{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELISSA A BROWN","gend":1,"add":"107 W 13TH ST","city":"FRONT ROYAL","state":"VA","zip":"22630-3501","dob":"1974-06-29","age":46,"mstatus":"","insh":11003070,"cliId":"8D85DX7GP60","pno":5406718873,"cno":"","email":"","ename":"","eno":"","pphy":"BRADD III, FLOYD","ppno":5406367000,"pcpadd":"841 N SHENANDOAH AVENUE","pcpcity":"FRONT ROYAL","pcpstate":"VA","pcpzip":226303501,"pcpcounty":"","pcpid":"P9059068","pcpname":"SKYLINE FAMILY PRACTICE","plan":"VPHP - VIRGINIA PREMIER","program":"MEDICARE","lob":"DSNP","region":"NORTHERN\/WINCHESTER","aligned":"Y","ano":"","add2":"","add3":"","madd1":"107 W 13th St","madd2":"","madd3":"","mcity":"Front Royal","mstate":"VA","mzip":"22630-3603","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["F31.2","D80.3","F41.9","F11.10","E11.610","E11.649","E78.5","F10.11","F17.210","G47.30","I11.0","I50.9","J44.9","Z95.0","Z86.14","Z81.8","Z79.4","F31.61","Z59.9","F41.8","G61.81","R53.81","M48.02","R33.8","R52","Z74.09","E11.9","I10","Z97.8","G89.29","M96.1","G89.4","I67.83","E10.9","G61.89","G56.30","M79.606","H90.5","G47.33","D84.9","Z68.28","E11.65","I50.32","I27.20","I87.2","M48.061","K31.84","F31.9","M32.9","F99","W18.49XA","S99.922A","F31.10","N91.1","M17.12","R19.04","N39.0","Z13.89","Z12.4","R10.9","R19.09","S63.612A","S69.91XA","W21.01XA","F20.9","M06.9","Z85.820","Z91.041","Z88.6","Z88.1","Y93.9","Y92.239","R60.0","Z71.3","R06.02","Z01.818","N18.9","K46.9","M47.812","I51.9","K43.9","R16.2","M51.36","R19.00","I25.10","R06.01","K45.8","K59.09","M54.12","M54.2","L03.032","L84","S99.822A","X58.XXXA","M86.172","L97.529","L03.116","Z72.0","H53.10","Z79.899","Z01.810","M62.81","M54.5","N91.2","M17.9","R59.0","R59.1","Z99.81","Z79.891","M70.62","E11.43","E11.69","M86.9","K21.9","R01.1","I12.9","Z98.1","Z89.411","Z88.5","Z82.49","B96.20","B95.61","I89.0","Z45.2","H53.2","Z89.412","I42.9","Z16.12","B96.29","I77.810","B35.1","L60.3","M79.673","E11.42","I49.5","Z45.018","R05","F17.293","F17.200","F17.211","L97.519","I73.9","L30.8","M79.89","J30.2","R31.21","N30.00","M25.562","M11.262","M25.462","Z23","R07.9","Z45.010","I47.1","M79.671","M79.672","M16.0","M25.551","R60.9","M50.30","M43.22","H53.433","H47.323","G82.50","K50.90","K74.60","K75.81","N25.81","Z79.82","R07.2","I83.893","Z87.19","Z68.26","R09.02","R11.2","R10.13","K22.70","K30","M35.9","Z83.71","R20.2","Z87.440","R20.0","G93.89","Z68.27","L97.921","L97.911","N31.9","N32.81","N31.2","N36.44","R33.9","E55.9","C43.72","D64.9","M32.10","R53.82","L97.909","M79.604","M79.605","L93.0","L98.9","I87.8","Z51.89","D50.0","F43.10","K22.8","M47.22","M46.06","G56.01","E87.6","J43.8","R26.89","G62.9","S90.821A","L97.511","R31.0","R31.29","F31.60","I13.0","N18.3","Z79.51","K76.9","R00.1","R94.31","R29.898","S31.000A","M14.679","L03.119","M77.41","S81.802A","R53.1","R47.01","M54.9","Z98.890","F25.9","E11.621","Z68.30","R16.1","R22.1","G47.8","R21","M17.0","M25.561","M47.817","F25.0","Z04.6","E87.1","E87.5","Z91.14","M14.671","M14.672","B95.62","Z68.29","L98.499","R93.6","R53.83","M84.40XA","R45.851