{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"   EINNAYELOOD E","gend":1,"add":"AM TSEW 06848 TPA TS NI","city":"SALEM","state":"VA","zip":"24153-9998","dob":"1961-05-24","age":61,"mstatus":"","insh":"53000910*087","cliId":"","pno":"25\/0459456-6","cno":"","email":"","ename":"","eno":"","pphy":"SAKS, JONATHAN C MD","ppno":"540\/725-7800","pcpadd":"3707 BRAMBLETON AVE SW SUITE 2","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":24018,"pcpcounty":"","pcpid":"","pcpname":"CARILION HEALTHCARE CORPORATION","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J44.1","J06.9","R49.0","R13.10","Z12.11","M51.37","I10.","M54.5","G89.29","M54.16","M65.331","E11.9","F41.1","J42.","E55.9","R90.89","I61.9","R07.9","R51.","R20.0","E66.9","R05.","M25.511","W01.0XXA","S16.1XXA","S39.012A","S43.401A","E11.40","Z98.1","E78.5","J44.9","I11.0","I50.9","F17.200","M19.90","Z79.51","Z79.84","A41.9","R50.9","I48.91","K35.80","G93.41","N17.0","J96.01","J96.02","N39.0","Z68.42","Z79.83","Z87.891","Z88.1","N17.9","Z09.","R06.2","G62.9","I48.19","R39.81","R10.12","R11.2","R76.8","I21.A1","Z20.828","R53.1","I50.33","E87.6","F41.9","E66.01","Z79.01","Z79.52","E11.43","G89.4","M51.36","Z79.899","R07.89","R06.02","M79.606","R60.9","I21.4","H92.09","H60.22","H93.12","R22.31","I16.1","I50.32","M79.89","L23.9","R21.","E11.42","R07.2","R00.2","R79.1","H61.22","B02.9","J18.9","R94.31","A41.89","I21.3","M25.561","A08.4","Z79.4","Z20.822","R53.83","Z04.3","R42.","T14.90XA","Z83.49","I51.7","I77.1","J01.90","J98.01","I69.354","M47.816","S39.82XA","R10.84","R10.10","R19.7","R20.2","M25.50","N64.4","N63.21","M79.622","Z80.3","E11.65","R60.0","M54.9","I50.23","M62.81","J45.909","I48.0","R26.2","M79.604","Z90.49","R68.83","M79.651","M79.10","J84.10","R91.8","R06.00","R10.13","Z59.8","H92.02","M79.18","I82.4Z2","F13.20","M32.9","I25.2","M79.605","I82.402","R11.0","R10.9","I25.10","J98.11","I82.409","R51.9","B02.30","Z91.81","R29.898","M25.562","M53.3","R29.6","M25.551","M79.662","J45.998","R73.9","G43.909","F32.9","R41.0","M54.31","M79.641","R10.812","S19.80XA","M50.30","R10.31","H53.8","E11.69","L03.811","K92.1","J20.9","K40.91","I47.1","I13.0","I99.8","G47.30","N18.30","E11.22","N18.9","I65.23","H66.92","I82.432","Z79.02","Z79.891","Z86.73","Z88.8","Z90.710","I16.0","R10.33","I87.2","Z86.711","Z86.718","I63.9","R41.82","M17.12","R10.11","I25.118","Z68.35","I08.0","U07.1","Z66.","J12.82","R32.","G43.109","T42.3X5A","E03.9","D64.9","S49.81XA","Z00.00","R06.09","M25.552","I48.92","M51.27","M51.26","R06.83","M54.2","I51.89","I82.4Y9","S81.809A","R20.8","L29.9","T78.40XA","M85.862","R10.32","I82.422","Z86.16","J98.4","G82.20","M48.00","Z87.898","L03.116","W19.XXXA","R07.81","M43.10","K21.9","M89.49","S62.524A","S69.91XA","W19.XXXS","R09.81","R52.","Z87.09","R06.89","R11.10","S09.91XA","H92.22","B37.2","K31.84","J44.0","K04.01","R30.0","R25.2","M79.644","R09.02","R77.8","K04.7","K08.89","H72.92","Z76.0","K43.2","R26.81","B37.0","N95.2","S09.90XA","I67.2","I65.01","I97.89","R79.89","I50.30","M25.559","S70.362A","W57.XXXA","M12.9","G35.","M21.379","I67.82","G44.209","R35.0","Z86.69","Z86.39","E11.51","I48.20","H66.90","H91.92","S86.912A","N