{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"APRIL   T NEWBY","gend":1,"add":"5573 BACCALAUREATE DR","city":"VIRGINIA BEACH","state":"VA","zip":"23462-9998","dob":"1965-08-05","age":55,"mstatus":"","insh":"900035875*01","cliId":"4GX6XG0AT51","pno":"757\/998-5829","cno":"757\/998-5829","email":"","ename":"","eno":"","pphy":"BONEY, ARON R MD","ppno":"757\/278-2240","pcpadd":"155 KINGSLEY LANE SUITE 400","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23505,"pcpcounty":"","pcpid":142722,"pcpname":"DEPAUL MEDICAL ASSOCIATES","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"757\/998-5829, ","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/489-6469","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":["K21.9","I10.","R73.01","M51.36","D86.0","J18.9","D86.9","J96.20","Z99.81","R00.0","Z86.718","S30.1XXA","R06.02","R30.0","Z87.891","J47.1","R11.2","R19.7","M54.16","M51.26","E55.9","R42.","Z88.8","Z91.048","Z79.899","J20.9","R10.9","J47.9","J44.9","J45.50","D86.82","R91.8","R07.9","R09.81","Z86.2","N32.81","N39.41","N39.3","R35.1","Z12.31","R06.00","E78.00","Z11.59","I83.813","Z68.38","M54.5","M50.30","M54.2","J84.10","R09.02","R20.0","R20.2","M62.838","R73.03","H04.123","Z87.01","R05.","M47.816","R29.898","J31.0","D64.9","R53.83","R39.81","K29.70","B96.81","M79.7","I27.20","M19.049","E78.5","K29.50","G89.29","Z00.00","Z23.","R07.89","R79.89","E11.9","H25.13","D86.89","S49.91XA","T14.8XXA","Z68.37","J06.9","Z91.09","R09.82","R11.10","R26.2","R20.8","R35.0","J15.6","J96.21","M48.061","R53.81","R68.83","R26.89","A41.9","J96.01","D86.2","R09.89","Z53.21","R11.0","J30.89","R47.02","H92.01","J96.11","R13.10","R10.84","Z87.19","R10.13","K92.1","R68.89","K21.00","Z79.01","G62.9","D25.9","R10.2","R50.9","E66.01","I82.409","Z51.81","K59.00","R10.10","K25.9","K64.8","R74.8","R10.30","Z80.1","Z83.3","Z80.8","Z78.0","R29.818","J32.2","M62.830","Z11.52","L30.9","D18.00","D22.9","L81.8","L82.1","Z12.83","Z71.9","Z68.36","Z01.810","R94.31","I50.22","H93.11","R52.","R53.1","J84.9","Z13.820","Z68.41","Z79.51","Z77.120","Z01.419","Z12.11"],"date":["2021-11-14","2021-11-14","2021-08-10","2021-10-14","2021-11-14","2021-09-02","2021-10-20","2019-08-06","2021-11-14","2019-08-23","2021-11-14","2019-08-09","2021-11-09","2020-01-21","2021-11-14","2021-07-23","2021-09-09","2019-11-18","2021-06-29","2019-12-04","2021-08-10","2020-02-19","2021-11-14","2021-10-20","2021-06-18","2020-01-21","2021-06-20","2021-11-04","2021-10-19","2021-08-17","2021-07-23","2021-06-20","2021-10-20","2020-05-10","2020-05-10","2021-05-04","2021-05-04","2021-05-04","2021-05-04","2021-09-24","2021-11-09","2020-04-23","2019-10-13","2019-12-17","2020-01-27","2021-06-10","2021-08-10","2019-12-12","2020-02-03","2021-09-02","2020-05-04","2021-10-26","2020-04-20","2020-04-20","2020-05-12","2019-08-23","2021-06-20","2019-11-26","2019-11-26","2021-09-02","2021-06-24","2020-04-23","2020-04-27","2021-07-06","2020-09-29","2021-05-21","2021-10-07","2021-05-21","2019-10-21","2019-10-21","2021-06-20","2019-10-21","2020-10-01","2021-10-20","2020-05-10","2021-10-07","2020-01-21","2021-10-07","2019-08-02","2019-08-02","2019-08-02","2019-08-23","2019-08-31","2019-08-23","2021-11-14","2021-10-06","2020-05-04","2021-05-19","2019-08-05","2019-08-05","2019-11-21","2020-03-07","2020-03-07","2021-10-14","2019-08-07","2019-08-07","2019-08-21","2020-02-15","2020-02-15","2021-09-09","2021-10-18","2021-10-18","2021-09-27","2021-10-07","2021-09-02","2021-11-14","2021-11-14","2021-05-14","2021-05-14","2021-05-14","2021-06-18","2021-06-20","2021-10-14","2021-09-24","2021-06-23","2021-06-02","2021-06-03","2021-06-02","2021-06-02","2021-09-09","2021-10-20","2021-06-24","2021-09-09","2021-09-09","2021-09-09","2021-05-18","2021-05-18","2021-05-18","2021-05-20","2021-05-28","2021-08-09","2021-09-16","2021-10-19","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2021-10-14","2021-06-02","2021-06-02","2021-06-03","2021-06-17","2021-06-18","2021-10-14","2021-11-09","2021-05-20","2021-06-03","2021-06-03","2021-07-23","2021-09-24","2021-09-24"],"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,"",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,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":[["","68645051554","Select","","30","Select","Select",""],["","57237001830","DULOXETINE HYDROCHLORIDE","","60","Select","Select",""],["","51663000500","OPTIMAL-D PACK","","4","Select","Select",""],["","68645014059","FAMOTIDINE","","180","Select","Select",""],["","57237007710","ONDANSETRON ODT ","","12","Select","Select",""],["","54418425","DEXAMETHASONE ","","6","Select","Select",""],["","57896070310","IRON","","90","Select","Select",""],["","904582360","VITAMIN D3","","90","Select","Select",""],["","173088710","TRELEGY ELLIPTA ","","180","Select","Select",""],["","50383061804","LOPERAMIDE HCL","","200","Select","Select",""],["","60505612902","BUDESONIDE NASAL