","J96.10","F05","F11.20","S93.601A","Z02.2","K59.00","L60.0","L03.321","R41.82","M25.512","M79.651","I47.2","ZZ1.11","M79.641","W18.30XA","Y92.230","M79.644","A15.9","F69","R19.7","M17.11","L13.8","D48.5","R23.3","R91.8","J98.4","L97.811","R26.2","R26.81","M19.012","M75.42","Z87.39","I50.30","E87.70","I50.33","Z20.822","Z88.8","R22.43","Z74.3","N17.9","Z01.812","E11.622","L97.819","L97.912","Z91.11","R06.00","R68.89","I50.43","N18.31","E87.3","R30.0","R63.5","L89.153","L97.821","R23.8","J98.11","R19.8","M54.31","M19.90","E11.49","I44.1","I45.10","Z91.89","R18.8","R80.9","F90.8","L98.8","R39.81","Z99.3","L22"],"date":["2021-05-04","2018-04-24","2021-05-11","2018-04-24","2020-02-27","2020-01-18","2021-04-15","2018-04-24","2021-05-27","2020-10-08","2021-05-27","2021-06-01","2021-05-27","2021-05-27","2020-10-08","2018-04-24","2020-05-04","2018-04-25","2018-04-25","2018-04-25","2021-06-29","2020-04-29","2020-09-29","2020-11-12","2020-04-24","2020-04-30","2021-05-11","2021-05-30","2021-01-28","2021-01-28","2021-01-28","2021-04-09","2020-04-28","2021-06-16","2020-10-01","2020-10-01","2020-09-10","2019-05-01","2021-05-30","2019-05-01","2019-05-01","2020-07-28","2021-06-03","2021-06-18","2021-03-12","2020-05-04","2020-05-04","2021-05-27","2021-05-27","2018-05-05","2018-05-05","2018-05-06","2018-05-06","2019-05-13","2019-09-13","2020-05-12","2021-03-04","2020-05-12","2019-05-13","2020-09-01","2020-05-15","2018-05-16","2018-05-16","2018-05-16","2018-05-16","2021-01-12","2020-11-09","2021-05-27","2021-05-27","2018-05-16","2018-05-16","2018-05-16","2021-05-25","2019-05-16","2021-03-24","2020-09-30","2021-05-30","2020-09-04","2021-01-28","2019-05-24","2020-05-27","2020-05-27","2020-07-07","2020-05-27","2020-05-28","2019-07-30","2020-09-09","2020-06-04","2021-01-28","2020-09-10","2018-07-10","2018-06-08","2018-06-08","2020-01-29","2018-07-13","2018-06-12","2018-06-12","2019-08-14","2019-06-13","2021-03-24","2021-03-12","2021-05-11","2021-04-09","2019-06-19","2021-01-28","2018-06-27","2018-06-27","2020-07-02","2020-07-02","2018-07-10","2019-04-02","2018-07-13","2018-07-13","2020-10-08","2018-07-13","2018-07-13","2020-09-29","2018-07-19","2021-03-24","2018-07-13","2020-08-01","2018-07-13","2021-06-23","2020-07-14","2020-10-27","2018-07-19","2020-10-08","2021-02-19","2020-08-01","2018-08-07","2019-08-07","2019-08-07","2019-08-07","2019-08-14","2021-03-18","2021-02-08","2019-08-14","2019-08-14","2021-01-07","2019-08-14","2019-08-14","2019-08-14","2018-08-23","2021-01-28","2019-09-06","2020-09-10","2020-09-10","2019-09-27","2019-09-13","2019-09-13","2019-09-27","2018-09-25","2018-09-25","2021-06-18","2019-04-02","2018-09-27","2019-09-27","2019-09-27","2021-05-27","2021-04-20","2020-09-29","2019-10-01","2019-10-01","2020-10-08","2021-05-27","2021-03-24","2021-04-13","2020-10-08","2020-10-08","2020-10-07","2020-10-07","2020-10-08","2018-10-11","2018-10-11","2018-12-19","2018-12-19","2018-12-19","2018-10-22","2018-10-22","2018-10-22","2020-02-25","2020-11-12","2019-11-04","2019-11-04","2018-11-06","2021-06-23","2021-06-23","