{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GLORIA   B BISHOP","gend":1,"add":"831 MOUNTAIN HILL ROAD","city":"RINGGOLD","state":"VA","zip":"24586-2272","dob":"1983-03-24","age":39,"mstatus":"","insh":4261906,"cliId":"","pno":5407950966,"cno":5402385277,"email":"","ename":"","eno":"","pphy":"BOHON, SONYA N","ppno":5404844800,"pcpadd":"390 S Main St Ste 101, ","pcpcity":"Rocky Mount","pcpstate":"VA","pcpzip":241511767,"pcpcounty":"","pcpid":"","pcpname":"CARILION FRANKLIN MEMORIAL HOSPITAL HOSPITALISTS","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"LOT 8","add3":"","madd1":"831 MOUNTAIN HILL ROAD","madd2":"LOT 8","madd3":"","mcity":"RINGGOLD","mstate":"VA","mzip":"24586-2272","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.2","J44.9","D86.0","F32.9","F11.20","R68.89","N39.46","J98.4","K92.9","E07.9","R35.0","R06.02","R94.2","R07.9","F31.9","R51","G43.909","R11.2","R10.2","M62.838","N30.10","Z76.0","F31.62","R06.00","R06.89","G43.109","G47.00","G47.33","M79.7","E04.1","D64.9","E55.9","R06.83","R06.81","G47.10","R41.840","R41.3","K21.9","G25.81","G47.8","F34.89","F41.9","F90.9","F11.21","G24.01","N89.8","K62.89","Z86.718","Z04.41","T76.21XA","Z87.891","B18.2","R10.32","R10.30","Z90.710","F41.8","J30.9","G43.009","R07.89","M62.81","R20.0","R20.2","R53.1","Z86.59","Z86.711","I44.0","R94.31","D68.59","F31.81","G89.29","M81.0","Z86.11","G43.919","F15.93","Z91.89","R07.2","R29.818","H52.13","H10.45","R21","F12.10","F13.10","Z23","M17.0","M25.569","M25.762","M25.761","Z86.19","Z86.14","M25.561","M25.562","W19.XXXA","K83.8","R10.31","R10.819","N30.90","F17.210","Z79.899","Z90.49","R10.9","F12.20","Z20.828","F13.20","F41.1","F11.90","L65.9","R59.0","J34.89","R09.81","J02.9","R59.9","E04.2","N95.2","M79.18","Z01.411","R11.0","R63.4","K52.9","R30.0","Z51.81","F14.10","Z76.89","M70.61","R12","M41.9","R47.81","R29.898","F11.10","K58.0","G45.9","F11.23","R51.9","R19.7","R05","J01.90","M54.6","M54.5","F31.32","F41.0","M41.85","M40.204","R74.8","M54.2","M79.674","J32.9","N63.0","B88.2","G89.4","Z79.891","Z72.0","M51.36","S19.9XXA","S29.9XXA","S30.0XXA","T74.11XA","S40.022A","M79.89","Y07.03","S80.12XA","S80.11XA","S50.11XA","N39.0","R42","R41.82","R91.8","Z88.0","I95.9","M54.9","M54.50","T24.201A","T24.031A","X19.XXXA","L03.115","Z88.1","T14.8XXA","E66.9","H66.90","K59.00","R32","R79.89","I27.82","Z03.89","R94.6","R09.89","B19.20","I26.99","R13.10","K65.1","Z91.09","Z01.812","Z79.51","N39.498","J30.1","J30.89","R76.0","R09.82","J44.1","G44.229","Z63.8","J02.0","R39.11","R10.84","I51.7"],"date":["2020-10-26","2020-02-25","2020-01-07","2020-05-01","2020-09-23","2021-02-04","2021-07-03","2021-07-03","2021-07-03","2021-07-03","2021-07-03","2020-08-12","2020-01-15","2020-10-11","2021-03-15","2020-05-21","2021-03-24","2020-10-24","2020-12-09","2020-04-22","2020-02-24","2020-02-25","2021-12-14","2020-02-28","2020-03-05","2021-01-28","2020-04-22","2020-09-22","2021-08-23","2021-09-18","2020-07-01","2020-08-21","2020-09-22","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2022-01-24","2020-05-01","2020-05-01","2020-05-01","2020-08-21","2021-12-14","2021-12-14","2020-05-28","2021-02-11","2020-06-17","2021-08-30","2020-06-15","2020-06-17","2021-03-24","2020-07-01","2020-07-15","2020-07-15","2020-10-24","2020-10-28","2021-03-24","