{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHARLES DAVIS","gend":0,"add":"967 CHARLOTTE ST","city":"NORFOLK","state":"VA","zip":"23504-9998","dob":"1974-06-04","age":47,"mstatus":"","insh":"900034356*01","cliId":"2Y96C46RK75","pno":"757\/737-4867","cno":"757\/737-4867","email":"","ename":"","eno":"","pphy":"DONALDSON, NICOLE MD","ppno":"757\/227-6866","pcpadd":"SUITE 504 301 RIVERVIEW AVENUE","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23510,"pcpcounty":"","pcpid":161071,"pcpname":"Fort Norfolk Plaza Primary Care","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"Non-DSNP","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/277-0298","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M17.10","M19.90","L85.3","L60.2","B35.1","E11.00","R26.2","R06.89","R07.9","I48.0","I10.","E78.01","R94.31","I11.9","E11.69","R01.1","Z79.899","F17.210","J45.909","M23.203","M17.11","Z79.891","F19.20","F11.20","I48.2","M54.9","E11.9","M25.561","M25.562","M65.9","M71.22","M22.42","M25.462","J45.20","J44.9","G47.30","E66.01","K21.9","G47.33","Z87.891","I50.22","R51.","Z72.821","S14.3XXS","I48.20","N17.9","I48.92","I42.2","I48.19","Z68.42","I50.82","I95.9","I11.0","E78.5","Z79.01","Z82.49","Z80.6","Z83.3","Z79.82","Z79.4","Z79.51","M79.661","M79.89","I50.9","I48.91","E66.9","Z88.5","Z91.041","E11.65","E55.9","R06.00","G58.9","M54.16","M23.221","M94.261","M25.461","M23.239","R26.89","M79.2","R55.","R60.0","M17.0","M22.41","M79.676","J98.4","I42.9","I35.0","M1A.09X0","R29.818","I25.10","R53.1","R20.2","R20.0","G47.9","H52.13","H52.223","H52.4","R61.","I45.81","I51.7","E11.3291","H25.813","L73.0","M47.817","G47.09","D17.9","E87.6","E13.8","E11.649","M17.9","M22.40","F51.12","Z74.3","R91.8","J01.90","R53.83","Z03.818","M54.5","M17.12","M25.569","G56.01","L03.90","B35.3","E86.0","Z68.43","I50.32","E11.41","E11.51","I73.9","T50.2X5A","R60.1","M54.2","F51.02","R19.00","R70.0","M15.9","G90.512","G89.29","M47.812","R19.7","R09.02","J41.0","M54.12","M10.9","K62.5","K52.9","E66.8","I12.9","E11.22","N18.30","N18.32","N18.31","K05.10"],"date":["2021-06-07","2018-04-11","2019-10-23","2019-10-23","2019-10-23","2019-10-23","2019-06-26","2021-08-17","2021-08-17","2021-08-17","2021-09-08","2019-05-06","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-06-07","2019-05-06","2019-01-23","2018-06-05","2019-04-09","2021-10-13","2021-10-13","2021-10-13","2019-02-21","2020-09-03","2021-07-02","2021-10-13","2020-09-11","2019-02-26","2019-02-26","2019-02-26","2019-02-26","2021-08-16","2021-10-17","2021-10-13","2021-08-16","2021-04-30","2021-08-30","2021-08-16","2021-06-07","2020-04-21","2020-03-10","2020-03-10","2020-09-03","2021-07-30","2020-05-11","2020-05-11","2020-05-11","2020-09-12","2020-05-11","2021-06-29","2020-09-12","2021-09-08","2020-09-12","2020-05-11","2020-05-11","2020-05-11","2020-09-12","2021-08-13","2020-05-11","2020-09-12","2020-09-12","2020-09-12","2021-06-07","2021-08-04","2020-09-12","2020-09-12","2021-08-13","2021-06-29","2021-06-07","2021-07-13","2021-10-13","2018-05-12","2018-05-12","2018-05-12","2019-03-20","2018-09-07","2021-10-13","2019-01-17","2021-08-17","2020-05-19","2021-10-13","2019-10-23","2020-04-07","2020-05-12","2020-05-12","2020-05-19","2021-10-13","2021-08-13","2020-05-11","2018-08-13","2018-08-13","2018-08-13","2018-11-02","2018-11-02","2018-11-02","2019-01-12","2019-01-15","2021-08-17","2019-04-05","2020-11-16","2019-12-17","2021-06-07","2020-04-21","2020-11-05","2019-01-13","2019-01-12","2019-01-15","2020-07-28","2021-10-13","2019-12-02","2020-05-11","2020-05-11","2020-07-06","2020-07-06","2020-07-06","2021-04-26","2019-04-09","2019-07-09","2019-07-22","2020-12-03","2019-02-20","2019-01-13","2019-01-13","2020-05-11","2019-01-13","2019-01-13","2019-01-13","2019-01-13","2020-09-12","2021-10-13","2020-08-03","2018-07-13","2020-05-19","2020-05-19","2020-05-19","2020-05-19","2021-10-13","2021-05-06","2021-06-07","2021-08-16","2021-06-07","2021-09-08","2021-07-02","2021-07-02","2021-07-02","2021-08-04","2021-08-04","2021-06-16","2021-08-04","2021-08-17","2021-06-02"],"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]}},{"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","90","Select","Select",""],["","50228018005","GABAPENTIN","CAP 