{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATTY E THOMAS","gend":1,"add":"3750 WILLIAMSON RD NW APT I","city":"ROANOKE  ","state":"VA","zip":"24012-9998","dob":"1964-04-22","age":57,"mstatus":"","insh":11006689,"cliId":"6UH1GT1NC06","pno":5408192987,"cno":5409043552,"email":"","ename":"","eno":"","pphy":"MAZEN MADHOUN MD LLC","ppno":5403975319,"pcpadd":"6002 Winnbrook Ln","pcpcity":"Roanoke  ","pcpstate":"VA","pcpzip":240187907,"pcpcounty":"","pcpid":"P0124193","pcpname":"SPRINGTREE HEALTH AND REHAB CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"3750 WILLIAMSON RD NW APT I","madd2":"","madd3":"","mcity":"ROANOKE  ","mstate":"VA","mzip":"24012-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["K70.31","F10.20","K72.90","E11.9","I11.0","I50.30","N39.0","F32.9","F41.9","D50.9","F17.210","E66.01","Z68.33","Z91.81","Z45.2","R18.8","K74.60","F25.1","E87.6","E78.5","E72.20","D72.829","R79.89","D72.819","I10","J45.909","Z86.718","Z86.73","R10.9","F10.10","Z79.899","E11.40","M79.671","M79.672","D64.9","F17.200","Z76.0","G62.9","M72.2","Z00.00","E11.42","K21.9","E11.65","E11.43","R29.6","E53.8","R45.89","Z91.14","E55.9","E83.51","K74.69","D50.8","F34.1","K58.8","Z79.84","Z74.09","R06.02","S80.811A","R60.0","Z71.89","M54.9","M25.562","M25.561","K70.30","F31.9","W06.XXXA","Y93.9","Y92.009","R51","M25.551","W19.XXXA","R07.9","R94.31","E11.649","R42","Z09","R77.0","J98.11","D61.818","K76.6","R14.0","E88.09","E87.70","G89.29","E66.9","Z72.0","R10.13","M79.621","S40.021A","M79.601","W18.12XA","Y92.002","T14.90XA","E87.8","H92.01","M54.40","J96.01","J90","D69.59","Z88.0","R91.8","F51.01","Z00.01","Z76.89","Z13.31","Z11.1","J34.89","H91.91","Z78.9","Z23","Z87.19","D69.6","D70.9","R76.8","R07.89","R93.89","E43","Z68.41","I27.20","I34.0","R10.84","R55","M54.5","R07.82","S20.229A","M54.2","W01.0XXA","S30.0XXA","S09.90XA","R40.2362","R40.2142","R40.2252","Z91.19","Z12.4","Z12.11","Z12.31","R10.33","R11.0","R11.2","H90.3","K46.9","H90.5","T14.8XXA","D72.810","R53.1","R11.10","R68.83","R16.1","K76.89","K42.9","M50.30","M47.812","M43.12","S01.81XA","R51.9","W01.10XA","S09.8XXA","Z74.3","M85.88","Z79.51","E72.4","Z20.822","E44.0","K70.40","Z53.20","Z87.891","Z68.25","Z79.52","R41.82","R07.81","S29.9XXA","S20.211A","S20.219A","R52","S20.212A","W18.2XXA","S22.31XA","S22.41XA","R06.00","W01.198A","Z79.4","S29.8XXA","H26.9","H91.90","N39.3","Z68.43","S05.90XA","S19.80XA","M48.02","S49.82XA","K72.00","G93.41","D63.8","N30.91","F41.8","B37.49","I25.10","I81","K52.9","A41.9","K55.069","K65.2","K55.059","I82.890","D73.5","F39","B95.2","Z79.01","W18.30XA","R62.7","R53.81","K59.00","J44.9","R19.00","Z20.828","R39.11","G93.40","S90.122A","D68.318","S80.01XA","S99.822A","M77.32","S89.81XA","R50.9","K72.91","M62.81","M79.675","R26.2","M79.673","R79.1","I48.91","E08.9","R78.81","R65.20","A41.81","Z88.1","I74.8","K72.10","I67.2","R00.0","N10","E80.6","M25.572","Z51.81","Z46.82","I08.0","R53.83","K65.9","F10.11","I70.0","T85.631A","Z68.34","K57.30","R41.0","I67.82","R30.0","R31.9","E44.1","F41.1","J06.9","R06.89","F32.A","G92.8","U07.1","T50.905A","F12.90","J98.4","R07.2","J12.82","J44.0","I50.9","Z68.28"],"date":["2021-10-19","2020-10-10","2021-11-02","2021-11-12","2021-11-12","2020-12-31","2021-11-02","2021-10-19","2021-08-11","2021-10-28","2021-06-02","2021-10-05","2020-10-10","2020-10-10","2021-06-17","2021-09-19","2021-10-05","2021-08-11","2021-10-15","2020-02-05","2021-05-26","2021-08-15","2020-01-25","2020-01-26","2021-10-28","2021-10-28","2021-10-28","2021-11-12","2021-09-29","2021-10-15","2019-09-25","2020-10-26","2020-10-26","2020-10-26","