{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GLORIA J THOMPSON","gend":1,"add":"1732 Hanover Ave NW Apt B","city":"Roanoke ","state":"VA","zip":"24017-4026","dob":"1962-10-08","age":58,"mstatus":"","insh":11002088,"cliId":"2F28WF2VF25","pno":5405376529,"cno":5405376529,"email":"","ename":"","eno":"","pphy":"DELL, PATRICIA TAYLOR ","ppno":5405625700,"pcpadd":"1906 Belleview Ave SE, ","pcpcity":"Roanoke ","pcpstate":"VA","pcpzip":240141838,"pcpcounty":"","pcpid":"P0117344","pcpname":"NEW HORIZONS HEALTH CARE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"N","ano":"","add2":"","add3":"","madd1":"1732 Hanover Ave NW Apt B ","madd2":"Apt B","madd3":"","mcity":"Roanoke ","mstate":"VA","mzip":"24017-4026","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["J84.10","J84.9","E11.65","Z79.4","N89.8","R05","R09.81","T14.8XXA","R35.0","Z90.710","K04.7","G47.33","H66.91","J30.2","Z23","Z79.899","G89.4","E13.42","M47.817","M17.32","J98.4","G47.37","J44.1","R09.02","M17.11","M46.1","J47.9","R94.2","W57.XXXA","I10","E03.9","E78.5","Z68.41","E66.01","M54.40","M25.561","M25.562","G89.29","L91.8","L29.9","N95.2","E16.2","K59.01","M25.569","J02.9","H92.01","L72.3","J44.9","I50.32","R06.02","R07.89","M79.89","R22.31","R79.1","R22.43","R22.9","Z20.828","I25.10","I11.0","I50.30","Z99.81","J45.909","E11.9","E78.00","F32.9","F41.9","G47.30","Z79.82","R94.31","I50.31","R60.0","R53.83","M54.5","M51.37","S83.281A","M25.461","M20.41","M20.42","L60.0","M79.671","M79.672","M79.674","H65.02","R20.0","R20.2","H66.92","H60.502","L98.9","M47.26","E10.41","L84","E11.69","M54.17","I44.1","K52.9","E66.9","E11.42","M15.9","J06.9","J96.11","J43.8","R53.81","Z99.89","E55.9","E78.2","Z01.419","R00.2","I44.0","I50.33","R07.9","E83.42","L29.8","J98.11","R91.8","Z91.81","M25.532","R80.9","Z68.42","I16.0","Z79.84","Z79.1","R93.6","W19.XXXA","R00.0","R63.5","J96.21","F41.8","Z86.718","F51.01","Z76.0","I47.1","Z71.3","G56.03","Z09","R19.7","M79.601","Z76.89","M62.81","M25.511","M25.512","L30.4","R42","R68.2","Z91.89","Z12.31","I51.89","I51.7","K08.89","J40","J04.0","K05.10","M51.36","R21","M17.12","M25.462","E11.41","M17.10","R93.89","K76.0","J45.30","G56.01","S63.642A","M79.645","L91.0","Z72.51","N95.1","Z20.2","M19.90","M54.41","M54.42","T17.908A","Z01.818","N64.4","R23.2","Z02.89","E11.40","Z71.89","E87.6","J18.0","J47.1","Z11.59","I25.119","Z98.890","L02.224","R60.9","R32","M79.1","M21.372","G57.32","Z71.9","J84.89","R11.2","Z72.820","R92.1","Z00.01","Z11.1","B37.3","K59.03","D24.1","N63.11","B37.9","R61","I95.9","M79.675","M47.816","M79.641","M79.642","M25.541","M25.542","J45.998","M25.642","S83.001D","M17.9","M17.0","Z87.891","J96.10","K21.9","F41.1","M19.041","M19.042","M20.40","L11.0","L57.0","N94.9","R39.9","M22.8X2","T84.063A","Y83.1","M94.262","M65.862","I50.9","M22.2X2","M47.814"],"date":["2021-03-26","2020-10-08","2021-06-04","2021-07-09","2021-06-11","2020-02-14","2018-10-10","2020-01-22","2019-10-17","2019-10-17","2020-10-07","2021-07-15","2018-10-24","2018-11-07","2019-10-02","2021-06-03","2021-07-01","2021-07-29","2021-07-29","2019-05-07","2020-10-26","2021-07-15","2021-07-01","2021-07-01","2020-12-08","2021-07-01","2020-11-04","2020-11-04","2018-11-07","2021-03-26","2021-03-19","2021-07-09","2021-07-09","2021-07-09","2019-11-13","2021-04-15","2021-04-15