300MG","90","Select","Select",""],["","65162071009","COLCHICINE","TAB 0.6MG","30","Select","Select",""],["","10702005601","OXYCODONE","TAB 10MG","90","Select","Select",""],["","13668010401","ISOSORB MONO","TAB 30MG ER","90","Select","Select",""],["","69238149101","BUMETANIDE","TAB 2MG","180","Select","Select",""],["","597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","173088210","BREO ELLIPTA","INH 200-25","60","Select","Select",""],["","50458057930","XARELTO","TAB 20MG","30","Select","Select",""],["","59746021106","CYCLOBENZAPR","TAB 5MG","30","Select","Select",""],["","2143480","TRULICITY","INJ 1.5\/0.5","2","Select","Select",""],["","68382009501","CARVEDILOL","TAB 25MG","60","Select","Select",""],["","76204020025","ALBUTEROL","NEB 0.00083","300","Select","Select",""],["","65162063709","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","173068220","VENTOLIN HFA","AER ","18","Select","Select",""],["","6483703","PNEUMOVAX 23","INJ 25\/0.5","0","Select","Select",""],["","16729017301","AMITRIPTYLIN","TAB 50MG","30","Select","Select",""],["","143924920","AMOX\/K CLAV","TAB 875-125","14","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","45802046564","KETOCONAZOLE","SHA 0.02","120","Select","Select",""],["","64380073706","VITAMIN D","CAP 50000UNT","8","Select","Select",""],["","53885014301","ONETOUCH","MIS LANCETS","400","Select","Select",""],["","16714084401","AMIODARONE","TAB 200MG","360","Select","Select",""],["","2882427","HUMULIN R","INJ U-500","-6","Select","Select",""],["","53746054210","POT CHLORIDE","CAP 10MEQ ER","-60","Select","Select",""],["","527221537","METOLAZONE","TAB 2.5MG","90","Select","Select",""],["","67877022001","CEPHALEXIN","CAP 250MG","40","Select","Select",""],["","169643810","LEVEMIR","INJ FLEXTOUC","-15","Select","Select",""],["","2880559","HUMULIN N","INJ U-100KWP","-15","Select","Select",""],["","68382053701","POT CITRATE","TAB 1080MG","-180","Select","Select",""],["","27808015701","ROSUVASTATIN","TAB 20MG","30","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","60","Select","Select",""],["","65862015901","ZOLPIDEM","TAB 5MG","30","Select","Select",""],["","50742062001","NIFEDIPINE","TAB 30MG ER","90","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","45802006436","TRIAMCINOLON","CRE 0.001","80","Select","Select",""],["","43547035310","LISINOPRIL","TAB 10MG","90","Select","Select",""],["","16729013401","ALLOPURINOL","TAB 100MG","90","Select","Select",""],["","169413212","OZEMPIC","INJ 2\/1.5ML","2","Select","Select",""],["","51672130005","AMMONIUM LAC","LOT 0.12","225","Select","Select",""],["","591352530","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","60258017101","MAG OXIDE","TAB 400MG","30","Select","Select",""],["","68462063945","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","8290320550","BD PEN NEEDL","MIS 32GX5\/32","60","Select","Select",""],["","68462079917","NYSTAT\/TRIAM","OIN ","15","Select","Select",""],["","169633910","NOVOLOG","INJ FLEXPEN","15","Select","Select",""],["","781279010","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","2771559","BASAGLAR","INJ 100UNIT","15","Select","Select",""],["","24586903","TOUJEO SOLO","INJ 300IU\/ML","-6","Select","Select",""],["","88221905","LANTUS","INJ SOLOSTAR","15","Select","Select",""],["","2879959","HUMALOG KWIK","INJ 100\/ML","-15","Select","Select",""],["","41100080743","CORICIDIN","CAP