2020-08-22","2020-10-11","2021-03-25","2020-08-22","2021-03-24","2021-03-24","2020-08-21","2021-03-24","2020-08-21","2021-10-10","2020-08-22","2021-03-24","2020-08-21","2020-08-21","2020-08-21","2020-08-22","2020-08-22","2020-08-22","2020-08-22","2021-03-24","2020-09-23","2020-09-23","2020-10-09","2020-10-14","2020-10-14","2020-10-14","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-24","2020-10-24","2020-10-24","2020-10-24","2020-10-24","2021-12-14","2020-10-24","2020-12-09","2021-02-22","2020-11-11","2021-02-22","2021-02-25","2021-03-24","2020-11-25","2021-01-04","2021-07-07","2020-11-25","2020-11-25","2020-12-03","2020-12-22","2020-12-09","2020-12-09","2020-12-09","2021-03-25","2022-01-24","2021-05-24","2021-02-04","2021-08-23","2021-02-22","2021-03-15","2021-03-22","2021-03-22","2021-05-13","2021-03-24","2021-03-24","2021-03-24","2021-03-24","2021-03-25","2021-03-25","2021-09-18","2021-03-25","2021-03-30","2021-03-30","2021-11-12","2021-08-23","2021-05-18","2021-05-18","2021-05-18","2021-08-23","2021-05-10","2021-08-30","2021-07-07","2021-07-15","2021-07-15","2021-07-15","2021-10-10","2021-07-26","2021-07-26","2021-08-23","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-09-18","2021-09-18","2021-09-18","2021-09-18","2021-09-18","2021-10-10","2021-10-10","2021-10-10","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-01-24","2019-09-06","2019-01-29","2019-02-05","2019-02-13","2019-03-15","2019-04-17","2019-04-17","2019-04-19","2019-05-23","2019-07-31","2019-05-23","2019-05-24","2019-07-09","2019-09-13","2019-07-18","2019-07-31","2019-07-23","2019-07-24","2019-09-06","2019-09-06","2019-09-15","2019-09-19","2019-10-17","2019-10-08","2019-10-17","2019-12-12","2019-12-31","2019-12-31"],"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":[["","12496120803","SUBOXONE","MIS 8-2MG","28","Select","Select",""],["","65862018830","ONDANSETRON","TAB 8MG","60","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","68462012705","GABAPENTIN","TAB 800MG","90","Select","Select",""],["","66993004330","ATOMOXETINE","CAP 40MG","14","Select","Select",""],["","52817033010","CYCLOBENZAPR","TAB 5MG","63","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","30","Select","Select",""],["","00832105410","BACLOFEN","TAB 10MG","90","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","60","Select","Select",""],["","68382013805","TOPIRAMATE","TAB 25MG","90","Select","Select",""],["","70954001910","PRAZOSIN","CAP 1MG","30","Select","Select",""],["","43598081115","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","10702000350","PROMETHAZINE","TAB 25MG","14","Select","Select",""],["","68180065208","DOXYCYC","CAP 100MG","14","Select","Select",""],["","59651000205","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","45802043321","DEXTROMETHOR","SUS 30MG\/5ML","600","Select","Select",""],["","42806016105","HYDROXYZ","TAB 50MG","360","Select","Select",""],["","61874014530","VRAYLAR","CAP 4.5MG","30","Select","Select",""],["","00527169505","BUT\/APAP\/CAF","TAB ","45","Select","Select",""],["","67877012450","SILVER","CRE 0.01","50.00","Select","Select",""],["","50458058801","CONCERTA","TAB 27MG","30","Select","Select",""],["","69097083305","SERTRALINE","TAB 25MG","30","Select","Select",""],["","66993058497","FLUTIC\/SALME","AER 