{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Demo Member 3","gend":1,"add":"STREET 3","city":"RICHMOND","state":"VA","zip":12345,"dob":"1974-06-08","age":47,"mstatus":"Divorced","insh":111000028,"cliId":"A1B2C3D4E7","pno":"1234567890","cno":"9012390123","email":"","ename":"Fred","eno":"12345678","pphy":"AnyNP","ppno":"","pcpadd":"231 west street","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":"23333","pcpcounty":"","pcpid":"","pcpname":"","plan":"PLAN","program":"PROGRAM","lob":"LOB","region":"CNETRAL","aligned":"Y","ano":"3219012390","add2":"APT 4","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":[]},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]}]},{"t":"Self-Assessment and Social History","q":[{"a":{"indx":["","","","","1"],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1","","","","","",""],"comment":["","","","","","",""],"sub":{"indx":[[""]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"score":[0,0,0,0],"sub":{"indx":[["1","","","",""]],"comment":[["quit 30 years ago","","","",""]],"sub":{"indx":[[["","1","","",""]]],"comment":[[["","","","",""]]],"sub":[]}}}},{"a":{"index":"2","commentTxt":"","arr":[["Select","Select"]]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}}]},{"t":"Activities of Daily Living","q":[{"a":[{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]}]}]},{"t":"Medical History","q":[{"a":{"indx":["1"],"comment":[],"sub":{"indx":["","","","","","",""],"comment":[""],"sub":[]}}},{"index":0,"comment":"","sub":[{"sa0":"Psychiatrist","sa1":"Dr Strange","sa2":"depression"}]},{"a":[{"indx":["","","1","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}]},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["hysterectomy years ago"]],"comment":[[""]],"sub":[]}}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]},{"a":[{"indx":["","1",""],"comment":["","",""],"sub":[]},{"indx":["","1",""],"comment":["","",""],"sub":[]},{"indx":["","1",""],"comment":["","",""],"sub":[]},{"indx":["","1",""],"comment":["","",""],"sub":[]},{"indx":["","1",""],"comment":["","",""],"sub":[]},{"indx":["","1",""],"comment":["","",""],"sub":[]}]}]},{"t":"Family History","q":[{"index":0,"comment":"","sub":[{"sa0":"Mother","sa1":"history breast cancer","sa2":"still alive"}]}]},{"t":"Preventive Care","q":[{"arr":["Yes","Yes","No","No","Not Applicable","Not Applicable","Not Applicable","Don't Know","Yes"]},{"a":{"indx":["1","","","",""],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","1"],["","","1"]],"comment":[["","",""],["","",""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":1,"commentTxt":"","arr":[["",""]]}},{"a":{"comment":"","sub":[]}},{"a":{"index":1,"commentTxt":"","arr":[["",""]]}},{"a":{"indx":["1"],"comment":[],"sub":{"indx":["","","","","","",""],"comment":[""],"sub":[]}}},{"a":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","1"]],"comment":[["",""]],"sub":[]}},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","","","1","","","","","",""],"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":["1","",""],"comment":["","",""],"sub":[]},{"indx":["","1","",""],"comment":["","","",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}],"subgroup":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","1"],"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":["1",""],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","1","","","","","","","","","","","","","","","","","","","","","","",""],"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":[]},{"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":[]}]}],"subgroup":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"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":["occasional insomnia",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}},{"a":["",""]},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1","",""],"comment":["","",""],"sub":[]}]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]}]}]},{"a":{"indx":["1","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","1"],"comment":["","","","","","","","","",""],"sub":[]}},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"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":["","1"],"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":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","1"],"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":["1","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":[{"indx":["","1"],"comment":["","",""],"sub":[]}]}]},{"t":"Pain","q":[{"a":{"indx":["1",""],"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":["5","160","28.3","3",{"txt":""},{"malnutrition":[]}]}]},{"t":"Exam Review","q":[{"a":[{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"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":[[["Select","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["No","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":"2021-11-12T11:25","a3":"","a4":"","a5":"true","a6":"","a7":[],"a8":"","a9":"In Person","a10":[],"a11":"","a12":"true"}]}]}