","2020-07-17","2019-12-06","2019-11-13","2021-03-23","2020-11-24","2020-11-17","2021-05-12","2019-11-19","2019-11-19","2019-11-19","2021-07-09","2020-03-17","2021-04-09","2020-11-19","2020-12-03","2020-11-20","2020-11-19","2020-11-19","2020-11-19","2020-11-19","2020-11-19","2021-07-09","2020-12-18","2021-03-26","2020-11-19","2021-07-09","2020-11-19","2020-11-19","2020-11-19","2020-11-19","2021-07-09","2020-11-19","2019-11-22","2020-08-10","2019-11-22","2021-07-01","2021-04-08","2020-11-23","2020-11-23","2021-05-03","2021-05-03","2021-05-03","2020-08-10","2020-08-10","2021-02-15","2018-11-30","2020-12-03","2020-12-03","2021-07-04","2018-12-05","2020-01-03","2021-07-01","2021-05-03","2019-12-09","2020-12-18","2020-03-31","2020-01-01","2020-01-03","2020-10-07","2019-01-07","2020-03-11","2019-05-09","2020-10-08","2020-08-06","2020-07-08","2020-10-08","2018-01-23","2018-01-23","2018-01-23","2020-03-17","2020-01-23","2020-07-17","2020-01-23","2019-10-02","2019-02-28","2020-02-14","2020-07-17","2019-02-28","2019-02-18","2019-07-15","2021-04-09","2019-02-20","2020-03-27","2021-07-09","2019-02-18","2019-02-18","2020-03-12","2019-02-18","2019-02-19","2019-02-19","2019-02-19","2020-02-19","2020-02-19","2019-02-20","2020-03-27","2019-09-03","2019-02-28","2020-03-11","2020-04-06","2020-03-02","2021-04-12","2020-03-11","2020-03-09","2020-03-11","2020-08-26","2018-03-14","2018-03-14","2021-04-23","2020-03-17","2020-11-20","2021-07-04","2019-04-18","2019-04-18","2020-05-26","2021-04-08","2020-05-26","2021-07-09","2021-07-08","2018-05-24","2021-07-29","2020-07-17","2020-05-28","2019-05-29","2019-06-03","2019-06-03","2019-06-03","2018-06-13","2019-06-17","2020-08-26","2019-06-17","2018-07-06","2018-07-06","2018-07-06","2020-09-25","2020-09-20","2019-08-14","2019-07-15","2019-07-15","2020-03-12","2019-08-14","2020-07-16","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2018-07-18","2021-04-09","2018-08-02","2018-08-02","2018-08-02","2018-08-02","2018-08-02","2020-08-05","2018-08-10","2018-08-28","2019-08-28","2019-08-14","2019-08-14","2018-08-28","2018-08-28","2019-09-03","2019-08-28","2021-06-11","2019-10-02","2021-01-12","2021-02-15","2021-04-08","2021-03-11","2021-04-12","2021-03-19","2021-03-19","2021-03-26","2021-04-12","2021-04-15","2021-06-03","2021-06-23","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2021-05-03","2021-05-03","2021-06-04","2021-06-04","2021-07-08","2021-07-09","2021-07-09","2021-07-09","2021-07-13","2021-07-09","2021-07-13","2021-07-30"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"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":[["","65862057490","MONTELUKAST","TAB 10MG","","Select","Select",""],["","8627005303","DEXCOM G6","MIS SENSOR","","Select","Select",""],["","65862020399","LOSARTAN POT","TAB 100MG","","Select","Select",""],["","713022531","TRIAMCINOLON","CRE 0.001","","Select","Select",""],["","70010049105","METFORMIN HCL","ER ORAL TAB","","Select","Select",""],["","68382080705","TRAZODONE","TAB 150MG","","Select","Select",""],["","42799012001","BUMETANIDE","TAB 1MG","","Select","Select",""],["","70377000812","ROSUVASTATIN","TAB 20MG","","Select","Select",""],["","88221905","LANTUS SOLOS","INJ 100\/ML","","Select","Select",""],["","71101768","LYRICA","CAP 200MG","","Select","Select",""],["","378180010","LEVOTHYROXIN","TAB 