{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CIARA GRAY","gend":1,"add":"859 LEXINGTON ST APT B","city":"NORFOLK","state":"VA","zip":"23504-9998","dob":"1993-06-02","age":28,"mstatus":"","insh":"900035580*01","cliId":"","pno":"757\/647-2311","cno":"","email":"","ename":"","eno":"","pphy":"WHALEN, RICHARD M MD","ppno":"757\/446-5955","pcpadd":"SUITE 118 825 FAIRFAX AVE","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23507,"pcpcounty":"","pcpid":"","pcpname":"EVMS Ghent Family Medicine","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":7576235695,"add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/446-5242","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":["T14.90XA","T18.9XXA","F25.9","J45.909","O46.93","O99.353","G40.909","O99.513","O99.343","F79.","F32.9","F90.9","Z3A.29","Z79.899","Z45.2","L76.82","Z86.59","F99.","Z91.14","Z11.3","J34.89","R43.0","J34.2","F44.5","F33.2","F25.0","F70.","R19.00","R10.9","G89.29","O46.8X1","O41.8X10","Z3A.01","O09.92","N39.0","O26.892","O09.899","O35.9XX0","Z98.891","Z3A.25","Z84.89","O09.00","O26.852","O99.89","R10.2","Z3A.24","O9A.212","S49.92XA","S69.92XA","T76.21XA","X50.0XXA","O22.43","Z3A.32","K59.00","O64.1XX0","O36.8130","O36.8330","Z3A.33","Z37.0","Z91.5","Z91.410","Z83.3","Z39.1","Z34.82","Z34.83","F25.1","S39.92XA","S89.92XA","S46.912A","S39.012A","S80.02XA","M25.512","V87.7XXA","R41.82","R78.2","R53.1","F31.9","Z79.1","Z86.73","R42.","O26.891","Z3A.11","O20.8","O21.9","O99.331","O99.341","O99.511","F17.210","Z65.1","R11.2","O98.812","B37.3","O23.12","Z3A.18","R39.15","R10.32","O99.342","Z3A.23","F20.9","O09.90","J98.4","R91.8","R56.9","T71.193A","S10.81XA","M54.2","F14.10","M54.5","M25.562","V43.02XA","Y92.488","Y93.89","R07.81","R10.811","Z3A.16","M79.5","O09.892","O34.219","G89.18","S01.551A","S09.90XA","S19.9XXA","G89.28","O36.80X0","Z3A.13","R10.31","Y04.0XXA","O09.893","G40.89","Z3A.27","R73.09","O76.","I61.5","Z51.81","Z87.81","F31.70","Z04.3","W01.0XXA","O36.8120","Z74.3","Z04.9","F33.9","S61.012A","S61.411A","Z23.","R11.0","Z12.4","Z3A.20","R10.30","Z33.1","O35.1XX0","Z3A.12","F84.0","O99.512","O99.282","E16.2","O99.352","F91.3","F60.3","Z78.1","S39.91XA","O32.2XX0","R07.0"],"date":["2020-10-22","2019-11-10","2021-07-18","2021-10-19","2019-12-04","2020-01-04","2020-11-04","2020-01-04","2020-01-04","2021-07-18","2020-01-04","2021-06-14","2019-12-04","2021-08-23","2020-01-05","2021-04-06","2020-04-12","2020-04-16","2020-11-01","2020-08-14","2020-11-05","2020-11-05","2020-11-05","2020-11-21","2021-02-19","2021-01-18","2021-11-11","2021-06-07","2021-10-27","2021-05-06","2021-07-18","2021-07-18","2021-07-19","2021-09-14","2021-09-14","2021-10-27","2021-11-29","2021-11-29","2021-11-29","2021-11-29","2019-08-08","2019-09-17","2019-10-27","2019-11-07","2021-08-23","2019-11-10","2019-11-07","2020-10-04","2019-11-03","2019-11-03","2019-11-03","2019-12-27","2019-12-27","2021-06-14","2020-01-04","2020-01-04","2020-01-04","2020-01-04","2020-01-04","2020-01-04","2020-01-04","2020-01-04","2020-01-20","2020-01-20","2020-01-20","2021-11-11","2021-06-14","2021-06-14","2020-10-04","2020-10-05","2020-10-04","2020-10-04","2020-10-04","2020-11-04","2020-11-01","2020-11-04","2021-08-23","2020-11-01","2020-11-21","2020-11-21","2021-08-23","2021-08-24","2021-08-24","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2019-09-19","2019-09-19","2019-09-19","2021-10-13","2019-09-19","2019-10-24","2019-11-07","2019-10-24","2019-10-24","2021-11-19","2020-01-06","2020-01-06","2020-11-24","2020-05-23","2020-05-23","2020-05-23","2020-11-04","2021-06-14","2021-06-14","2021-06-14","2021-06-14","2021-06-14","2019-09-07","2019-09-07","2019-09-07","2021-04-20","2021-09-14","2021-10-13","2020-01-06","2020-10-22","2020-10-22","2020-10-22","2021-04-06","2021-09-01","2021-09-01","2019-11-04","2019-11-04","2019-11-22","2019-11-22","2019-11-22","2019-11-22","2020-01-04","2020-01-28","2020-06-30","2020-10-05","2020-11-02","2019-09-19","2019-09-19","2019-11-02","2020-11-01","2020-05-23","2020-11-24","2021-04-20","2021-04-20","2021-04-20","2021-07-18","2021-09-20","2021-10-27","2021-10-27","2019-08-06","2019-08-08","2019-08-08","2019-11-07","2019-11-07","2019-11-07","2019-11-07","2019-11-07","2019-11-07","2019-11-07","2019-11-07","2019-11-07","2020-01-04","2020-05-23"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"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":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false],"comment":["","","","","","","",""],"score":["","","","","","","",""]}}]},{"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":[],"textValue":""}}},{"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":[]},{"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":[{"a":[["","","","",""],["","","","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","N\/A","",""],["","","","",""],["","","N\/A","",""],["","","N\/A","",""],{"comment":""}]},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"comment":"","sub":[["","49483060450","IBUPROFEN                                                             ","800MG","-30","Select","Select",""],["","00904645780","DOK                                                                   ","100MG","30","Select","Select",""],["","42858010250","OXYCODONE\/ACETAMINOPHEN                                               ","5-325MG","18","Select","Select",""],["","39328010610","PRENATAL                                                              ","27-1MG","-30","Select","Select",""],["","00904585652","CALCIUM + D3                                                          ","600MG","60","Select","Select",""],["","42494030124","HYDROCORTISONE ACETATE                                                ","25MG","30","Select","Select",""],["","62756018488","OXCARBAZEPINE                                                         ","300MG","-90","Select","Select",""],["","55111016730","OLANZAPINE                                                            ","15MG","30","Select","Select",""],["","62332024331","FLUOXETINE HYDROCHLORIDE                                              ","20MG","30","Select","Select",""],["","00904759080","FEROSUL                                                               ","325MG","30","Select","Select",""],["","63044015005","PRENATAL VITAMINS PLUS LOW IRON                                       ","LOW IRON","30","Select","Select",""],["","69315013601","BENZTROPINE MESYLATE                                                  ","0.5MG","-60","Select","Select",""],["","00245010801","FERROUS SULFATE                                                       ","325MG EC","90","Select","Select",""],["","68382005001","MELOXICAM                                                             ","7.5MG","21","Select","Select",""],["","11822365670","RA ACETAMINOPHEN EXTRA STRENGTH                                       ","500MG","30","Select","Select",""],["","39328002430","LIDOCAINE                                                             ","4%","30","Select","Select",""],["","69784018014","POLYETHYLENE GLYCOL 3350                                              ","3350 NF","28","Select","Select",""],["","00904642281","PEG 3350                                                              ","","48","Select","Select",""],["","11822029233","RA LAXATIVE                                                           ","5MG EC","30","Select","Select",""],["","65862019105","CYCLOBENZAPRINE HYDROCHLORIDE                                         ","10MG","15","Select","Select",""],["","60505084805","AZELASTINE HCL                                                        ","0.15%","30","Select","Select",""],["","16571020110","DICLOFENAC SODIUM DR                                                  ","75MG DR","20","Select","Select",""],["","60432026415","FLUTICASONE PROPIONATE                                                ","50MCG","16","Select","Select",""],["","65162083366","DICLOFENAC SODIUM                                                     ","1%","100","Select","Select",""],["","11822010233","RA PAIN RELIEF ACETAMINOPHEN                                          ","500MG","30","Select","Select",""],["","50228018005","GABAPENTIN                                                            ","300MG","-15","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA                                                 ","HFA","-18","Select","Select",""],["","31604002766","PRENATAL MULTI +DHA                                                   ","","90","Select","Select",""],["","00173071920","FLOVENT HFA                                                           ","110MCG","-12","Select","Select",""],["","59267100002","PFIZER-BIONTECH COVID-19 VACCINE                                      ","COVID-19","0","Select","Select",""],["","59088081903","LIDOCAINE HCL\/HYDROCORTISONE ACETATE                                  ","3%-0.5%","28","Select","Select",""],["","00904699860","DOCUSATE SODIUM                                                       ","100MG","60","Select","Select",""],["","11822316500","RA COL-RITE                                                           ","100MG","60","Select","Select",""],["","76204020025","ALBUTEROL SULFATE                                                     ","0.08%","-75","Select","Select",""]]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}}]},{"t":"Review of Systems and Diagnoses","q":[{"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":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[]}]}},{"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":["","","",""]},{"indx":["","","","","",false],"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":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false],"comment":["","","",""],"score":["","","",""]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"t":"Pain","q":[{"a":{"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":{"indx":["","","",""],"sub":{"indx":[],"comment":[],"sub":[]}}}]},{"a":{"indx":["","","","","","","","",""],"comment":["","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"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":[]}]},{"a":[{"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":[]}]},{"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":[{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}}]},{"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":"","a13":""}]}]}