{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHIRLEY L VALENTINE","gend":1,"add":"11701 CHESTER VILLAGE DRIVE","city":"CHESTER  ","state":"VA","zip":"23831-1965","dob":"1937-02-16","age":84,"mstatus":"","insh":11000745,"cliId":"4XD3UH5NN71","pno":8046214473,"cno":8046214473,"email":"","ename":"","eno":"","pphy":"FORTH, MONICA J","ppno":8047641253,"pcpadd":"8220 Meadowbridge Rd Ste 203","pcpcity":"Mechanicsville ","pcpstate":"VA","pcpzip":231162339,"pcpcounty":"","pcpid":"P0118751","pcpname":"PRIMARY HEALTH GROUP","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"APARTMENT 222  ","add3":"","madd1":"11701 CHESTER VILLAGE DRIVE","madd2":"APARTMENT 222  ","madd3":"","mcity":"CHESTER  ","mstate":"VA","mzip":"23831-1965","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["R06.02","R07.9","E11.9","I10","J44.9","J44.1","G47.33","Z71.9","I27.20","J96.11","E66.9","R94.2","J42","E66.01","I50.9","R09.81","M25.512","E11.621","Z79.84","L25.9","I50.42","I25.118","Z95.0","Z12.31","R39.81","N32.81","L22","G89.29","M54.2","I25.10","E11.59","I12.9","E11.22","N18.30","Z74.3","R51.9","N39.0","N89.8","M19.012","B35.1","E11.21","E11.40","M26.609","I49.5","F32.9","Z79.4","Z68.41","I42.9","Z92.29","R30.0","E78.5","K43.9","K80.20","Z79.82","N28.1","R10.31","K46.9","R10.9","Z68.43","G90.3","I11.0","I50.23","R09.89","R05","Z20.828","I13.0","M19.90","R06.00","R07.89","I87.2","G62.9","G89.4","M54.5","M79.18","E11.43","R10.30","N39.45","Z79.891","Z45.010","I45.89","M84.445A","R53.81","R51","R90.82","W19.XXXA","I51.7","M25.552","Z96.643","M79.645","R94.31","I25.119","I34.0","M25.551","M25.561","M12.819","N81.11","Z00.00","Z13.89","Z13.31","G47.10","K21.9","R04.0","D86.9","H61.23","R49.0","H90.3","H90.A22","R42","M19.91","R10.2","R94.5","E87.5","R03.0","R11.0","R68.89","R53.83","M26.629","Z96.653","Z79.899","D64.9","D72.829","R55","E86.0","N17.9","R53.1","D62","I99.9","I87.8","H40.9","M10.9","J96.01","Z68.42","E11.65","I11.9","K44.9","R10.84","I42.8","G44.85","R35.0","J40","Z03.818","J96.10","N18.3","R80.9","E11.51","M79.672","M79.671","R06.89","R09.02","R60.0","I51.89","Z13.39","F33.0","E11.29","M79.89","S63.501A","M25.531","W18.11XA","E10.40","M19.071","M25.571","M19.072","M25.572","Z96.1","H04.121","H04.122","H52.4","M06.9","H04.123","H16.223","M47.816","Z71.3","M25.50","J34.89","H90.5","J45.40","N39.46","N95.2","J30.9","K59.00","R26.9","Z82.49","Z83.3","Z88.5","Z88.8","Z91.041","Z99.81","F33.9","E11.42","H04.129","I95.1","R10.11","R10.12","Z98.890","B02.9","L97.522","B95.7","Z16.11","Z16.29","Z23","H35.362","H43.813","I50.22","E87.6","R94.39","I20.9","M43.16","J43.9","H91.90","E03.9","G44.52","R26.2","Z87.440","Z91.81","I50.33","I36.1","G47.30","I44.0","J20.9","R07.2","J44.0","S09.90XA","I95.9","G44.319","N64.89","Z80.3","R92.8","Z01.419","M47.817","H91.93","G89.11","M25.559","W18.2XXA","W18.30XA","Y92.002","F33.1","H91.13","J30.2","K08.109","M05.89","M16.0","M1A.9XX0","M45.6","N95.9","Z79.1","Z79.890","Z86.79","Z87.01","Z99.89","E10.42","L60.2","I83.12","I83.11","M1A.0720","K43.2","L02.611","B96.89","Z16.24","M26.621","Z79.51","M12.812","I13.10","J45.909","Z12.4","E87.70","J18.9","I50.43","Z20.822","J96.21","M62.81","N18.9","M79.605","M79.662","J98.4","R06.2","J81.1","I25.9","I50.32","R13.10","Z96.651","M25.562","L08.9","I25.2","R13.19","R13.14","H61.21","E55.9"],"date":["2021-07-14","2020-11-13","2021-11-15","2021-11-08","2021-11-27","2021-08-01","2021-10-04","2020-11-06","2021-10-04","2021-11-08","2021-05-11","2021-10-04","2021-05-11","2021-11-08","2021-10-04","2020-12-07","2021-01-04","2018-11-09","2018-11-09","2018-11-09","2021-11-18","2021-11-18","2021-11-18","2021-07-22","2021-11-07","2021-11-07","2021-11-07","2021-11-10","2020-11-13","2021-08-15","2021-04-13","2020-11-13","2021-08-15