CONG\/CGH","20","Select","Select",""],["","31871920","ROBIT CGH DM","CAP 10-200MG","20","Select","Select",""],["","64380073706","VITAMIN D ","","8","Select","Select",""],["","53885027025","ONETOUCH VERIO TEST STRIPS","","100","Select","Select",""],["","169643810","LEVEMIR FLEXTOUCH","","15","Select","Select",""],["","2821501","HUMULIN R ","","-10","Select","Select",""],["","68382053701","POTASSIUM CITRATE ER ","","-180","Select","Select",""],["","13668010401","ISOSORBIDE MONONITRATE ER ","","90","Select","Select",""],["","597010061","SPIRIVA RESPIMAT","","12","Select","Select",""],["","68382022714","AMIODARONE HCL","","180","Select","Select",""],["","2882427","HUMULIN R U-500 KWIKPEN","","-6","Select","Select",""],["","65162063709","PANTOPRAZOLE SODIUM","","30","Select","Select",""],["","50458057930","XARELTO ","","30","Select","Select",""],["","10702005601","OXYCODONE HCL ","","90","Select","Select",""],["","68462079917","NYSTATIN\/TRIAMCINOLONE","","15","Select","Select",""],["","65862057490","MONTELUKAST SODIUM ","","30","Select","Select",""],["","53746054210","POTASSIUM CHLORIDE ER","","-60","Select","Select",""],["","2143480","TRULICITY ","","2","Select","Select",""],["","16714084401","AMIODARONE HYDROCHLORIDE","","360","Select","Select",""],["","76204020025","ALBUTEROL SULFATE","","375","Select","Select",""],["","53885014301","ONETOUCH DELICA LANCETS EXTRA FINE 33G","","400","Select","Select",""],["","2771559","BASAGLAR KWIKPEN","","15","Select","Select",""],["","24586903","TOUJEO SOLOSTAR ","","6","Select","Select",""],["","2880559","HUMULIN N KWIKPEN","","-15","Select","Select",""],["","68462063945","NITROGLYCERIN ","","25","Select","Select",""],["","16729017301","AMITRIPTYLINE HYDROCHLORIDE ","","30","Select","Select",""],["","88221905","LANTUS SOLOSTAR ","","15","Select","Select",""],["","2879959","HUMALOG KWIKPEN ","","-15","Select","Select",""],["","16729017301","AMITRIPTYLINE HCL","","30","Select","Select",""],["","42858010201","OXYCODONE\/ACETAMINOPHEN","","60","Select","Select",""],["","27808015701","ROSUVASTATIN CALCIUM ","","30","Select","Select",""],["","169633910","NOVOLOG FLEXPEN ","","-15","Select","Select",""],["","59746021106","CYCLOBENZAPRINE HYDROCHLORIDE","","15","Select","Select",""],["","143924920","AMOXICILLIN\/CLAVULANATE POTASSIUM ","","14","Select","Select",""],["","10702005601","OXYCODONE HYDROCHLORIDE","","90","Select","Select",""],["","169413212","OZEMPIC ","","-2","Select","Select",""],["","41100080743","CORICIDIN HBP CHEST CONGESTION & COUGH","","20","Select","Select",""],["","8290320122","BD PEN NEEDLE\/NANO\/ULTRA -FINE\/32G X 4MM","","100","Select","Select",""],["","60258017101","MAGNESIUM OXIDE ","","30","Select","Select",""],["","45802006436","TRIAMCINOLONE ACETONIDE","","80","Select","Select",""],["","51672130005","AMMONIUM LACTATE","","225","Select","Select",""],["","597007541","SPIRIVA HANDIHALER ","","30","Select","Select",""],["","93317431","ALBUTEROL SULFATE HFA","","8","Select","Select",""],["","8290320550","BD PEN NEEDLE\/NANO 2ND GEN\/32G X 5\/32\"","","-60","Select","Select",""],["","31871920","ROBITUSSIN COUGH+CHEST CONGESTION DM","","20","Select","Select",""],["","50742062001","NIFEDIPINE ER ","","90","Select","Select",""],["","65862015901","ZOLPIDEM TARTRATE","","30","Select","Select",""],["","591352530","LIDOCAINE ","","30","Select","Select",""],["","93117401","PENICILLIN V POTASSIUM","","21","Select","Select",""],["","65162046650","IBUPROFEN ","","28","Select","Select",""],["","00088221905","LANTUS SOLOSTAR","","-15","Select","Select",""],["","00024586903","TOUJEO SOLOSTAR","","-6","Select","Select",""],["","68382053701","POTASSIUM CITRATE ER","","420","Select","Select",""],["","27808015701","ROSUVASTATIN CALCIUM","","30","Select","Select",""],["","65862057490","MONTELUKAST