR ","2.00","Select","Select",""],["","50428032084","GENUINE","TAB 325MG","21.00","Select","Select",""],["","16729044316","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","00172572860","FAMOTIDINE","TAB 20MG","28","Select","Select",""],["","00185012201","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","65702048110","ACCU-CHEK","KIT FASTCLIX","1","Select","Select",""],["","43386016006","MISOPROSTOL","TAB 100MCG","60","Select","Select",""],["","31722070110","LOSARTAN","TAB 50MG","30","Select","Select",""],["","53746054201","POT  CHLORIDE","53746054201 POT  CHLORIDE","10","Select","Select",""],["","43598044556","NICOTINE","KIT TRANSDER","56","Select","Select",""],["","65862069705","VENLAFAXINE","CAP 150MG ER","30","Select","Select",""],["","68382075810","METFORMIN","TAB 500MG","30","Select","Select",""],["","43547034106","RISPERIDONE","TAB 1MG","30","Select","Select",""],["","55111029336","SUMATRIPTAN","TAB 100MG","9","Select","Select",""],["","51672131200","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","64380080438","RANITIDINE","TAB 300MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00169406013","VICTOZA","INJ 18MG\/3ML","9","Select","Select",""],["","00003089421","ELIQUIS","TAB 5MG","60","Select","Select",""],["","10370083005","DILTIAZEM","CAP 180MG ER","30","Select","Select",""],["","70710101002","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00603107556","CHERATUSSIN","SYP AC","120","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","69097094705","ATORVASTATIN","TAB 80MG","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","1"],["77017901"],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":"In Person","a10":[],"a11":"","a12":"","a13":""}]}]}