","2021-08-15","2021-05-29","2020-11-13","2021-08-16","2019-11-15","2021-01-04","2020-11-25","2021-11-08","2021-11-08","2021-03-03","2021-07-01","2021-07-14","2021-08-15","2021-11-08","2021-11-18","2020-07-24","2019-12-04","2021-07-06","2021-11-08","2019-12-04","2021-07-06","2019-12-04","2019-12-04","2019-12-04","2020-09-18","2019-05-01","2019-12-09","2021-07-06","2021-07-13","2020-12-07","2021-05-29","2020-12-17","2021-08-15","2021-08-15","2021-06-03","2020-12-07","2019-12-09","2019-12-09","2021-11-08","2020-08-26","2018-12-18","2017-12-19","2018-04-05","2021-11-08","2018-04-09","2021-05-13","2019-12-31","2019-12-30","2021-05-29","2020-02-20","2019-12-30","2021-11-08","2021-06-03","2019-12-30","2020-09-18","2019-12-30","2021-05-29","2019-12-31","2019-12-31","2018-07-31","2021-05-29","2019-05-01","2021-07-14","2021-07-14","2019-05-01","2021-07-14","2019-05-07","2021-10-25","2019-08-22","2021-08-15","2018-05-14","2018-05-14","2018-09-12","2019-08-22","2020-05-15","2020-02-07","2021-04-27","2020-12-22","2018-05-23","2018-05-23","2019-06-25","2021-02-10","2018-05-23","2018-05-23","2020-09-18","2021-02-03","2019-06-25","2019-06-25","2019-05-31","2019-05-31","2021-07-01","2020-10-27","2019-06-10","2020-02-07","2020-02-07","2020-02-07","2021-08-15","2021-07-13","2019-07-29","2019-09-03","2019-06-06","2021-08-15","2018-06-07","2021-05-29","2020-06-17","2020-09-09","2020-06-24","2020-10-28","2019-06-26","2020-09-18","2020-10-28","2021-08-15","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-26","2020-07-02","2021-02-10","2021-04-13","2021-07-06","2018-07-17","2018-07-17","2018-07-17","2018-07-23","2018-07-23","2018-07-23","2018-07-23","2018-07-23","2019-07-23","2020-02-25","2020-02-25","2019-07-23","2019-04-12","2019-04-12","2020-10-12","2020-02-07","2018-08-13","2019-08-16","2019-08-22","2021-02-10","2020-08-26","2021-08-16","2019-03-01","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2019-09-03","2021-08-15","2019-09-03","2019-09-03","2019-09-03","2020-09-18","2020-09-18","2020-09-18","2018-09-20","2020-09-22","2020-09-22","2020-09-22","2020-09-22","2021-11-08","2020-10-12","2020-10-12","2021-06-06","2021-05-29","2021-06-04","2021-06-04","2020-02-07","2018-04-05","2021-05-29","2020-01-16","2018-01-30","2021-07-13","2019-02-08","2019-02-08","2019-02-13","2019-02-14","2019-02-15","2018-02-15","2018-02-20","2018-02-15","2018-02-15","2020-02-20","2018-02-23","2020-02-24","2020-02-26","2020-02-26","2020-02-26","2020-03-06","2018-04-02","2018-03-27","2018-04-05","2018-04-05","2018-04-05","2018-04-05","2018-04-05","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2018-04-09","2019-04-16","2019-04-16","2019-04-16","2019-04-16","2019-04-16","2020-10-14","2021-01-27","2021-01-27","2021-01-27","2021-02-03","2021-02-03","2021-11-10","2021-03-03","2021-03-03","2021-04-27","2021-08-30","2021-07-13","2021-05-29","2021-08-15","2021-07-01","2021-07-13","2021-08-02","2021-07-07","2021-07-06","2021-05-31","2021-05-31","2021-05-31","2021-06-09","2021-08-15","2021-09-24","2021-05-29","2021-05-29","2021-07-06","2021-07-06","2021-09-24","2021-10-25","2021-10-25","2021-11-08"],"priorHcc":["","",null,null,null,"","","","",null,"","","",null,"","","","","","",null,null,null,"",null,null,null,null,"","","","","","","","","","","","",null,null,"","","","",null,null,"","","",null,"","","","","","","","","","","","","","","","","","","",null,"","","","",null,"","","","","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","","",null]}},{"a":[]}]},{"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":["","",""],"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":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}}]},{"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":[]}}},{"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":[]}]},{"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":[{"arr":[]},{"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":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"comment":"","sub":[["","68382052601","BUMETANIDE","TAB 