25MCG","","Select","Select",""],["","597007541","SPIRIVA","CAP HANDIHLR","","Select","Select",""],["","59011027360","HYSINGLA ER","TAB 40 MG","","Select","Select",""],["","16714008211","HYDROXYZ HCL","TAB 25MG","","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","","Select","Select",""],["","72205001690","PREGABALIN","CAP 200MG","","Select","Select",""],["","43547040011","CYCLOBENZAPR","TAB 10MG","","Select","Select",""],["","50111032701","HYDRALAZINE","TAB 25MG","","Select","Select",""],["","50111091701","TORSEMIDE","TAB 20MG","","Select","Select",""],["","68382039801","POT CHLORIDE","TAB 20MEQ ER","","Select","Select",""],["","59310057922","PROAIR HFA","AER ","","Select","Select",""],["","68382005001","MELOXICAM","TAB 7.5MG","","Select","Select",""],["","68645051054","HYDROCHLOROT","TAB 25MG","","Select","Select",""],["","555089902","ESTRADIOL","TAB 0.5MG","","Select","Select",""],["","8290326895","BD SWAB REG","PAD SNGL USE","","Select","Select",""],["","406012501","HYDROCO\/APAP","TAB 10-325MG","","Select","Select",""],["","487950160","ALBUTEROL","NEB 0.00083","","Select","Select",""],["","62756014202","METFORMIN","TAB 500MG ER","","Select","Select",""],["","193725201","CONTOUR","KIT NEXT EZ","","Select","Select",""],["","591505210","PREDNISONE","TAB 5MG","","Select","Select",""],["","597015230","JARDIANCE","TAB 10MG","","Select","Select",""],["","781261305","AMOXICILLIN","CAP 500MG","","Select","Select",""],["","73070010315","INSULIN ASPA","INJ FLEXPEN","","Select","Select",""],["","169406013","VICTOZA","INJ 18MG\/3ML","","Select","Select",""],["","781150701","ATENOLOL","TAB 100MG","","Select","Select",""],["","169633910","NOVOLOG","INJ FLEXPEN","","Select","Select",""],["","99073070827","FREESTYLE","TES LITE","","Select","Select",""],["","8222095855","PEN NEEDLES","MIS 31GX8MM","","Select","Select",""],["","43547028111","ESCITALOPRAM","TAB 10MG","","Select","Select",""],["","536110301","ALCOHOL PREP","PAD 0.7","","Select","Select",""],["","50111078810","AZITHROMYCIN","TAB 500MG","","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","","Select","Select",""],["","55111014512","FLUCONAZOLE","TAB 150MG","","Select","Select",""],["","193658621","MICROLET","MIS LANCETS","","Select","Select",""],["","65862050220","AMOX\/K CLAV","TAB 500-125","","Select","Select",""],["","574200802","NYSTOP","POW 100000","","Select","Select",""],["","8222440006","ULTICARE","PAD ALCOHOL","","Select","Select",""],["","51672127502","CLOTRIMAZOLE","CRE 0.01","","Select","Select",""],["","93733401","MYCOPHENOLAT","CAP 250MG","","Select","Select",""],["","93031101","LOPERAMIDE","CAP 2MG","","Select","Select",""],["","69547035302","NARCAN","SPR ","","Select","Select",""],["","43547040111","FUROSEMIDE","TAB 20MG","","Select","Select",""],["","8396901634","RELION PEN","MIS 31GX8MM","","Select","Select",""],["","65162022621","YUVAFEM","TAB 10MCG","","Select","Select",""],["","65862017601","PENICILLN VK","TAB 500MG","","Select","Select",""],["","143314250","DOXYCYCL HYC","CAP 100MG","","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","68382009710","PAROXETINE","TAB 10MG","","Select","Select",""],["","68645051554","AMLODIPINE","TAB 5MG","","Select","Select",""],["","68462018022","MUPIROCIN","OIN 0.02","","Select","Select",""],["","46087221","PREMARIN