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2021-01-06","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2021-06-02","2021-02-21","2021-02-21","2021-01-28","2020-11-24","2020-11-27","2020-11-28","2021-06-23","2018-12-13","2018-12-19","2020-01-03","2020-01-03","2020-01-03","2020-01-18","2020-02-14","2020-02-04","2020-01-22","2020-01-29","2020-02-12","2019-02-14","2019-02-14","2020-02-14","2020-02-14","2020-02-14","2020-02-14","2020-02-14","2020-02-15","2020-02-15","2020-02-24","2020-02-25","2020-02-25","2020-11-05","2019-02-19","2020-02-19","2020-02-25","2020-02-27","2020-02-27","2021-01-21","2020-02-27","2019-02-28","2021-02-19","2019-03-02","2019-03-02","2018-03-05","2021-03-16","2019-03-05","2019-03-05","2019-03-05","2018-04-13","2018-03-06","2021-05-05","2018-03-06","2021-01-28","2019-03-30","2019-03-07","2019-03-11","2019-03-11","2019-03-11","2019-03-11","2019-03-12","2019-03-30","2018-03-31","2018-03-31","2018-03-31","2018-03-31","2019-04-02","2020-04-02","2018-04-03","2018-04-16","2018-04-16","2018-04-09","2021-05-29","2018-04-14","2021-05-27","2018-04-17","2020-04-17","2020-04-17","2020-04-17","2020-04-17","2018-04-20","2018-04-23","2018-04-23","2020-04-23","2020-11-23","2020-11-24","2020-12-02","2021-01-07","2021-01-07","2021-05-06","2021-05-11","2021-02-17","2021-01-20","2021-01-21","2021-01-21","2021-06-18","2021-06-02","2021-06-18","2021-03-15","2021-03-24","2021-01-28","2021-01-28","2021-05-30","2021-03-15","2021-03-16","2021-03-16","2021-04-16","2021-03-18","2021-03-22","2021-05-30","2021-05-07","2021-06-02","2021-04-21","2021-01-21","2021-02-12","2021-06-23","2021-05-06","2021-06-23","2021-05-27","2021-03-02","2021-04-16","2021-05-11","2021-05-27","2021-05-27","2021-05-27","2021-05-27","2021-06-02","2021-06-02","2021-06-23","2021-06-23","2021-06-25","2021-06-25","2021-06-25"],"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":[["","85134107","ASMANEX 30","AER 220MCG","","Select","Select",""],["","65162075550","DIVALPROEX","TAB 250MG ER","","Select","Select",""],["","591024005","LORAZEPAM","TAB 0.5MG","","Select","Select",""],["","76125090020","GAMMAKED","INJ 20GM\/200","","Select","Select",""],["","143314250","DOXYCYCL HYC","CAP 100MG","","Select","Select",""],["","378037301","HYDROXYCHLOR","TAB 200MG","","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","","Select","Select",""],["","8470355001","UNIFINE PNTP","MIS 31GX3\/16","","Select","Select",""],["","60505257909","ATORVASTATIN","TAB 20MG","","Select","Select",""],["","378075110","CYCLOBENZAPR","TAB 10MG","","Select","Select",""],["","781183001","PROMETHAZINE","TAB 25MG","","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","","Select","Select",""],["","93729505","CARVEDILOL","TAB 12.5MG","","Select","Select",""],["","378617301","METOLAZONE","TAB 5MG","","Select","Select",""],["","65162090209","ARIPIPRAZOLE","TAB 30MG","","Select","Select",""],["","17478076306","DRONABINOL","CAP 10MG","","Select","Select",""],["","50111044102","TRAZODONE","TAB 150MG","","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","","Select","Select",""],["","68382060010","POT