1MG","","Select","Select",""],["","8222710031","PEN NEEDLES","MIS 32GX4MM","","Select","Select",""],["","68382009405","CARVEDILOL","TAB 12.5MG","","Select","Select",""],["","99073013001","FREESTYLE","MIS LANCETS","","Select","Select",""],["","173088210","BREO ELLIPTA","INH 200-25","","Select","Select",""],["","469260230","MYRBETRIQ","TAB 50MG","","Select","Select",""],["","245021211","MIDODRINE","TAB 5MG","","Select","Select",""],["","43386033001","TRIMETHOPRIM","TAB 100MG","","Select","Select",""],["","57237001760","DULOXETINE","CAP 20MG","","Select","Select",""],["","487950160","ALBUTEROL","NEB 0.00083","","Select","Select",""],["","16714087603","ATORVASTATIN","TAB 40MG","","Select","Select",""],["","64764091830","ULORIC","TAB 40MG","","Select","Select",""],["","93101042","MUPIROCIN","OIN 0.02","","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","","Select","Select",""],["","13811071910","NITROFURANTN","CAP 100MG","","Select","Select",""],["","93005301","BUSPIRONE","TAB 5MG","","Select","Select",""],["","173087610","ARNUITY ELPT","INH 200MCG","","Select","Select",""],["","23155017801","ISOSORB MONO","TAB 60MG ER","","Select","Select",""],["","23916330","RESTASIS","EMU 0.0005","","Select","Select",""],["","59310057922","PROAIR HFA","AER ","","Select","Select",""],["","16714049602","CLOTRIM\/BETA","CRE 1-0.05%","","Select","Select",""],["","169633910","NOVOLOG","INJ FLEXPEN","","Select","Select",""],["","51672130005","AMMONIUM LAC","LOT 0.12","","Select","Select",""],["","8290320122","BD PEN NEEDL","MIS 32GX4MM","","Select","Select",""],["","88221905","LANTUS SOLOS","INJ 100\/ML","","Select","Select",""],["","76204060060","IPRATROPIUM\/","SOL ALBUTER","","Select","Select",""],["","68180037803","LOSARTAN POT","TAB 100MG","","Select","Select",""],["","98302000100","SIMPLE DIAG","MIS LANCING","","Select","Select",""],["","58160082311","SHINGRIX","INJ 50\/0.5ML","","Select","Select",""],["","68462012605","GABAPENTIN","TAB 600MG","","Select","Select",""],["","169369619","NOVOLOG MIX","INJ FLEXPEN","","Select","Select",""],["","57599080000","FREESTY LIBR","KIT 2 SENSOR","","Select","Select",""],["","55111012701","CIPROFLOXACN","TAB 500MG","","Select","Select",""],["","93540189","OMEGA-3-ACID","CAP 1GM","","Select","Select",""],["","591544305","PREDNISONE","TAB 20MG","","Select","Select",""],["","73070010315","INSULIN ASPA","INJ FLEXPEN","","Select","Select",""],["","378001805","METOPROL TAR","TAB 25MG","","Select","Select",""],["","45802088094","NYSTAT\/TRIAM","CRE ","","Select","Select",""],["","98302013919","INSULIN SYRG","MIS 1ML\/31G","","Select","Select",""],["","143980305","DOXYCYCL HYC","CAP 100MG","","Select","Select",""],["","93314705","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","98302000105","ALCOHOL PREP","PAD ","","Select","Select",""],["","59762219801","AZITHROMYCIN","TAB 250MG","","Select","Select",""],["","76204010025","IPRATROPIUM","SOL 0.02%INH","","Select","Select",""],["","98302000160","ULTRA THIN","MIS 31G","","Select","Select",""],["","68382059516","DILTIAZEM","CAP 120MG ER","","Select","Select",""],["","597015561","STIOLTO","AER 2.5-2.5","","Select","Select",""],["","33342006510","VALSARTAN","TAB 320MG","","Select","Select",""],["","98302000198","COMFORT EZ","MIS 31GX8MM","","Select","Select",""],["","67877021620","CEFUROXIME","TAB 500MG","","Select","Select",""],["","57237000430","FLUCONAZOLE","TAB 100MG","","Select","Select",""],["","50484001030","SANTYL","OIN 