{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NICOLE   C FOWLER","gend":1,"add":"342 SWALLOW RD","city":"RINGGOLD","state":"VA","zip":"24586-9998","dob":"1989-11-03","age":32,"mstatus":"","insh":"1005945*01","cliId":"","pno":"434\/390-5116","cno":"","email":"","ename":"","eno":"","pphy":"ADDIS, DANIEL M DO","ppno":"434\/791-7366","pcpadd":"219 PARKER ROAD","pcpcity":"DANVILLE","pcpstate":"VA","pcpzip":24540,"pcpcounty":"","pcpid":"","pcpname":"PIEDMONT FAMILY & OCCUPATIONAL MEDICINE","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/791-3438","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R41.3","R25.1","F41.8","F32.89","G47.10","S81.811A","W25.XXXA","S83.90XA","S81.819A","R56.9","R94.01","G40.909","F32.9","F41.9","F41.0","G25.81","R06.02","R06.2","R09.02","R00.0","J45.30","F43.20","J45.909","E55.9","D50.9","F70.","K86.1","Z90.410","M25.561","M25.562","M23.91","M23.92","R00.2","R26.9","G62.9","V58.89","M25.511","F43.23","R53.83","J10.1","NO DATA","T23.201A","J96.01","R11.2","E78.2","S40.021A","J45.40","R94.2","L50.9","J30.2","M54.2","S13.9XXA","M25.519","S63.509A","M79.643","R35.0","N39.0","M25.539","R82.81","R39.9","R30.9","Z20.828","K52.9","E88.89","R30.0","G47.00","Z90.49","Z90.411","E16.2","Z87.440","R63.8","J06.9","S16.1XXA","M54.16","F79.","R06.83","R26.89","G47.61","D64.9","R05.","G47.33","S81.011A","R10.9","R10.31","Q45.1","R63.1","J45.41","R10.33","R19.7","R11.0","S61.212A","W26.8XXA","R50.9","J20.9","Z20.822","M76.51","J18.9","Z30.46","Z30.017","M79.672","M54.6","N76.0","B37.3","B39.0","M77.9","S63.90XA","S66.919A","M79.641","R55.","R42.","G47.9","Z01.411","R31.9","Z97.5","N30.00","N89.8","J32.9","F82.","D22.5","D22.4","L30.1","F43.21","S40.029A","T14.8XXA","R07.89","M79.603","M54.9","J01.90","R73.9","E87.6","Z79.899","Z88.1","Z01.419","Z71.9","E66.3","Z92.29","M79.601","R62.50","R10.30","R14.3","W16.022D","R07.9","K86.89","T78.40XA","L03.90","M25.571","S93.411A","S83.8X1A","T78.49XA","G25.9","S90.31XA","Z00.00","R22.1","B34.9","S83.249A","J02.9","S90.32XA","N73.9","D23.72","Z23.","R10.2","Z11.3","Z12.4","M79.671","J30.89","J02.0","R05.9","R41.82","G40.89","T78.00XA","E87.2","T78.1XXA","J30.9","Z88.0","Z88.8","Z91.018","E87.1","J45.20","T78.09XA","Z88.6","K21.9","J45.991","R82.71","R47.9","Z91.81","Z91.014","J45.901","M25.552","S70.10XA","Z32.02","G47.09","R51.9","K59.00","J45.21","R65.10","Z87.2","R10.84","G93.40","F41.1","R13.10","R06.9","R06.1","R06.89","Z09.","Z87.892","L50.8","S80.12XA"],"date":["2022-11-01","2022-09-22","2022-08-04","2021-06-28","2021-09-16","2020-09-29","2020-09-29","2020-10-02","2020-10-02","2022-11-22","2020-10-13","2022-10-01","2021-08-09","2022-11-22","2022-11-22","2022-11-01","2022-09-09","2022-11-01","2022-10-01","2022-10-01","2022-02-23","2020-12-01","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-06-30","2021-05-11","2021-05-07","2021-05-07","2021-05-07","2021-07-09","2021-06-14","2021-08-02","2022-04-07","2022-07-18","2021-09-09","2021-12-29","2022-06-24","2020-02-07","2022-11-22","2020-11-10","2020-11-28","2021-03-10","2022-06-24","2021-09-23","2022-03-14","2021-11-18","2021-11-18","2022-11-01","2020-06-02","2020-06-02","2020-06