CHLORIDE","TAB 10MEQ ER","","Select","Select",""],["","68382011405","RISPERIDONE","TAB 1MG","","Select","Select",""],["","597007541","SPIRIVA","CAP HANDIHLR","","Select","Select",""],["","406051201","OXYCOD\/APAP","TAB 5-325MG","","Select","Select",""],["","16714065202","CIPROFLOXACN","TAB 500MG","","Select","Select",""],["","378020810","FUROSEMIDE","TAB 20MG","","Select","Select",""],["","168005546","BETAMETH DIP","CRE 0.0005","","Select","Select",""],["","47781030701","NITROFUR MAC","CAP 50MG","","Select","Select",""],["","781261305","AMOXICILLIN","CAP 500MG","","Select","Select",""],["","16714066202","GABAPENTIN","CAP 300MG","","Select","Select",""],["","65862001905","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","93317431","ALBUTEROL SUL","FAT E","","Select","Select",""],["","88221905","LANTUS SOLOS","INJ 100\/ML","","Select","Select",""],["","59310057922","PROAIR HFA","AER ","","Select","Select",""],["","33332042010","AFLURIA QUAD","INJ 2020-21","","Select","Select",""],["","65862018730","ONDANSETRON","TAB 4MG","","Select","Select",""],["","310737020","BUDES\/FORMOT","AER 160-4.5","","Select","Select",""],["","781502207","METHYLPRED","TAB 4MG","","Select","Select",""],["","53746019010","NAPROXEN","TAB 500MG","","Select","Select",""],["","50111091701","TORSEMIDE","TAB 20MG","","Select","Select",""],["","54001925","PREDNISONE","TAB 50MG","","Select","Select",""],["","45802005535","TRIAMCINOLON","OIN 0.001","","Select","Select",""],["","16714047801","AMOX\/K CLAV","TAB 875-125","","Select","Select",""],["","591379783","ALBUTEROL","NEB 0.00083","","Select","Select",""],["","56151014201","TRUEDRAW","MIS LANC DEV","","Select","Select",""],["","60432053716","NYSTATIN","SUS 100000","","Select","Select",""],["","42799012101","BUMETANIDE","TAB 2MG","","Select","Select",""],["","56151146304","TRUE METRIX","TES GLUCOSE","","Select","Select",""],["","61442010310","DICLOFENAC","TAB 75MG DR","","Select","Select",""],["","53489014601","SMZ\/TMP DS","TAB 800-160","","Select","Select",""],["","16714023501","PENICILLN VK","TAB 500MG","","Select","Select",""],["","56151014701","TRUPLUS LANC","MIS 33G","","Select","Select",""],["","168035730","LIDO\/PRILOCN","CRE 2.5-2.5%","","Select","Select",""],["","781223410","OMEPRAZOLE","CAP 40MG","","Select","Select",""],["","406051201","OXYCOD\/APAP ","TAB 5-325MG","56","Select","Select",""],["","85134107","ASMANEX ","AER 220MCG","1","Select","Select",""],["","47781030301","NITROFURANTN ","CAP 100MG","28","Select","Select",""],["","76125090020","GAMMAKED ","INJ 20GM\/200","2,200.00","Select","Select",""],["","378075110","CYCLOBENZAPR ","TAB 10MG","90","Select","Select",""],["","591024005","LORAZEPAM ","TAB 0.5MG","15","Select","Select",""],["","781183001","PROMETHAZINE ","TAB 25MG","30","Select","Select",""],["","8470355001","UNIFINE ","MIS 31GX3\/16","100","Select","Select",""],["","65162075550","DIVALPROEX ","TAB 250MG ER","168","Select","Select",""],["","16714066202","GABAPENTIN ","CAP 300MG","90","Select","Select",""],["","378037301","HYDROXYCHLOR ","TAB 