2021-10-07","2021-10-15","2020-10-26","2021-10-05","2020-10-28","2020-10-28","2021-08-13","2021-08-03","2021-09-19","2020-02-21","2021-06-02","2020-01-03","2019-11-26","2020-03-09","2020-02-21","2020-01-21","2020-01-26","2019-12-01","2019-12-01","2019-12-01","2021-03-22","2019-12-02","2021-11-13","2020-01-03","2021-07-06","2020-02-21","2020-01-11","2020-01-11","2020-01-11","2021-11-02","2021-06-15","2021-07-16","2020-02-09","2021-06-23","2020-01-11","2020-01-10","2021-06-02","2021-11-13","2020-01-25","2020-01-11","2020-01-11","2020-01-21","2020-01-25","2021-09-19","2020-01-25","2021-10-28","2021-07-06","2021-10-28","2020-01-25","2020-01-25","2021-11-12","2020-04-19","2020-09-01","2020-02-09","2020-02-09","2020-02-09","2020-02-09","2020-02-09","2021-07-16","2021-10-05","2020-02-21","2020-02-21","2020-04-20","2020-04-19","2021-10-15","2021-10-15","2021-11-13","2019-05-22","2019-03-26","2021-06-28","2019-03-26","2019-03-26","2019-03-26","2019-03-26","2019-03-26","2019-03-26","2019-03-26","2021-10-07","2019-08-29","2019-04-16","2021-04-04","2020-04-19","2021-11-02","2020-04-19","2020-12-28","2020-04-19","2021-09-29","2020-04-27","2021-02-05","2020-04-27","2020-04-27","2020-04-27","2021-07-16","2020-04-27","2021-01-21","2020-04-27","2020-04-27","2020-04-27","2021-09-19","2019-04-29","2019-08-08","2019-04-29","2020-07-04","2021-09-09","2021-03-22","2019-08-05","2019-08-08","2019-08-09","2020-08-11","2019-08-29","2021-10-07","2020-09-01","2020-09-01","2021-09-19","2021-01-01","2021-08-15","2021-01-21","2021-05-26","2021-01-21","2021-01-21","2021-01-21","2021-01-21","2021-06-15","2021-10-28","2021-02-05","2021-06-15","2020-12-28","2021-10-05","2020-12-28","2021-10-19","2020-12-28","2021-08-28","2020-12-28","2020-12-28","2021-10-28","2021-03-28","2021-05-26","2021-03-28","2021-03-27","2021-03-28","2021-03-28","2021-03-28","2021-04-04","2021-04-04","2021-07-06","2021-04-04","2021-11-12","2021-06-02","2020-02-05","2020-02-05","2020-02-05","2020-02-05","2021-05-26","2021-05-26","2021-05-26","2021-05-26","2021-10-07","2021-05-26","2021-05-27","2021-05-26","2021-05-28","2021-06-02","2021-06-09","2021-10-05","2021-06-15","2021-08-28","2021-08-28","2021-08-28","2021-06-15","2021-06-23","2021-08-28","2021-10-19","2021-07-29","2021-11-12","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2021-06-28","2021-06-30","2020-12-28","2021-06-03","2021-08-17","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-10-28","2021-10-28","2021-06-15","2021-07-16","2021-07-16","2021-07-16","2021-10-15","2021-08-28","2021-09-22","2021-09-22","2021-08-13","2021-08-13","2021-10-15","2021-08-03","2021-08-03","2021-08-18","2021-06-15","2021-06-15","2021-06-15","2021-06-24","2021-07-29","2021-08-13","2021-08-17","2021-08-17","2021-08-04","2021-09-02","2021-09-07","2021-09-09","2021-09-19","2021-09-19","2021-09-19","2021-09-19","2021-09-29","2021-09-29","2021-10-05","2021-10-05","2021-10-07","2021-10-05","2021-10-15","2021-10-28","2021-11-12","2021-10-28","2021-10-28","2021-11-13","2021-11-12","2021-11-12","2021-11-12","2021-11-12","2021-11-12"],"priorHcc":[null,"",null,null,null,"",null,null,null,null,"","","","","","","",null,"","","","","","",null,null,null,null,"","","","","","","","","","","","","","","","","","","","","","","","","","","","",null,"","","","","","",null,"","","","","","","",null,"","","","","","","",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":[["","6011231","JANUVIA","TAB 50MG","","Select","Select",""],["","93314705","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","65162089703","ARIPIPRAZOLE","TAB 