VAG","CRE 0.625MG","","Select","Select",""],["","832532411","POT CL MICRO","TAB 10MEQ ER","","Select","Select",""],["","193654621","BAYER MICRLT","MIS LANCETS","","Select","Select",""],["","8290320122","BD PEN NEEDL","MIS 32GX4MM","","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","","Select","Select",""],["","65853302","CIPRODEX","SUS 0.3-0.1%","","Select","Select",""],["","406012501","HYDROCO\/APAP ","TAB 10-325MG","135","Select","Select",""],["","88221905","LANTUS ","INJ 100\/ML","60","Select","Select",""],["","71101768","LYRICA ","CAP 200MG","90","Select","Select",""],["","70010049105","METFORMIN ","ER ORAL TAB","120","Select","Select",""],["","59310057922","PROAIR ","AER ","8.5","Select","Select",""],["","8627005303","DEXCOM ","MIS SENSOR","3","Select","Select",""],["","70377000812","ROSUVASTATIN ","TAB 20MG","30","Select","Select",""],["","8222095855","PEN  NEEDLES  ","MIS 31GX8MM","150","Select","Select",""],["","8290326895","BD ","PAD SNGL USE","100","Select","Select",""],["","68382005001","MELOXICAM ","TAB 7.5MG","60","Select","Select",""],["","65862057490","MONTELUKAST ","TAB 10MG","30","Select","Select",""],["","378180010","LEVOTHYROXIN ","TAB 25MCG","30","Select","Select",""],["","59011027260","HYSINGLA ","TAB 30 MG","30","Select","Select",""],["","68382080705","TRAZODONE ","TAB 150MG","30","Select","Select",""],["","781150710","ATENOLOL ","TAB 100MG","30","Select","Select",""],["","65862020399","LOSARTAN ","TAB 100MG","30","Select","Select",""],["","43547040011","CYCLOBENZAPR ","TAB 10MG","90","Select","Select",""],["","193731221","CONTOUR ","TES NEXT","100","Select","Select",""],["","193654621","BAYER ","MIS LANCETS","100","Select","Select",""],["","60505082901","FLUTICASONE ","SPR 50MCG","16","Select","Select",""],["","193658621","MICROLET ","MIS LANCETS","100","Select","Select",""],["","69238131509","PREGABALIN ","CAP 200MG","90","Select","Select",""],["","50111032701","HYDRALAZINE ","TAB 25MG","90","Select","Select",""],["","713022531","TRIAMCINOLON ","CRE 0.001","90","Select","Select",""],["","68382039801","POT  CHLORIDE","TAB 20MEQ ER","120","Select","Select",""],["","50111091701","TORSEMIDE ","TAB 20MG","60","Select","Select",""],["","16714008211","HYDROXYZ ","TAB 25MG","90","Select","Select",""],["","487950160","ALBUTEROL ","NEB 0.00083","360","Select","Select",""],["","597007541","SPIRIVA ","CAP HANDIHLR","30","Select","Select",""],["","591505210","PREDNISONE ","TAB 5MG","152","Select","Select",""],["","555089902","ESTRADIOL ","TAB 0.5MG","21","Select","Select",""],["","68645051054","HYDROCHLOROT ","TAB 25MG","30","Select","Select",""],["","42799012001","BUMETANIDE ","TAB 1MG","60","Select","Select",""],["","93310905","AMOXICILLIN ","CAP 500MG","21","Select","Select",""],["","169406013","VICTOZA ","INJ 18MG\/3ML","9","Select","Select",""],["","597015230","JARDIANCE ","TAB 10MG","30","Select","Select",""],["","73070010315","INSULIN ","INJ FLEXPEN","15","Select","Select",""],["","51672127502","CLOTRIMAZOLE ","CRE 0.01","60","Select","Select",""],["","99073070827","FREESTYLE    TES LITE","TES LITE","100","Select","Select",""],["","68645056354","IBUPROFEN ","TAB 800MG","30","Select","Select",""],["","169633910","NOVOLOG ","INJ FLEXPEN","15","Select","Select",""],["","65853302","CIPRODEX ","SUS 