SODIUM","","30","Select","Select",""],["","00169633910","NOVOLOG FLEXPEN","","-15","Select","Select",""],["","16729017301","AMITRIPTYLINE HYDROCHLORIDE","","30","Select","Select",""],["","10702005601","OXYCODONE HCL","","60","Select","Select",""],["","00002879959","HUMALOG KWIKPEN","","15","Select","Select",""],["","13668010401","ISOSORBIDE MONONITRATE ER","","90","Select","Select",""],["","00143924920","AMOXICILLIN\/CLAVULANATE POTASSIUM","","14","Select","Select",""],["","68462063945","NITROGLYCERIN","","25","Select","Select",""],["","60258017101","MAGNESIUM OXIDE","","30","Select","Select",""],["","00597007541","SPIRIVA HANDIHALER","","30","Select","Select",""],["","50742062001","NIFEDIPINE ER","","90","Select","Select",""],["","65162046650","IBUPROFEN","","28","Select","Select",""],["","64380076921","PEG-3350\/NACL\/NA BICARBONATE\/KCL","","4000","Select","Select",""],["","00116200116","CHLORHEXIDINE GLUCONATE","0.12%","473","Select","Select",""],["","57237002801","AMOXICILLIN","500MG","30","Select","Select",""],["","31722070090","LOSARTAN POTASSIUM","25MG","90","Select","Select",""],["","53885065701","ONETOUCH VERIO","VERIO","1","Select","Select",""],["","53885092701","ONETOUCH VERIO REFLECT","VERIO RE","1","Select","Select",""],["","00597010061","SPIRIVA RESPIMAT                                                      ","SPR 2.5MCG","4","Select","Select",""],["","65862057490","MONTELUKAST SODIUM                                                    ","TAB 10MG","30","Select","Select",""],["","16714084401","AMIODARONE HYDROCHLORIDE                                              ","TAB 200MG","360","Select","Select",""],["","68382009501","CARVEDILOL                                                            ","TAB 25MG","-60","Select","Select",""],["","00002882427","HUMULIN R U-500 KWIKPEN                                               ","INJ U-500","-6","Select","Select",""],["","59746021106","CYCLOBENZAPRINE HYDROCHLORIDE                                         ","TAB 5MG","-30","Select","Select",""],["","50228018005","GABAPENTIN                                                            ","CAP 300MG","90","Select","Select",""],["","42799012101","BUMETANIDE                                                            ","TAB 2MG","-180","Select","Select",""],["","00031871920","ROBITUSSIN COUGH+CHEST CONGESTION DM                                  ","CAP 10-200MG","20","Select","Select",""],["","00173088210","BREO ELLIPTA                                                          ","INH 200-25","60","Select","Select",""],["","00002143480","TRULICITY                                                             ","INJ 1.5\/0.5","2","Select","Select",""],["","00169413212","OZEMPIC                                                               ","INJ 2\/1.5ML","2","Select","Select",""],["","27808015701","ROSUVASTATIN CALCIUM                                                  ","TAB 20MG","90","Select","Select",""],["","10702005601","OXYCODONE HYDROCHLORIDE                                               ","TAB 10MG","-90","Select","Select",""],["","00254200801","COLCHICINE                                                            ","TAB 0.6MG","30","Select","Select",""],["","13668010401","ISOSORBIDE MONONITRATE ER                                             ","TAB 30MG ER","90","Select","Select",""],["","00093317431","ALBUTEROL SULFATE HFA                                                 ","AER HFA","8","Select","Select",""],["","76204020025","ALBUTEROL SULFATE                                                     ","NEB 0.00083","-300","Select","Select",""],["","08290320122","BD PEN NEEDLE\/NANO\/ULTRA -FINE\/32G X 4MM                              ","MIS 32GX4MM","-100","Select","Select",""],["","68462063945","NITROGLYCERIN                                                         ","SUB 0.4MG","25","Select","Select",""],["","00527221537","METOLAZONE                                                            ","TAB 2.5MG","-90","Select","Select",""],["","60258017101","MAGNESIUM OXIDE                                                       ","TAB 400MG","30","Select","Select",""],["","16729017301","AMITRIPTYLINE HYDROCHLORIDE                                           ","TAB 50MG","30","Select","Select",""],["","00597007541","SPIRIVA HANDIHALER                                                    ","CAP HANDIHLR","30","Select","Select",""],["","00143924920","AMOXICILLIN\/CLAVULANATE POTASSIUM                                     ","TAB 875-125","20","Select","Select",""],["","50742062001","NIFEDIPINE ER                                                         ","TAB 30MG ER","90","Select","Select",""],["","50458057930","XARELTO                                                               ","TAB 20MG","30","Select","Select",""],["","08290320550","BD PEN NEEDLE\/NANO 2ND GEN\/32G X 5\/32\"                                ","MIS 32GX5\/32","-60","Select","Select",""],["","16729013401","ALLOPURINOL                                                           ","TAB 100MG","30","Select","Select",""],["","65862015901","ZOLPIDEM TARTRATE                                                     ","TAB 5MG","30","Select","Select",""],["","53885027210","ONETOUCH VERIO TEST STRIPS                                            ","TES VERIO","-300","Select","Select",""],["","41100080743","CORICIDIN HBP CHEST CONGESTION & COUGH                                ","CAP CONG\/CGH","20","Select","Select",""],["","43547035310","LISINOPRIL                                                            ","TAB 10MG","-90","Select","Select",""],["","31722071390","PANTOPRAZOLE SODIUM                                                   ","TAB 40MG","30","Select","Select",""],["","62037056001","POTASSIUM CHLORIDE ER                                                 ","CAP 10MEQ ER","180","Select","Select",""],["","51672130005","AMMONIUM LACTATE                                                      ","LOT 0.12","225","Select","Select",""],["","69547035302","NARCAN                                                                ","SPR ","2","Select","Select",""],["","00591352530","LIDOCAINE                                                             ","PAD 0.05","30","Select","Select",""],["","67877021901","CEPHALEXIN                                                            ","CAP 500MG","30","Select","Select",""],["","53885065701","ONETOUCH VERIO                                                        ","KIT VERIO","1","Select","Select",""],["","64380076921","PEG-3350\/NACL\/NA BICARBONATE\/KCL                                      ","SOL \/SODIUM","4000","Select","Select",""],["","57237002801","AMOXICILLIN                                                           ","TAB 500MG","30","Select","Select",""],["","31722070090","LOSARTAN POTASSIUM                                                    ","TAB 25MG","90","Select","Select",""],["","00116200116","CHLORHEXIDINE GLUCONATE                                               ","SOL 0.0012","473","Select","Select",""],["","64380073706","VITAMIN D                                                             ","CAP 50000UNT","12","Select","Select",""],["","53885092701","ONETOUCH VERIO REFLECT                                                ","KIT VERIO RE","1","Select","Select",""],["","00093117401","PENICILLIN V POTASSIUM                                                ","TAB 500MG","21","Select","Select",""],["","65162046650","IBUPROFEN                                                             ","TAB 800MG","28","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":"Virtual","a10":[],"a11":"","a12":""}]}]}