5MG","","Select","Select",""],["","43547040611","CLONAZEPAM","TAB 0.5MG","","Select","Select",""],["","13107015630","PAROXETINE","TAB 30MG","","Select","Select",""],["","13668011690","LOSARTAN\/HCT","TAB 50-12.5","","Select","Select",""],["","93101042","MUPIROCIN","OIN 0.02","","Select","Select",""],["","10702000350","PROMETHAZINE","TAB 25MG","","Select","Select",""],["","65649030302","XIFAXAN","TAB 550MG","","Select","Select",""],["","68382032001","POT CHLORIDE","TAB 10MEQ ER","","Select","Select",""],["","406055201","OXYCODONE","TAB 5MG","","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","","Select","Select",""],["","65853302","CIPRODEX","SUS 0.3-0.1%","","Select","Select",""],["","65162010150","GABAPENTIN","CAP 100MG","","Select","Select",""],["","378718505","METFORMIN","TAB 500MG","","Select","Select",""],["","121057716","LACTULOSE","SOL 10GM\/15","","Select","Select",""],["","591079501","DICYCLOMINE","TAB 20MG","","Select","Select",""],["","57237001999","DULOXETINE","CAP 60MG","","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","","Select","Select",""],["","60505014202","GLIPIZIDE","TAB 10MG","","Select","Select",""],["","65162062711","TRAMADOL HCL","TAB 50MG","","Select","Select",""],["","115166101","PROPRANOLOL","TAB 40MG","","Select","Select",""],["","68462024805","RANITIDINE","TAB 150MG","","Select","Select",""],["","591352530","LIDOCAINE","PAD 0.05","","Select","Select",""],["","53885099425","ONETOUCH","TES ULTRA BL","","Select","Select",""],["","68462010530","ONDANSETRON","TAB 4MG","","Select","Select",""],["","53746051501","SPIRONOLACT","TAB 100MG","","Select","Select",""],["","54429931","FUROSEMIDE","TAB 40MG","","Select","Select",""],["","62332000131","FAMOTIDINE","TAB 20MG","","Select","Select",""],["","52817031910","BACLOFEN","TAB 5MG","","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","","Select","Select",""],["","68382011405","RISPERIDONE","TAB 1MG","","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","","Select","Select",""],["","193731150","CONTOUR","TES NEXT","","Select","Select",""],["","23155050105","HYDROXYZ HCL","TAB 25MG","","Select","Select",""],["","70954005930","PREDNISONE","PAK 10MG","","Select","Select",""],["","55111012205","ATORVASTATIN","TAB 20MG","","Select","Select",""],["","115180301","HYDROXYZ PAM","CAP 25MG","","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","","Select","Select",""],["","65862053750","LEVOFLOXACIN","TAB 500MG","","Select","Select",""],["","57237000511","FLUCONAZOLE","TAB 150MG","","Select","Select",""],["","59310057922","PROAIR HFA","AER ","","Select","Select",""],["","193658621","MICROLET","MIS LANCETS","","Select","Select",""],["","68382050010","OMEPRAZOLE","CAP 40MG","","Select","Select",""],["","43547040611","CLONAZEPAM ","TAB 0.5MG","90","Select","Select",""],["","193737701","CONTOUR ","KIT NEXT","1","Select","Select",""],["","591352530","LIDOCAINE ","PAD 0.05","15","Select","Select",""],["","13668011690","LOSARTAN\/HCT ","TAB 50-12.5","30","Select","Select",""],["","69097052444","DICLOFENAC ","GEL 0.01","200","Select","Select",""],["","13107015630","PAROXETINE ","TAB 30MG","30","Select","Select",""],["","6011231","JANUVIA ","TAB 50MG","30","Select","Select",""],["","65649030302","XIFAXAN ","TAB 550MG","60","Select","Select",""],["","93101042","MUPIROCIN ","OIN 0.02","22","Select","Select",""],["","68382032001","POT  CHLORIDE","TAB 10MEQ ER","60","Select","Select",""],["","93314705","CEPHALEXIN ","CAP 500MG","30","Select","Select",""],["","406055201","OXYCODONE ","TAB 5MG","8","Select","Select",""],["","13668021705","ARIPIPRAZOLE ","TAB 