76.0","S00.00XA","W18.30XA","M96.1","M46.1","M65.9","T38.3X5A","T78.2XXA","F41.8","R91.1","M79.602","Z01.812","R40.4","M51.16","J90.","S40.862A","M54.6","Z99.81","M79.642","Z82.49","R05.9","M19.041","M51.17","H54.7","R19.5","R22.42","Z12.39","R63.4","W01.10XA","R50.82","M47.812","I05.9","J01.00","B37.3","R04.2","R25.3","R30.9","E87.1","M54.50","R74.01","R05.1","K62.89","R29.818","G44.52","S09.90XS","H53.9","Z96.9","K57.90","M41.9","K37.","Z48.89","M47.815","G83.4","S39.92XA","I82.5Y2","Z68.43","M25.512","G45.9","M19.012","R90.82","F19.20","Z88.5","Z88.0","Z88.2","Z88.6","J81.1","S02.5XXA","M89.8X9","K83.8"],"date":["2022-03-11","2021-10-04","2019-08-29","2019-11-28","2021-05-23","2021-08-16","2022-04-29","2021-08-26","2022-01-29","2021-07-22","2019-10-30","2022-04-28","2021-02-09","2021-11-14","2020-09-29","2019-10-31","2020-09-22","2022-04-26","2020-09-17","2022-06-08","2022-06-08","2021-08-13","2020-07-31","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2022-04-24","2022-04-17","2022-04-27","2022-06-08","2022-06-08","2022-06-15","2021-08-30","2020-01-23","2022-04-23","2022-04-23","2021-10-08","2020-01-31","2022-05-16","2020-02-04","2020-01-31","2020-01-31","2021-10-15","2020-01-31","2020-01-31","2022-01-24","2020-01-31","2022-04-23","2021-07-08","2020-02-04","2020-02-19","2021-05-24","2021-09-13","2020-02-19","2020-10-12","2021-08-26","2021-08-08","2020-08-25","2021-10-15","2020-09-17","2022-04-05","2020-09-23","2022-06-08","2021-08-31","2022-05-16","2022-04-27","2020-09-17","2021-08-26","2022-06-08","2021-07-22","2022-04-17","2022-04-27","2022-04-17","2022-04-17","2021-04-06","2022-05-16","2021-06-01","2021-06-11","2021-06-11","2021-06-11","2021-07-12","2021-07-12","2022-03-06","2021-07-28","2021-09-03","2022-06-08","2021-08-27","2022-02-10","2022-01-24","2021-08-25","2022-03-11","2021-08-26","2021-09-01","2022-06-15","2022-06-15","2022-04-24","2021-12-01","2022-02-10","2022-02-14","2022-04-21","2021-10-25","2021-10-25","2019-10-25","2019-10-31","2022-04-27","2021-08-07","2021-05-03","2019-11-28","2020-02-04","2020-09-17","2020-01-23","2021-04-06","2020-01-29","2021-07-17","2022-04-17","2021-09-08","2020-09-08","2020-09-08","2020-09-08","2021-11-24","2022-06-08","2020-09-17","2022-06-08","2020-09-24","2020-09-24","2020-09-24","2022-06-08","2020-09-23","2022-02-14","2022-01-25","2022-04-17","2021-01-22","2022-06-08","2021-01-23","2022-04-27","2022-04-27","2022-06-08","2021-05-03","2021-12-22","2021-07-13","2021-09-03","2021-07-13","2021-07-13","2021-07-24","2022-04-29","2021-08-13","2022-04-17","2022-01-29","2022-06-08","2021-07-20","2021-08-30","2022-04-24","2021-09-03","2022-01-13","2022-04-17","2021-11-24","2021-11-05","2021-11-05","2021-12-16","2021-12-16","2019-08-05","2022-04-23","2022-04-27","2021-05-14","2019-11-28","2019-12-23","2021-11-05","2020-01-22","2020-01-23","2020-01-23","2021-04-21","2020-02-18","2020-06-19","2020-08-28","2020-08-28","2020-11-06","2021-10-05","2021-01-24","2021-04-26","2021-01-25","2021-01-25","2021-03-13","2021-04-26","2021-04-26","2021-08-26","2021-06-01","2021-07-15","2021-07-08","2022-01-24","2021-08-26","2022-04-27","2021-07-24","2021-08-28","2021-07-14","2021