250\/GM","","Select","Select",""],["","65162062711","TRAMADOL HCL","TAB 50MG","","Select","Select",""],["","65862050220","AMOX\/K CLAV","TAB 500-125","","Select","Select",""],["","173088210","BREO ","INH 200-25","180","Select","Select",""],["","99073070827","FREESTYLE    TES LITE","TES LITE","300","Select","Select",""],["","55111012390","ATORVASTATIN ","TAB 40MG","90","Select","Select",""],["","49884084901","MIDODRINE ","TAB 5MG","90","Select","Select",""],["","64764091830","ULORIC ","TAB 40MG","90","Select","Select",""],["","13668010601","ISOSORB ","TAB 120MG ER","30","Select","Select",""],["","68382052601","BUMETANIDE ","TAB 1MG","60","Select","Select",""],["","88221905","LANTUS ","INJ 100\/ML","45","Select","Select",""],["","99073013001","FREESTYLE    MIS LANCETS","MIS LANCETS","300","Select","Select",""],["","57237001760","DULOXETINE ","CAP 20MG","30","Select","Select",""],["","8222710031","PEN  NEEDLES  ","MIS 32GX4MM","100","Select","Select",""],["","469260230","MYRBETRIQ ","TAB 50MG","30","Select","Select",""],["","59310057922","PROAIR ","AER ","8.5","Select","Select",""],["","65862056090","PANTOPRAZOLE ","TAB 40MG","30","Select","Select",""],["","68382009405","CARVEDILOL ","TAB 12.5MG","60","Select","Select",""],["","43386033001","TRIMETHOPRIM ","TAB 100MG","30","Select","Select",""],["","487950160","ALBUTEROL ","NEB 0.00083","540","Select","Select",""],["","13811071910","NITROFURANTN ","CAP 100MG","10","Select","Select",""],["","173087610","ARNUITY ","INH 200MCG","30","Select","Select",""],["","16714049602","CLOTRIM\/BETA ","CRE 1-0.05%","45","Select","Select",""],["","93101042","MUPIROCIN ","OIN 0.02","22","Select","Select",""],["","23916330","RESTASIS ","EMU 0.0005","60","Select","Select",""],["","93005301","BUSPIRONE ","TAB 5MG","90","Select","Select",""],["","68180037803","LOSARTAN ","TAB 100MG","30","Select","Select",""],["","8290320122","BD  PEN NEEDL","MIS 32GX4MM","100","Select","Select",""],["","57599080000","FREESTY ","KIT 2 SENSOR","1","Select","Select",""],["","169633910","NOVOLOG ","INJ FLEXPEN","108","Select","Select",""],["","51672130005","AMMONIUM ","LOT 0.12","225","Select","Select",""],["","143980305","DOXYCYCL ","CAP 100MG","14","Select","Select",""],["","76204060060","IPRATROPIUM\/ ","SOL ALBUTER","360","Select","Select",""],["","591544210","PREDNISONE ","TAB 10MG","30","Select","Select",""],["","58160082311","SHINGRIX ","INJ 50\/0.5ML","1","Select","Select",""],["","55111012701","CIPROFLOXACN ","TAB 500MG","14","Select","Select",""],["","68462012605","GABAPENTIN ","TAB 600MG","120","Select","Select",""],["","98302000100","SIMPLE ","MIS LANCING","1","Select","Select",""],["","99073070432","FREESTYLE    LIQ CONTROL","LIQ CONTROL","1","Select","Select",""],["","98302000160","ULTRA ","MIS 31G","200","Select","Select",""],["","93540189","OMEGA-3-ACID ","CAP 1GM","90","Select","Select",""],["","378001805","METOPROL ","TAB 25MG","2","Select","Select",""],["","45802088094","NYSTAT\/TRIAM ","CRE ","30","Select","Select",""],["","73070010315","INSULIN ","INJ FLEXPEN","75","Select","Select",""],["","59762219801","AZITHROMYCIN ","TAB 250MG","6","Select","Select",""],["","98302000105","ALCOHOL ","PAD ","300","Select","Select",""],["","99073070805","FREESTYLE    MIS LITE","MIS LITE","1","Select","Select",""],["","93314705","CEPHALEXIN ","CAP 500MG","20","Select","Select",""],["","65162062711","TRAMADOL ","TAB 50MG","9","Select","Select",""],["","57237000430","FLUCONAZOLE ","TAB 100MG","7","Select","Select",""],["","33342006510","VALSARTAN ","TAB 320MG","30","Select","Select",""],["","68382059516","DILTIAZEM ","CAP 120MG ER","30","Select","Select",""],["","76204010025","IPRATROPIUM ","SOL 0.02%INH","62.5","Select","Select",""],["","50484001030","SANTYL ","OIN 