0.3-0.1%","7.5","Select","Select",""],["","50111033402","METRONIDAZOL ","TAB 500MG","20","Select","Select",""],["","43547028111","ESCITALOPRAM ","TAB 10MG","30","Select","Select",""],["","55111014512","FLUCONAZOLE ","TAB 150MG","1","Select","Select",""],["","65862050220","AMOX\/K ","TAB 500-125","20","Select","Select",""],["","574200802","NYSTOP ","POW 100000","480","Select","Select",""],["","536110301","ALCOHOL ","PAD 0.7","100","Select","Select",""],["","47781041060","HYDROCODONE ","CAP 15MG ER","60","Select","Select",""],["","8222440006","ULTICARE ","PAD ALCOHOL","100","Select","Select",""],["","50111078810","AZITHROMYCIN ","TAB 500MG","2","Select","Select",""],["","93733401","MYCOPHENOLAT ","CAP 250MG","120","Select","Select",""],["","68645051554","AMLODIPINE ","TAB 5MG","30","Select","Select",""],["","8396901634","RELION ","MIS 31GX8MM","150","Select","Select",""],["","69097052444","DICLOFENAC ","GEL 0.01","100","Select","Select",""],["","93031101","LOPERAMIDE ","CAP 2MG","40","Select","Select",""],["","43547040111","FUROSEMIDE ","TAB 20MG","30","Select","Select",""],["","65162022621","YUVAFEM ","TAB 10MCG","18","Select","Select",""],["","65862017601","PENICILLN ","TAB 500MG","30","Select","Select",""],["","68382009710","PAROXETINE ","TAB 10MG","30","Select","Select",""],["","69547035302","NARCAN ","SPR ","2","Select","Select",""],["","68180012202","CEPHALEXIN ","CAP 500MG","28","Select","Select",""],["","143314250","DOXYCYCL ","CAP 100MG","20","Select","Select",""],["","8290320122","BD  PEN NEEDL","MIS 32GX4MM","100","Select","Select",""],["","68462018022","MUPIROCIN ","OIN 0.02","66","Select","Select",""],["","832532411","POT  CL MICRO","10MEQ ER","30","Select","Select",""],["","46087221","PREMARIN ","0.625MG","30","Select","Select",""],["","42858010301","OXYCOD\/APAP ","7.5-325","30","Select","Select",""],["","00093005805","TRAMADOL ","50MG","20","Select","Select",""],["","00088221905","LANTUS","100\/ML","60","Select","Select",""],["","08290326895","BD","SNGL USE","100","Select","Select",""],["","65862020399","LOSARTAN","100MG","30","Select","Select",""],["","08627005303","DEXCOM","SENSOR","3","Select","Select",""],["","59310057922","PROAIR","","8.5","Select","Select",""],["","00193654621","BAYER","LANCETS","100","Select","Select",""],["","59011027260","HYSINGLA","30 MG","30","Select","Select",""],["","16714008211","HYDROXYZ","25MG","90","Select","Select",""],["","73070010315","INSULIN","FLEXPEN","15","Select","Select",""],["","99073070827","FREESTYLE TES LITE","LITE","100","Select","Select",""],["","65862050220","AMOX\/K","500-125","20","Select","Select",""],["","00536110301","ALCOHOL","70%","100","Select","Select",""],["","47781041060","HYDROCODONE","15MG ER","60","Select","Select",""],["","42858010301","OXYCOD\/APAP","7.5-325","30","Select","Select",""],["","08396901634","RELION","31GX8MM","150","Select","Select",""],["","65862017601","PENICILLN","500MG","30","Select","Select",""],["","00143314250","DOXYCYCL","100MG","20","Select","Select",""],["","60505384801","CELECOXIB","100MG","60","Select","Select",""],["","00093005805","TRAMADOL","50MG","20","Select","Select",""],["","00046087221","PREMARIN","0.625MG","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","",""],["Yes","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":""}]}]}