SPRAY","","8","Select","Select",""],["","67877022210","GABAPENTIN","","60","Select","Select",""],["","1490003908","PEPTO-BISMOL","","354","Select","Select",""],["","173088210","BREO ELLIPTA","","180","Select","Select",""],["","43547040111","FUROSEMIDE","","90","Select","Select",""],["","469260290","MYRBETRIQ ","","30","Select","Select",""],["","68462046160","TROSPIUM CHLORIDE","","60","Select","Select",""],["","55111064530","OMEPRAZOLE","","180","Select","Select",""],["","316019330","HYDROCORTISONE","","30","Select","Select",""],["","29300046801","CLONIDINE HYDROCHLORIDE","","60","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE","50MCG","16","Select","Select",""],["","43598020452","AMOXICILLIN\/CLAVULANATE POTASSIUM","250\/5ML","300","Select","Select",""],["","00143988901","AMOXICILLIN","250\/5ML","-300","Select","Select",""],["","59762314001","AZITHROMYCIN","200\/5ML","360","Select","Select",""],["","68645051554","AMLODIPINE BESYLATE","5MG","90","Select","Select",""],["","59310058020","PROAIR RESPICLICK","","4","Select","Select",""],["","00054418425","DEXAMETHASONE","4MG","6","Select","Select",""],["","00173088710","TRELEGY ELLIPTA","ELLIPTA","180","Select","Select",""],["","10702000709","CYCLOBENZAPRINE HYDROCHLORIDE","10MG","90","Select","Select",""],["","00487950125","ALBUTEROL SULFATE","0.08%","-525","Select","Select",""],["","72205001390","PREGABALIN","75MG","180","Select","Select",""],["","00469260290","MYRBETRIQ","50MG","30","Select","Select",""],["","29033000305","SUCRALFATE","1GM","20","Select","Select",""],["","60505082701","IPRATROPIUM BROMIDE","0.06%","30","Select","Select",""],["","65162019011","NAPROXEN","500MG","20","Select","Select",""],["","42806054701","VITAMIN D","1.25MG","12","Select","Select",""],["","68382004001","PROMETHAZINE HCL","12.5MG","20","Select","Select",""],["","49035036654","","","30","Select","Select",""],["","59746017310","PREDNISONE","10MG","30","Select","Select",""],["","49035061246","EQ ALLERGY RELIEF","10MG","30","Select","Select",""],["","43598072101","HYDROXYCHLOROQUINE SULFATE","200MG","30","Select","Select",""],["","42806040021","METHYLPREDNISOLONE DOSE PACK","4MG","21","Select","Select",""],["","68645056354","IBUPROFEN","800MG","30","Select","Select",""],["","00406048410","ACETAMINOPHEN\/CODEINE","300-30MG","12","Select","Select",""],["","70010077001","METHOCARBAMOL","750MG","90","Select","Select",""],["","00143988901","AMOXICILLIN                                                           ","SUS 250\/5ML","300","Select","Select",""],["","43598020452","AMOXICILLIN\/CLAVULANATE POTASSIUM                                     ","SUS 250\/5ML","300","Select","Select",""],["","68645051554","AMLODIPINE BESYLATE                                                   ","TAB 5MG","90","Select","Select",""],["","59762314001","AZITHROMYCIN                                                          ","SUS 200\/5ML","-360","Select","Select",""],["","60505612902","BUDESONIDE NASAL SPRAY                                                ","SUS 32MCG","8","Select","Select",""],["","00173088710","TRELEGY ELLIPTA                                                       ","AER ELLIPTA","180","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE                                                ","SPR 50MCG","16","Select","Select",""],["","67877022210","GABAPENTIN                                                            ","CAP 100MG","60","Select","Select",""],["","57237001930","DULOXETINE HYDROCHLORIDE                                              ","CAP 60MG","30","Select","Select",""],["","50383061804","LOPERAMIDE HCL                                                        ","LIQ 1MG\/5ML","200","Select","Select",""],["","00054418425","DEXAMETHASONE                                                         ","TAB 4MG","6","Select","Select",""],["","00904582360","VITAMIN D3                                                            ","TAB 400UNIT","90","Select","Select",""],["","00173088210","BREO ELLIPTA                                                          ","INH 200-25","180","Select","Select",""],["","59310058020","PROAIR RESPICLICK                                                     ","AER ","4","Select","Select",""],["","57896070310","IRON                                                                  ","TAB 325MG","90","Select","Select",""],["","01490003908","PEPTO-BISMOL                                                          ","SUS 262\/15ML","354","Select","Select",""],["","10702000709","CYCLOBENZAPRINE HYDROCHLORIDE                                         ","TAB 10MG","90","Select","Select",""],["","68462046160","TROSPIUM CHLORIDE                                                     ","TAB 20MG","60","Select","Select",""],["","00487950125","ALBUTEROL SULFATE                                                     ","NEB 0.00083","-525","Select","Select",""],["","72205001390","PREGABALIN                                                            ","CAP 75MG","180","Select","Select",""],["","29033000305","SUCRALFATE                                                            ","TAB 1GM","20","Select","Select",""],["","68645014059","FAMOTIDINE                                                            ","TAB 20MG","28","Select","Select",""],["","00469260290","MYRBETRIQ                                                             ","TAB 50MG","30","Select","Select",""],["","00316019330","HYDROCORTISONE                                                        ","CRE 0.025","30","Select","Select",""],["","43547040111","FUROSEMIDE                                                            ","TAB 20MG","90","Select","Select",""],["","42806054701","VITAMIN D                                                             ","CAP 1.25MG","12","Select","Select",""],["","60505082701","IPRATROPIUM BROMIDE                                                   ","SPR 0.0006","30","Select","Select",""],["","65162019011","NAPROXEN                                                              ","TAB 500MG","20","Select","Select",""],["","55111064530","OMEPRAZOLE                                                            ","CAP 40MG","180","Select","Select",""],["","0","                                                                      "," ","400","Select","Select",""],["","68382004001","PROMETHAZINE HCL                                                      ","TAB 12.5MG","20","Select","Select",""],["","29300046801","CLONIDINE HYDROCHLORIDE                                               ","TAB 0.1MG","60","Select","Select",""],["","00406048410","ACETAMINOPHEN\/CODEINE                                                 ","TAB 300-30MG","10","Select","Select",""],["","70010075401","METHOCARBAMOL                                                         ","TAB 500MG","-20","Select","Select",""],["","43598072101","HYDROXYCHLOROQUINE SULFATE                                            ","TAB 200MG","30","Select","Select",""],["","00456120330","LINZESS                                                               ","CAP 72MCG","30","Select","Select",""],["","16571040250","CETIRIZINE HYDROCHLORIDE                                              ","TAB 10MG","30","Select","Select",""],["","00023916360","RESTASIS                                                              ","EMU 0.0005","60","Select","Select",""],["","31722070090","LOSARTAN POTASSIUM                                                    ","TAB 25MG","30","Select","Select",""],["","59746017310","PREDNISONE                                                            ","TAB 10MG","60","Select","Select",""],["","62175048537","VERAPAMIL HCL ER                                                      ","CAP 100MG ER","-30","Select","Select",""],["","00173072020","FLOVENT HFA                                                           ","AER 220MCG","36","Select","Select",""],["","42806040021","METHYLPREDNISOLONE DOSE PACK                                          ","TAB 4MG","21","Select","Select",""],["","49035061246","EQ ALLERGY RELIEF                                                     ","TAB 10MG","30","Select","Select",""],["","68645056354","IBUPROFEN                                                             ","TAB 800MG","30","Select","Select",""],["","00173086910","ANORO ELLIPTA                                                         ","AER 62.5-25","180","Select","Select",""],["","50580064602","RHINOCORT ALLERGY                                                     ","SUS ALLERGY","8","Select","Select",""],["","68462015713","ONDANSETRON ODT                                                       ","TAB 4MG ODT","30","Select","Select",""]]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[]}}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":["",""]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["","",""],"comment":["","",""],"sub":[]}]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":[{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]}]}]},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","","","","","","","","",""],"comment":["","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]}]},{"t":"Pain","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}],[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]]}}]},{"t":"Vital Signs","q":[{"a":["","","","","",""]},{"a":["","","","",{"txt":""},{"malnutrition":[]}]}]},{"t":"Exam Review","q":[{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}]},{"t":"Screenings Needed","q":[[["Yes","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""]]]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":{"indx":["","","","",""],"comment":["","","","",""],"score":[0,0,0,0]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[""]},{"a":[""]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"","a12":""}]}]}