-07-29","2021-07-29","2022-04-27","2021-08-26","2021-10-25","2021-08-26","2021-08-28","2021-08-30","2021-08-30","2021-08-31","2022-06-15","2021-10-08","2021-10-25","2022-04-17","2022-02-16","2019-11-12","2019-11-12","2019-11-12","2020-01-23","2021-03-13","2020-04-08","2020-04-08","2020-04-08","2020-04-30","2020-04-30","2020-05-11","2021-11-05","2020-08-05","2021-08-05","2021-07-28","2021-07-28","2021-07-28","2021-07-28","2021-08-13","2021-08-26","2021-09-16","2021-10-25","2021-10-25","2020-09-22","2020-09-22","2020-09-29","2020-09-29","2022-04-23","2021-02-22","2021-02-22","2022-05-19","2021-02-09","2021-03-25","2021-03-20","2021-03-20","2021-04-13","2022-04-30","2021-04-13","2021-07-13","2022-04-26","2021-08-17","2021-08-17","2021-08-26","2021-08-26","2021-10-25","2020-11-14","2022-04-17","2021-01-20","2021-04-21","2022-04-28","2021-04-28","2022-04-20","2021-05-11","2021-09-08","2021-09-08","2021-10-05","2021-10-07","2021-10-22","2021-10-22","2022-04-24","2019-11-12","2019-11-12","2020-02-02","2020-02-02","2022-04-29","2020-04-08","2020-04-20","2020-04-20","2020-04-20","2020-09-02","2020-09-17","2020-09-21","2021-01-04","2022-04-17","2021-01-20","2021-01-20","2021-05-14","2021-05-14","2021-06-01","2021-06-01","2021-08-11","2021-10-22","2021-11-24","2021-11-24","2019-12-11","2019-12-11","2019-10-30","2019-11-28","2019-11-28","2020-01-22","2020-01-22","2022-04-26","2020-01-22","2020-01-31","2020-06-25","2020-02-01","2020-04-01","2022-02-16","2022-04-27","2021-11-05","2022-02-10","2022-04-05","2019-10-16","2019-10-25","2021-05-24","2021-07-15","2021-07-24","2021-11-24","2022-05-19","2022-04-23","2020-02-01","2020-04-30","2020-08-05","2021-01-05","2022-04-05","2022-04-05","2022-04-05","2021-12-29","2022-01-24","2022-04-17","2022-06-08","2022-01-29","2022-02-16","2022-02-16","2022-02-16","2022-02-16","2022-02-16","2022-01-13","2022-01-25","2022-01-24","2022-01-24","2022-01-13","2022-01-29","2022-02-15","2022-04-17","2022-03-11","2022-05-16","2022-04-24","2022-06-08","2022-04-24","2022-04-24","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-05-11","2022-06-08","2022-06-08"],"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":[["","591352530","Select","PAD 0.05","-30","Select","Select",""],["","406851501","Select","TAB 15MG","160","Select","Select",""],["","52565000730","Select","CRE 2.5-2.5%","30","Select","Select",""],["","69097014260","Select","AER HFA","7","Select","Select",""],["","65162017810","Select","TAB 500MG ER","-360","Select","Select",""],["","228263611","Select","TAB 600MG","180","Select","Select",""],["","186037020","Select","AER 160-4.5","10","Select","Select",""],["","59746017509","Select","TAB 20MG","5","Select","Select",""],["","31722070090","Select","TAB 25MG","-30","Select","Select",""],["","50742061510","Select","TAB 25MG ER","30","Select","Select",""],["","43547039950","Select","TAB 5MG","60","Select","Select",""],["","24510014010","Select","CAP 36MG","60","Select","Select",""],["","54327099","Select","SPR 50MCG","16","Select","Select",""],["","93645156","Select","CAP 40MG DR","30","Select","Select",""],["","169413212","Select","INJ 2\/1.5ML","2","Select","Select",""],["","172572860","Select","TAB 