250\/GM","30","Select","Select",""],["","597015561","STIOLTO ","AER 2.5-2.5","4","Select","Select",""],["","98302000198","COMFORT ","31GX8MM","300","Select","Select",""],["","65862050220","AMOX\/K ","500-125","14","Select","Select",""],["","67877021620","CEFUROXIME ","500MG","10","Select","Select",""],["","00173088210","BREO","200-25","180","Select","Select",""],["","99073070827","FREESTYLE TES LITE","LITE","300","Select","Select",""],["","13668010601","ISOSORB","120MG ER","30","Select","Select",""],["","99073013001","FREESTYLE MIS LANCETS","LANCETS","300","Select","Select",""],["","00088221905","LANTUS","100\/ML","45","Select","Select",""],["","59310057922","PROAIR","","8.5","Select","Select",""],["","00173087610","ARNUITY","200MCG","30","Select","Select",""],["","57599080000","FREESTY","2 SENSOR","1","Select","Select",""],["","68180037803","LOSARTAN","100MG","30","Select","Select",""],["","51672130005","AMMONIUM","0.12","225","Select","Select",""],["","00078077720","ENTRESTO","49-51MG","60","Select","Select",""],["","73070010315","INSULIN","FLEXPEN","75","Select","Select",""],["","98302000100","SIMPLE","LANCING","1","Select","Select",""],["","99073070432","FREESTYLE LIQ CONTROL","CONTROL","1","Select","Select",""],["","23155050105","HYDROXYZ","25MG","30","Select","Select",""],["","00143980305","DOXYCYCL","100MG","14","Select","Select",""],["","98302000160","ULTRA","31G","200","Select","Select",""],["","98302000105","ALCOHOL","","300","Select","Select",""],["","65162062711","TRAMADOL","50MG","30","Select","Select",""],["","65862050220","AMOX\/K","500-125","14","Select","Select",""],["","99073070805","FREESTYLE MIS LITE","LITE","1","Select","Select",""],["","00378001805","METOPROL","25MG","2","Select","Select",""],["","98302000198","COMFORT","31GX8MM","300","Select","Select",""],["","00078077720","ENTRESTO ","TAB 49-51MG","60","Select","Select",""],["","23155050105","HYDROXYZ ","TAB 25MG","30","Select","Select",""]]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"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":[]}]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"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":[]}]}},{"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":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"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":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"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":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"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":[]},{"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":[]},{"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":["","","",""]}]}]},{"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":[{"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":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"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":[]},{"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":[]}]}},{"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":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]}]},{"t":"Pain","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":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]]}}]},{"t":"Vital Signs","q":[{"a":["","","","","",""]},{"a":["","","","",{"txt":""},{"malnutrition":[]}]}]},{"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":[]},{"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":[]},{"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":[]},{"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":[[["Yes","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""]]]},{"t":"Mini-Cog","q":[{"a":[]}]},{"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":""}]}]}