5MG","30","Select","Select",""],["","50111033402","METRONIDAZOL ","TAB 500MG","30","Select","Select",""],["","65862053750","LEVOFLOXACIN ","TAB 500MG","10","Select","Select",""],["","10702000350","PROMETHAZINE ","TAB 25MG","10","Select","Select",""],["","591079501","DICYCLOMINE ","TAB 20MG","120","Select","Select",""],["","65853302","CIPRODEX ","SUS 0.3-0.1%","7.5","Select","Select",""],["","68462010530","ONDANSETRON ","TAB 4MG","30","Select","Select",""],["","57237001999","DULOXETINE ","CAP 60MG","30","Select","Select",""],["","65162010250","GABAPENTIN ","CAP 300MG","90","Select","Select",""],["","31722071390","PANTOPRAZOLE ","TAB 40MG","14","Select","Select",""],["","53885024510","ONETOUCH ","TES ULTRA BL","100","Select","Select",""],["","378718505","METFORMIN ","TAB 500MG","90","Select","Select",""],["","59310057922","PROAIR ","AER ","8.5","Select","Select",""],["","121057716","LACTULOSE ","SOL 10GM\/15","900","Select","Select",""],["","55111012205","ATORVASTATIN ","TAB 20MG","90","Select","Select",""],["","53489032801","SPIRONOLACT ","TAB 50MG","30","Select","Select",""],["","115166101","PROPRANOLOL ","TAB 40MG","60","Select","Select",""],["","54429931","FUROSEMIDE ","TAB 40MG","30","Select","Select",""],["","60505014202","GLIPIZIDE ","TAB 10MG","120","Select","Select",""],["","57237000511","FLUCONAZOLE ","TAB 150MG","1","Select","Select",""],["","68462024805","RANITIDINE ","TAB 150MG","60","Select","Select",""],["","65162062711","TRAMADOL ","TAB 50MG","12","Select","Select",""],["","52817033200","CYCLOBENZAPR ","TAB 10MG","15","Select","Select",""],["","62332000131","FAMOTIDINE ","TAB 20MG","60","Select","Select",""],["","23155050105","HYDROXYZ ","TAB 25MG","90","Select","Select",""],["","52817031910","BACLOFEN ","TAB 5MG","90","Select","Select",""],["","70010075401","METHOCARBAM ","TAB 500MG","20","Select","Select",""],["","70954005930","PREDNISONE ","PAK 10MG","21","Select","Select",""],["","68382011405","RISPERIDONE ","TAB 1MG","30","Select","Select",""],["","60432003816","GENERLAC ","10GM\/15","600","Select","Select",""],["","193658621","MICROLET ","LANCETS","100","Select","Select",""],["","66993001968","ALBUTEROL ","HFA","18","Select","Select",""],["","68382050010","OMEPRAZOLE ","40MG","30","Select","Select",""],["","51672402801","WARFARIN ","2MG","30","Select","Select",""],["","59310057922","PROAIR","","8.5","Select","Select",""],["","08290320119","BD PEN NEEDL","31GX5MM","100","Select","Select",""],["","00088221905","LANTUS","100\/ML","3","Select","Select",""],["","00115164501","NITROFUR","100MG","20","Select","Select",""],["","60432003816","GENERLAC","10GM\/15","600","Select","Select",""],["","51672402801","WARFARIN","2MG","30","Select","Select",""],["","23155050105","HYDROXYZ","25MG","90","Select","Select",""],["","65162062711","TRAMADOL","50MG","12","Select","Select",""],["","00143992801","CIPROFLOXACN","500MG","28","Select","Select",""],["","00185012201","NITROFURANTN","100MG","20","Select","Select",""],["","49884084901","MIDODRINE","5MG","90","Select","Select",""],["","00088221905","LANTUS ","INJ 100\/ML","3","Select","Select",""],["","08290320119","BD  PEN NEEDL","MIS 31GX5MM","100","Select","Select",""],["","00115164501","NITROFUR ","CAP 100MG","20","Select","Select",""],["","00143992801","CIPROFLOXACN ","TAB 500MG","28","Select","Select",""],["","49884084901","MIDODRINE ","TAB 5MG","90","Select","Select",""],["","00781326268","ENOXAPARIN ","INJ 80\/0.8ML","4.8","Select","Select",""],["","00185012201","NITROFURANTN ","CAP 100MG","20","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":"select","a10":[],"a11":"","a12":""}]}]}