20MG","60","Select","Select",""],["","16714035201","Select","CAP 20MG","-90","Select","Select",""],["","310737020","Select","AER 160-4.5","10","Select","Select",""],["","69315011710","Select","TAB 40MG","90","Select","Select",""],["","143980350","Select","CAP 100MG","2","Select","Select",""],["","193731221","Select","TES NEXT","100","Select","Select",""],["","59746000103","Select","TAB 4MG","21","Select","Select",""],["","59746012206","Select","TAB 12.5MG","60","Select","Select",""],["","69452015120","Select","CAP 50000UNT","12","Select","Select",""],["","591084401","Select","TAB 5MG","90","Select","Select",""],["","88221905","Select","INJ 100\/ML","15","Select","Select",""],["","8290320550","Select","MIS 32GX5\/32","-90","Select","Select",""],["","193708050","Select","TES BLD GLUC","-100","Select","Select",""],["","59310057922","Select","AER ","8","Select","Select",""],["","193654621","Select","MIS LANCETS","100","Select","Select",""],["","90166083152","Select","MIS 31GX8MM","100","Select","Select",""],["","527135401","Select","TAB 4MG","120","Select","Select",""],["","23155000101","Select","TAB 10MG","60","Select","Select",""],["","193962801","Select","KIT NEXT EZ","-1","Select","Select",""],["","8290320122","Select","MIS 32GX4MM","100","Select","Select",""],["","193658621","Select","MIS LANCETS","-100","Select","Select",""],["","68382004101","Select","TAB 25MG","-12","Select","Select",""],["","527193106","Select","TAB 250MG","-20","Select","Select",""],["","193730850","Select"," ","100","Select","Select",""],["","487950125","ALBUTEROL SULFATE","NEB 0.00083","-300","Select","Select",""],["","62037099901","POTASSIUM CHLORIDE ER","TAB 20MEQ ER","90","Select","Select",""],["","63824027665","DELSYM COUGH CHILDRENS","SUS 30MG\/5ML","120","Select","Select",""],["","75834002001","VITAMIN D3","CAP 50000UNT","4","Select","Select",""],["","8290320882","BD PEN NEEDLE\/MINI\/ULTRA-FINE\/31G X 5MM","MIS 31GX5MM","-100","Select","Select",""],["","31722072250","LEVOFLOXACIN","TAB 500MG","10","Select","Select",""],["","172392560","DIAZEPAM","TAB 2MG","30","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","3089421","ELIQUIS","TAB 5MG","-60","Select","Select",""],["","115155901","OXYCODONE HCL ER","TAB 30MG ER","5","Select","Select",""],["","781286810","OMEPRAZOLE","CAP 20MG","-30","Select","Select",""],["","65862039010","ONDANSETRON ODT","TAB 4MG ODT","30","Select","Select",""],["","68382009205","CARVEDILOL","TAB 3.125MG","30","Select","Select",""],["","50111032701","HYDRALAZINE HYDROCHLORIDE","TAB 25MG","30","Select","Select",""],["","60505612902","BUDESONIDE NASAL SPRAY","SUS 32MCG","8","Select","Select",""],["","50383077504","LIDOCAINE VISCOUS","SOL 2% VISC","100","Select","Select",""],["","43598032675","CIPROFLOXACIN\/DEXAMETHASONE","SUS 0.3-0.1%","8","Select","Select",""],["","50383090110","HYDROCORTISONE\/ACETIC ACID","SOL OTIC","10","Select","Select",""],["","68645059090","CLOPIDOGREL","TAB 75MG","17","Select","Select",""],["","487020101","IPRATROPIUM BROMIDE\/ALBUTEROL SULFATE","SOL ALBUTER","-360","Select","Select",""],["","57237012401","WARFARIN SODIUM","TAB 