200MG","30","Select","Select",""],["","143314250","DOXYCYCL ","CAP 100MG","20","Select","Select",""],["","31722071390","PANTOPRAZOLE ","TAB 40MG","60","Select","Select",""],["","61442010310","DICLOFENAC ","TAB 75MG DR","60","Select","Select",""],["","93729505","CARVEDILOL ","TAB 12.5MG","180","Select","Select",""],["","60505257909","ATORVASTATIN ","TAB 20MG","90","Select","Select",""],["","50111045001","TRAZODONE ","TAB 150MG","28","Select","Select",""],["","68382011405","RISPERIDONE ","TAB 1MG","56","Select","Select",""],["","65162090203","ARIPIPRAZOLE ","TAB 30MG","28","Select","Select",""],["","17478076306","DRONABINOL ","CAP 10MG","60","Select","Select",""],["","168005546","BETAMETH ","CRE 0.0005","45","Select","Select",""],["","378617301","METOLAZONE ","TAB 5MG","30","Select","Select",""],["","68382060010","POT  CHLORIDE","TAB 10MEQ ER","60","Select","Select",""],["","63304069301","CLINDAMYCIN ","CAP 300MG","30","Select","Select",""],["","597007541","SPIRIVA ","CAP HANDIHLR","30","Select","Select",""],["","16714023501","PENICILLN ","TAB 500MG","30","Select","Select",""],["","310737020","BUDES\/FORMOT ","AER 160-4.5","10.2","Select","Select",""],["","45802005535","TRIAMCINOLON ","OIN 0.001","15","Select","Select",""],["","185061501","HYDROXYZ ","CAP 50MG","60","Select","Select",""],["","781144605","FUROSEMIDE ","TAB 80MG","60","Select","Select",""],["","50111091701","TORSEMIDE ","TAB 20MG","60","Select","Select",""],["","16714004112","ALLOPURINOL ","TAB 100MG","30","Select","Select",""],["","16714008401","SPIRONOLACT ","TAB 25MG","30","Select","Select",""],["","16714065202","CIPROFLOXACN ","TAB 500MG","20","Select","Select",""],["","47781030701","NITROFUR ","CAP 50MG","30","Select","Select",""],["","65862001905","CEPHALEXIN ","CAP 500MG","28","Select","Select",""],["","42799012101","BUMETANIDE ","TAB 2MG","60","Select","Select",""],["","53746019010","NAPROXEN ","TAB 500MG","60","Select","Select",""],["","781261305","AMOXICILLIN ","CAP 500MG","42","Select","Select",""],["","59310057922","PROAIR ","AER ","8.5","Select","Select",""],["","88221905","LANTUS ","INJ 100\/ML","15","Select","Select",""],["","93317431","ALBUTEROL ","FAT E","8.5","Select","Select",""],["","33332042010","AFLURIA ","INJ 2020-21","0.5","Select","Select",""],["","65862018730","ONDANSETRON ","TAB 4MG","30","Select","Select",""],["","54001925","PREDNISONE ","TAB 50MG","3","Select","Select",""],["","781502207","METHYLPRED ","TAB 4MG","21","Select","Select",""],["","16714047801","AMOX\/K ","TAB 875-125","20","Select","Select",""],["","53489014601","SMZ\/TMP ","TAB 800-160","20","Select","Select",""],["","168035730","LIDO\/PRILOCN ","2.5-2.5%","30","Select","Select",""],["","781223410","OMEPRAZOLE ","40MG","30","Select","Select",""],["","56151146304","TRUE ","GLUCOSE","100","Select","Select",""],["","56151014201","TRUEDRAW ","LANC DEV","1","Select","Select",""],["","56151014701","TRUPLUS ","33G","100","Select","Select",""],["","60432053716","NYSTATIN ","100000","473","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":"select","a10":[],"a11":"","a12":""}]}]}