{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHRISTINA ROBINS","gend":1,"add":"225 RIVERS EDGE","city":"WILLIAMSBURG","state":"VA","zip":"23185-9998","dob":"1966-09-02","age":55,"mstatus":"","insh":"2049907*02","cliId":"","pno":"804\/357-8983","cno":"804\/357-8983","email":"","ename":"","eno":"","pphy":"BURKEY, ELIZABETH MD","ppno":"757\/564-8182","pcpadd":"227 MCLAWS CIRCLE","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23185,"pcpcounty":"","pcpid":127271,"pcpname":"","plan":"OHP","program":"ACA","lob":"Individual","region":"TIDEWATER","aligned":"","ano":"804\/357-8983","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/564-0077","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":["M25.512","S42.252S","K70.30","D69.6","F51.01","E55.9","Z13.220","F10.229","R07.9","F17.210","D69.59","K74.60","D63.8","R16.1","D72.819","T80.92XA","Z12.31","K70.10","Z68.24","F17.200","K80.20","G54.0","M75.02","S42.202S","L80.","L63.9","Z71.9","G47.00","F10.20","K76.9","J40.","J30.1","M24.812","M24.112","S82.832A","Z88.5","Z88.6","M25.572","G58.8","F41.9","D64.9","F10.10","F10.929","E80.6","R06.2","J44.9","Z68.25","Z47.89","S89.302A","J06.9","N30.90","R09.81","Z01.818","Z11.59","D70.9","Z01.84","Z01.812","M18.12","M25.522","M25.532","L29.9","I78.1","W57.XXXA","M79.602","T80.61XA","R50.84","I95.9","R50.81","M25.579","M79.89","R09.89","R05.","Z20.828","K76.6","G47.01","G25.81","Z72.0","E56.1","G89.29","Z79.899","G56.92","M25.472","R41.82","S09.90XA","S09.93XA","R06.02","R30.0","J32.9","J30.9","K72.90","Z12.39","S44.32XA","S43.005D","S44.92XS","Z72.89","F10.129","S00.80XA","F10.920","S43.012A","R51.9","S82.62XA","S82.832D","I82.402","Z98.890","B18.2","T74.31XA","N30.91","Z68.23","S00.83XA","S40.012A","M79.604","M79.605","Z12.11","M79.662","M79.661","Z11.3","R39.9","Z20.822","Z78.0","Z53.20","Z01.419"],"date":["2021-07-04","2020-02-27","2021-11-17","2020-12-12","2020-01-29","2020-01-29","2020-01-29","2020-07-12","2020-07-19","2021-07-04","2020-09-01","2021-05-13","2020-09-01","2020-12-12","2020-09-04","2020-09-04","2020-10-29","2020-12-14","2020-12-13","2020-12-14","2021-11-17","2020-01-07","2020-01-07","2020-01-07","2020-06-23","2020-01-20","2020-01-20","2020-04-10","2020-12-12","2021-07-04","2020-04-24","2020-04-24","2020-04-24","2020-04-24","2020-05-29","2021-07-04","2021-07-04","2020-11-17","2020-09-17","2020-09-17","2020-09-17","2021-07-04","2020-10-23","2020-12-12","2020-11-17","2021-05-19","2021-04-13","2020-01-07","2020-05-29","2020-08-12","2020-08-15","2020-12-12","2020-09-15","2020-09-15","2020-09-03","2020-09-03","2021-10-27","2020-01-07","2020-01-07","2020-01-07","2020-06-23","2020-06-23","2020-06-23","2020-07-29","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-11-17","2021-06-25","2020-12-17","2020-12-17","2020-12-17","2021-11-17","2021-05-19","2021-05-19","2021-05-19","2020-05-29","2020-05-29","2020-10-23","2020-09-17","2020-11-17","2020-12-01","2021-07-04","2020-12-01","2020-12-12","2021-04-02","2020-01-29","2020-01-29","2020-01-29","2020-01-29","2020-09-17","2020-08-05","2020-09-15","2020-10-23","2020-12-01","2020-12-01","2020-12-01","2021-07-04","2021-07-04","2020-05-28","2020-05-29","2020-08-04","2020-10-23","2020-12-12","2020-12-12","2020-12-12","2021-05-19","2021-07-04","2021-07-04","2021-06-25","2021-06-25","2021-05-23","2021-06-25","2021-06-25","2021-09-07","2021-09-07","2021-10-27","2021-11-17","2020-12-10","2021-11-08"],"priorHcc":["","",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":[["","00168000480","TRIAMCINOLON ","0.10%","80","Select","Select","",""],["","63646050050","CLOBETASOL ","0.05%","100","Select","Select","",""],["","71369002010","DOPTELET ","20MG","10","Select","Select","",""],["","69315011610","FUROSEMIDE ","20MG","30","Select","Select","",""],["","65862064163","AZITHROMYCIN ","250MG","6","Select","Select","",""],["","42858030101","HYDROMORPHON ","2MG","15","Select","Select","",""],["","00054327099","FLUTICASONE ","50MCG","16","Select","Select","",""],["","05928010008","SINUFLO ","RDYRINSE","1","Select","Select","",""],["","00121057716","LACTULOSE ","10GM\/15","473","Select","Select","",""],["","68462035701","POT  CHLORIDE","10MEQ ER","30","Select","Select","",""],["","69452015120","VITAMIN ","50000UNT","4","Select","Select","",""],["","65649030302","XIFAXAN ","550MG","60","Select","Select","",""],["","16729022517","SPIRONOLACT ","25MG","30","Select","Select","",""],["","00406052201","OXYCOD\/APAP ","7.5-325","18","Select","Select","",""],["","29135017203","CAL-MAG ","","90","Select","Select","",""],["","51672302002","LIDOCAINE ","5%","30","Select","Select","",""],["","00093310905","AMOXICILLIN ","500MG","21","Select","Select","",""],["","17478071710","KETOTIF ","0.025%OP","-5","Select","Select","",""],["","68382024701","BENZONATATE ","100MG","21","Select","Select","",""],["","45802008801","ALBUTEROL ","HFA","8","Select","Select","",""],["","59310057922","PROAIR ","","8","Select","Select","",""],["","57237007710","ONDANSETRON ","4MG ODT","12","Select","Select","",""],["","10702001801","OXYCODONE ","5MG","-20","Select","Select","",""],["","00228203150","ALPRAZOLAM ","1MG","90","Select","Select","",""],["","64380080707","IBUPROFEN ","800MG","30","Select","Select","",""],["","59651006605","OLOPATADINE ","0.20%","2","Select","Select","",""],["","00143992701","CIPROFLOXACN ","250MG","6","Select","Select","",""],["","69097094312","GABAPENTIN ","300MG","42","Select","Select","",""],["","50111043303","TRAZODONE ","50MG","60","Select","Select","",""],["","00536100901","FERROUS ","325MG","90","Select","Select","",""],["","31722053405","METHOCARBAM ","750MG","40","Select","Select","",""],["","00527293441","PREDNISONE ","20MG","6","Select","Select","",""],["","69315012710","FOLIC ","1000MCG","30","Select","Select","",""],["","13811071910","NITROFURANTN ","100MG","10","Select","Select","",""],["","00186037020","SYMBICORT ","160-4.5","10","Select","Select","",""],["","00310737020","BUDES\/FORMOT ","160-4.5","10","Select","Select","",""],["","71369002010","DOPTELET","20MG","10","Select","Select",""],["","00168000480","TRIAMCINOLON","0.10%","80","Select","Select",""],["","63646050050","CLOBETASOL","0.05%","100","Select","Select",""],["","00054327099","FLUTICASONE","50MCG","16","Select","Select",""],["","29135017203","CAL-MAG","","90","Select","Select",""],["","68462035701","POT CHLORIDE","10MEQ ER","90","Select","Select",""],["","69315011610","FUROSEMIDE","20MG","30","Select","Select",""],["","65862064163","AZITHROMYCIN","250MG","6","Select","Select",""],["","69452015120","VITAMIN","50000UNT","4","Select","Select",""],["","00406052201","OXYCOD\/APAP","7.5-325","18","Select","Select",""],["","17478071710","KETOTIF","0.025%OP","-5","Select","Select",""],["","16729022601","SPIRONOLACT","50MG","30","Select","Select",""],["","05928010008","SINUFLO","RDYRINSE","1","Select","Select",""],["","00121057716","LACTULOSE","10GM\/15","473","Select","Select",""],["","00093310905","AMOXICILLIN","500MG","21","Select","Select",""],["","65649030302","XIFAXAN","550MG","60","Select","Select",""],["","42858030101","HYDROMORPHON","2MG","15","Select","Select",""],["","51672302002","LIDOCAINE","5%","30","Select","Select",""],["","45802008801","ALBUTEROL","HFA","8","Select","Select",""],["","10702001801","OXYCODONE","5MG","20","Select","Select",""],["","59310057922","PROAIR","","8","Select","Select",""],["","68382024701","BENZONATATE","100MG","21","Select","Select",""],["","57237007710","ONDANSETRON","4MG ODT","12","Select","Select",""],["","00228203150","ALPRAZOLAM","1MG","90","Select","Select",""],["","64380080707","IBUPROFEN","800MG","30","Select","Select",""],["","00143992701","CIPROFLOXACN","250MG","6","Select","Select",""],["","50111043303","TRAZODONE","50MG","60","Select","Select",""],["","59651006605","OLOPATADINE","0.20%","2","Select","Select",""],["","00536100901","FERROUS","325MG","90","Select","Select",""],["","69097094312","GABAPENTIN","300MG","42","Select","Select",""],["","31722053405","METHOCARBAM","750MG","40","Select","Select",""],["","00527293441","PREDNISONE","20MG","6","Select","Select",""],["","69315012710","FOLIC","1000MCG","30","Select","Select",""],["","13811071910","NITROFURANTN","100MG","-10","Select","Select",""],["","00186037020","SYMBICORT","160-4.5","10","Select","Select",""],["","00310737020","BUDES\/FORMOT","160-4.5","10","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":[[["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["N\/A","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":""}]}]}