{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATHERINE   A HARRIS","gend":1,"add":"64 LOVERS LN","city":"MATHEWS","state":"VA","zip":"23109-9998","dob":"1963-11-01","age":58,"mstatus":"","insh":"20028733*01","cliId":"","pno":"804\/384-8213","cno":"804\/384-8213","email":"","ename":"","eno":"","pphy":"REYNOLDS, WAYNE J DO","ppno":"804\/210-1025","pcpadd":"SUITE 210 5659 PARKWAY DR","pcpcity":"GLOUCESTER","pcpstate":"VA","pcpzip":23061,"pcpcounty":"","pcpid":127045,"pcpname":"SMG - Sentara Family Medicine Physicians - Gloucester","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"804\/725-6684,8047256684","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/510-9062","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M32.9","M17.12","J44.9","K21.9","F31.77","Z13.6","R07.9","F31.9","F14.21","F10.21","R05.","Z20.828","R19.7","K58.0","Z71.89","F32.9","M54.5","E87.2","T40.1X1A","J69.0","E66.01","E87.70","F11.90","F14.90","F12.90","F17.210","F41.9","G47.33","M19.90","Z79.899","Z85.42","E88.01","A60.00","M46.40","M79.89","M12.9","N39.46","I10.","J00.","F33.1","L93.1","H90.41","B18.2","E66.9","N62.","J20.9","H66.91","J32.8","H66.43","H72.91","R04.0","J30.89","H92.03","Z72.0","R53.1","L90.5","L93.2","J44.1","H66.40","L24.9","L29.9","L70.8","H93.11","R09.81","G47.10","J45.909","Z68.41","R10.84","M25.512","M25.522","M25.571","R06.02","R10.9","R11.2","M79.644","T50.904A","J02.9","L73.9","R21.","L21.8","H93.293","M25.50","M35.01","H90.3","I50.32","I77.6","Z68.38","D48.5","L72.3","Z48.02","N30.00","M15.8","M25.511","M54.9","G89.29","E55.9","G47.30","B99.9","F17.200","R07.2","I21.09","R00.0","Z20.822","Z86.73","Z90.49","Z90.710","R11.10"],"date":["2021-09-09","2020-07-27","2021-09-09","2021-08-09","2021-08-09","2020-06-10","2021-08-04","2021-08-26","2021-10-21","2021-10-21","2020-11-27","2020-11-27","2021-09-10","2021-01-21","2021-01-21","2021-01-21","2021-01-21","2021-05-16","2021-05-18","2021-05-16","2021-05-16","2021-05-16","2021-05-16","2021-05-16","2021-05-16","2021-09-09","2021-05-16","2021-05-16","2021-09-09","2021-05-16","2021-05-16","2021-07-12","2021-07-12","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-02-05","2021-09-23","2020-06-03","2020-12-16","2020-09-18","2020-09-18","2020-10-20","2020-03-06","2020-03-06","2020-07-27","2020-03-13","2020-03-13","2020-03-13","2020-07-27","2020-05-06","2020-08-31","2020-09-01","2020-09-03","2020-11-03","2020-12-26","2020-02-28","2020-03-13","2020-03-13","2020-03-13","2020-07-27","2020-07-27","2020-07-27","2020-08-18","2020-08-18","2020-11-29","2020-09-01","2020-09-01","2020-09-01","2020-12-28","2021-01-23","2021-09-09","2021-02-15","2021-05-16","2020-02-05","2020-02-05","2020-03-23","2020-05-04","2020-06-10","2020-11-03","2020-11-03","2020-07-27","2020-01-20","2020-01-20","2020-01-20","2020-03-23","2020-04-01","2020-04-01","2020-08-21","2020-08-21","2020-08-21","2020-08-21","2020-08-21","2020-11-03","2021-05-18","2021-08-03","2021-08-04","2021-08-03","2021-08-09","2021-09-09","2021-09-09","2021-09-09","2021-09-09","2021-09-09","2021-09-10"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"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":[["","68462015713","ONDANSETRON ","4MG ODT","90","Select","Select",""],["","00378427577","VALACYCLOVIR ","500MG","30","Select","Select",""],["","68462039610","OMEPRAZOLE ","20MG","90","Select","Select",""],["","67253090150","ALPRAZOLAM ","0.5MG","60","Select","Select",""],["","67877025145","TRIAMCINOLON ","0.10%","454","Select","Select",""],["","13668000810","ZOLPIDEM ","10MG","30","Select","Select",""],["","96295012921","NEBULIZER ","ALLINONE","1","Select","Select",""],["","00093317431","ALBUTEROL ","HFA","8","Select","Select",""],["","00378623305","CITALOPRAM ","40MG","30","Select","Select",""],["","57237000511","FLUCONAZOLE ","150MG","1","Select","Select",""],["","00065853302","CIPRODEX ","0.3-0.1%","8","Select","Select",""],["","63824004124","MUCINEX ","120-1200","24","Select","Select",""],["","00781261305","AMOXICILLIN ","500MG","30","Select","Select",""],["","00527133850","DOXYCYC ","100MG","20","Select","Select",""],["","00591544305","PREDNISONE ","20MG","15","Select","Select",""],["","51672127304","FLUOCINONIDE ","0.05%","60","Select","Select",""],["","00093227534","AMOX\/K ","875-125","20","Select","Select",""],["","00093645198","ESOMEPRA ","40MG DR","30","Select","Select",""],["","61442010310","DICLOFENAC ","75MG DR","60","Select","Select",""],["","27808008602","HYD ","10-8\/5ML","50","Select","Select",""],["","42806071405","BENZONATATE ","100MG","30","Select","Select",""],["","00378803093","LANSOPRAZOLE ","30MG DR","30","Select","Select",""],["","16729017101","AMITRIPTYLIN ","10MG","30","Select","Select",""],["","65862018601","CLINDAMYCIN ","300MG","30","Select","Select",""],["","67877021905","CEPHALEXIN ","500MG","14","Select","Select",""],["","00093506101","HYDROXYZ ","25MG","30","Select","Select",""],["","41167431006","ALLEGRA-D ","12 HOUR","30","Select","Select",""],["","61314027105","OLOPATADINE ","0.10%","5","Select","Select",""],["","29300022010","MONTELUKAST ","10MG","30","Select","Select",""],["","45802091987","CETIRIZINE ","10MG","60","Select","Select",""],["","00781599401","HYDROXYCHLOR ","200MG","60","Select","Select",""],["","00115146845","LIDO\/PRILOCN ","2.5-2.5%","30","Select","Select",""],["","68382052960","CHOLESTYRAM ","4GM LITE","60","Select","Select",""],["","65162052110","PROMETHAZINE ","25MG","15","Select","Select",""],["","00591079401","DICYCLOMINE ","10MG","120","Select","Select",""],["","96295012324","D3 ","2000UNIT","90","Select","Select",""],["","59310057922","PROAIR ","","8","Select","Select",""],["","47781030301","NITROFURANTN ","100MG","10","Select","Select",""],["","00185041501","BUPROPION ","150MG SR","60","Select","Select",""],["","00115521116","COLESTIPOL ","1GM","180","Select","Select",""],["","51525011501","HYOSCYAMINE ","0.375 ER","60","Select","Select",""],["","00904576960","ARTHRTS ","650MG","180","Select","Select",""],["","64380073706","VITAMIN ","50000UNT","12","Select","Select",""],["","64376065740","BROM\/PSE\/DM ","","118","Select","Select",""],["","80777027310","MODERNA ","COVID-19","0","Select","Select",""],["","69547035302","NARCAN ","","2","Select","Select",""],["","59762330403","NITROGLYCERN ","0.4MG","25","Select","Select",""],["","69097015915","MELOXICAM ","15MG","30","Select","Select",""],["","69097015915","MELOXICAM","15MG","30","Select","Select",""],["","00378623305","CITALOPRAM","40MG","30","Select","Select",""],["","00378427577","VALACYCLOVIR","500MG","90","Select","Select",""],["","67253090150","ALPRAZOLAM","0.5MG","60","Select","Select",""],["","13668000810","ZOLPIDEM","10MG","30","Select","Select",""],["","00487950125","ALBUTEROL","0.08%","75","Select","Select",""],["","68462039610","OMEPRAZOLE","20MG","90","Select","Select",""],["","96295012921","NEBULIZER","ALLINONE","1","Select","Select",""],["","59310057922","PROAIR","","8","Select","Select",""],["","63824004124","MUCINEX","120-1200","24","Select","Select",""],["","00527133850","DOXYCYC","100MG","20","Select","Select",""],["","57237000511","FLUCONAZOLE","150MG","1","Select","Select",""],["","68462015713","ONDANSETRON","4MG ODT","90","Select","Select",""],["","00591544305","PREDNISONE","20MG","15","Select","Select",""],["","65862018601","CLINDAMYCIN","300MG","30","Select","Select",""],["","00781261305","AMOXICILLIN","500MG","30","Select","Select",""],["","42806071405","BENZONATATE","100MG","30","Select","Select",""],["","00065853302","CIPRODEX","0.3-0.1%","8","Select","Select",""],["","67877025145","TRIAMCINOLON","0.10%","454","Select","Select",""],["","41167431006","ALLEGRA-D","12 HOUR","30","Select","Select",""],["","00093506101","HYDROXYZ","25MG","30","Select","Select",""],["","45802091987","CETIRIZINE","10MG","60","Select","Select",""],["","00378803093","LANSOPRAZOLE","30MG DR","30","Select","Select",""],["","61314027105","OLOPATADINE","0.10%","5","Select","Select",""],["","51672127304","FLUOCINONIDE","0.05%","60","Select","Select",""],["","43598072101","HYDROXYCHLOR","200MG","60","Select","Select",""],["","29300022010","MONTELUKAST","10MG","30","Select","Select",""],["","00093645198","ESOMEPRA","40MG DR","30","Select","Select",""],["","61442010310","DICLOFENAC","75MG DR","60","Select","Select",""],["","16729017101","AMITRIPTYLIN","10MG","30","Select","Select",""],["","00591079401","DICYCLOMINE","10MG","120","Select","Select",""],["","96295012324","D3","2000UNIT","90","Select","Select",""],["","47781030301","NITROFURANTN","100MG","10","Select","Select",""],["","00115521116","COLESTIPOL","1GM","180","Select","Select",""],["","64380073706","VITAMIN","50000UNT","12","Select","Select",""],["","51525011501","HYOSCYAMINE","0.375 ER","60","Select","Select",""],["","00904576960","ARTHRTS","650MG","180","Select","Select",""],["","00185041501","BUPROPION","150MG SR","60","Select","Select",""],["","64376065740","BROM\/PSE\/DM","","118","Select","Select",""],["","68382052960","CHOLESTYRAM","4GM LITE","60","Select","Select",""],["","65162052110","PROMETHAZINE","25MG","15","Select","Select",""],["","80777027310","MODERNA","COVID-19","0","Select","Select",""],["","69547035302","NARCAN","","2","Select","Select",""],["","59762330403","NITROGLYCERN","0.4MG","25","Select","Select",""],["","67877021905","CEPHALEXIN","500MG","14","Select","Select",""],["","00093227534","AMOX\/K","875-125","20","Select","Select",""],["","27808008602","HYD","10-8\/5ML","50","Select","Select",""],["","00115146845","LIDO\/PRILOCN","2.5-2.5%","30","Select","Select",""],["","70461032103","FLUCLVX ","INJ 2021-22","0","Select","Select",""],["","59762106101","DIPHEN\/ATROP ","TAB 2.5MG","40","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","",""],["Yes","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":"select","a10":[],"a11":"","a12":""}]}]}