100\/50","60","Select","Select",""],["","68462034690","LEVOCETIRIZI","TAB 5MG","30","Select","Select",""],["","63304069205","CLINDAMYCIN","CAP 150MG","28","Select","Select",""],["","71930005552","APAP\/CODEINE","TAB 300-30MG","18","Select","Select",""],["","45802008801","ALBUTEROL","AER HFA","8.5","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","4","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","6","Select","Select",""],["","50428029821","CHEST","TAB 400MG","60","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","16729031801","OXYBUTYNIN","TAB 10MG ER","30","Select","Select",""],["","49884022203","DOXEPIN","CAP 150MG","30","Select","Select",""],["","63402030430","LATUDA","TAB 40MG","30","Select","Select",""],["","70010077001","METHOCARBAM","TAB 750MG","45","Select","Select",""],["","00046087221","PREMARIN","CRE 0.625MG","30","Select","Select",""],["","50383077504","LIDOCAINE","SOL 2% VISC","100","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","69543038810","KETOROLAC","TAB 10MG","20","Select","Select",""],["","49035061501","EQ","DRO 0.025%OP","5","Select","Select",""],["","00065401105","ZADITOR","DRO 0.025%OP","5","Select","Select",""],["","57237001830","DULOXETINE","CAP 30MG","30","Select","Select",""],["","69097015907","MELOXICAM","TAB 15MG","14","Select","Select",""],["","59779030603","CVS","POW ","510.00","Select","Select",""],["","24658031205","DOXYCYCL","TAB 100MG","28","Select","Select",""],["","70710134403","RAMELTEON","TAB 8MG","30","Select","Select",""],["","47781035703","BUPREN\/NALOX","MIS 8-2MG","56","Select","Select",""],["","00904672080","ACETAMIN","TAB 500MG","40","Select","Select",""],["","16571020150","DICLOFENAC","TAB 75MG DR","20","Select","Select",""],["","67877057505","BENZONATATE","CAP 200MG","14","Select","Select",""],["","17478071710","KETOTIF","DRO 0.025%OP","5","Select","Select",""],["","74312015745","MELATONIN","CAP 5MG","30","Select","Select",""],["","00115166101","PROPRANOLOL","TAB 40MG","30","Select","Select",""],["","00781577626","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00378623201","CITALOPRAM","TAB 20MG","30","Select","Select",""],["","00085075605","AFRIN","SPR 0.0005","15","Select","Select",""],["","00173069500","ADVAIR","AER 100\/50","60","Select","Select",""],["","00378932032","WIXELA","AER 100\/50","60","Select","Select",""],["","13668027101","CARBAMAZEPIN","CHW 100MG","60","Select","Select",""],["","50458009801","ELMIRON","CAP 100MG","90","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","60","Select","Select",""],["","00316022130","NYSTATIN","CRE 100000","30","Select","Select",""],["","63824017165","DELSYM","SUS 30MG\/5ML","148","Select","Select",""],["","43199001301","HYOSCYAMINE","TAB 0.125MG","20","Select","Select",""],["","45802086866","POLYETH","POW 3350 NF","30","Select","Select",""],["","63824000832","MUCINEX","TAB 600MG ER","10","Select","Select",""],["","45802057178","FEXOFENADINE","TAB 180MG","30","Select","Select",""],["","00363048630",""," ","60","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","11917001257","SALINE","SPR 0.0065","88","Select","Select",""],["","00081067020","SUDAFED","TAB 120MG CR","20","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":[]}},{"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":""}]}]}