5MG","180","Select","Select",""],["","16714005610","ENOXAPARIN SODIUM","INJ 120\/0.8","3","Select","Select",""],["","51672129001","HYDROCORTISONE VALERATE","CRE 0.002","15","Select","Select",""],["","45802006435","TRIAMCINOLONE ACETONIDE","CRE 0.001","45","Select","Select",""],["","168008031","HYDROCORTISONE","CRE 0.025","30","Select","Select",""],["","68382012216","AMLODIPINE BESYLATE","TAB 5MG","90","Select","Select",""],["","17478071310","OFLOXACIN","DRO 0.3% OP","5","Select","Select",""],["","65862044930","VALACYCLOVIR HCL","TAB 1GM","15","Select","Select",""],["","93505898","ATORVASTATIN CALCIUM","TAB 40MG","-30","Select","Select",""],["","43598043501","NITROGLYCERIN","SUB 0.3MG","100","Select","Select",""],["","93101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","65853110","CIPRO HC","SUS OTIC","10","Select","Select",""],["","69238120502","BUPRENORPHINE","DIS 20MCG\/HR","4","Select","Select",""],["","316023125","ZEASORB-AF","POW 0.02","71","Select","Select",""],["","68645058259","METFORMIN HYDROCHLORIDE","TAB 500MG","60","Select","Select",""],["","53885044801","ONETOUCH ULTRA 2","KIT ULTRA 2","1","Select","Select",""],["","53885014301","ONETOUCH DELICA LANCETS EXTRA FINE 33G","MIS LANCETS","-100","Select","Select",""],["","54418325","DEXAMETHASONE","TAB 2MG","12","Select","Select",""],["","2822259","INSULIN LISPRO KWIKPEN","INJ 100\/ML","15","Select","Select",""],["","168034646","TERCONAZOLE","CRE 0.004","-45","Select","Select",""],["","60432053716","NYSTATIN","SUS 100000","60","Select","Select",""],["","55111014512","FLUCONAZOLE","TAB 150MG","-2","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","15","Select","Select",""],["","53885024450","ONETOUCH ULTRA","TES ULTRA","50","Select","Select",""],["","53885000810","ONETOUCH DELICA PLUS LANCETS EXTRA FINE 33G","MIS PLUS 33G","100","Select","Select",""],["","65162047810","NITROFURANTOIN MONOHYDRATE\/MACROCRYSTALS","CAP 100MG","10","Select","Select",""],["","50111078710","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","63304069301","CLINDAMYCIN HCL","CAP 300MG","20","Select","Select",""],["","55111015330","ONDANSETRON HYDROCHLORIDE","TAB 4MG","20","Select","Select",""],["","54738098130","GUAIFENESIN","TAB 400MG","30","Select","Select",""],["","27241009803","DULOXETINE HCL","CAP 30MG","30","Select","Select",""],["","69097052444","DICLOFENAC SODIUM","GEL 0.01","-300","Select","Select",""],["","60432060416","PROMETHAZINE\/DEXTROMETHORPHAN","SYP DM","118","Select","Select",""],["","69097084805","ESCITALOPRAM OXALATE","TAB 10MG","30","Select","Select",""],["","10702005601","OXYCODONE HCL","TAB 10MG","120","Select","Select",""],["","169406012","VICTOZA","INJ 18MG\/3ML","-3","Select","Select",""],["","65862001205","SERTRALINE HCL","TAB 50MG","30","Select","Select",""],["","24510005860","NUCYNTA ER","TAB 50MG","60","Select","Select",""],["","24979002602","DILTIAZEM HYDROCHLORIDE ER","CAP 120MG ER","30","Select","Select",""],["","50111033402","METRONIDAZOLE","TAB 500MG","21","Select","Select",""],["","597015230","JARDIANCE","TAB 10MG","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":["",""]}},{"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":""}]}]}