-02","2020-08-08","2020-08-08","2020-08-08","2022-09-08","2020-08-08","2020-08-08","2021-01-03","2021-01-03","2021-01-03","2021-03-18","2021-03-08","2021-03-08","2021-03-08","2021-03-08","2021-03-08","2021-03-08","2021-03-08","2021-03-08","2021-08-20","2021-09-02","2021-09-02","2022-11-01","2021-11-02","2020-02-27","2020-02-27","2020-04-21","2020-04-27","2020-07-16","2020-09-29","2022-09-03","2020-10-30","2020-11-10","2020-11-10","2022-11-01","2021-02-02","2021-02-02","2021-05-25","2021-07-16","2021-07-16","2021-08-15","2021-08-15","2022-11-01","2020-03-11","2020-11-25","2022-02-01","2021-01-13","2021-06-11","2021-10-07","2020-05-23","2020-05-23","2020-05-23","2020-08-14","2020-08-14","2020-08-14","2020-08-14","2020-12-21","2022-09-22","2021-08-09","2020-04-16","2020-04-16","2020-04-16","2020-05-16","2020-05-16","2020-05-16","2020-10-20","2022-02-07","2022-02-07","2021-02-03","2022-11-08","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2020-03-14","2020-11-25","2022-10-02","2022-10-01","2022-11-01","2022-05-02","2022-05-02","2022-05-02","2022-05-02","2021-08-02","2022-03-03","2019-01-28","2019-01-28","2019-09-10","2019-09-13","2019-10-01","2022-09-07","2019-05-09","2019-08-09","2019-09-23","2019-09-23","2019-08-30","2019-09-17","2019-01-03","2019-03-18","2019-04-11","2019-05-24","2019-09-23","2022-08-13","2019-01-07","2019-01-19","2019-06-05","2019-11-24","2022-08-01","2019-01-21","2019-01-21","2019-08-06","2022-08-12","2022-08-13","2022-08-13","2022-09-03","2022-11-01","2022-09-08","2022-09-08","2022-07-20","2022-08-09","2022-09-10","2022-11-01","2022-09-10","2022-11-22","2022-10-11","2022-07-11","2022-07-11","2022-11-16","2022-02-21","2022-09-06","2022-09-06","2022-09-06","2022-09-06","2022-10-02","2022-01-21","2022-01-21","2022-05-02","2022-08-04","2022-11-01","2022-09-03","2022-10-01","2022-10-01","2022-03-14","2022-09-03","2022-09-07","2022-09-07","2022-03-13","2022-10-01","2022-10-01","2022-10-01","2022-09-21","2022-09-21","2022-11-01","2022-11-16"],"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":["",""],"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":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","","","",false],["","","","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","N\/A","",false],["","","","",false],["","","N\/A","",false],["","","N\/A","",false],{"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":[["","","ROPINIROLE","TAB 0.25MG","","Select","Select",""],["","00093585105","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","","PREDNISONE","TAB 10MG","","Select","Select",""],["","65862055990","PANTOPRAZOLE","TAB 20MG","30","Select","Select",""],["","","VITAMIN","TAB 2000UNIT","","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","49884046565","CHOLESTYRAM","POW 4GM","30","Select","Select",""],["","","CVS","TAB 10MG","","Select","Select",""],["","","CYCLOBENZAPR","TAB 5MG","","Select","Select",""],["","00172392570","DIAZEPAM","TAB 2MG","30","Select","Select",""],["","","OXCARBAZEPIN","TAB 300MG","","Select","Select",""],["","68382079101","ACYCLOVIR","TAB 400MG","30","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","","NABUMETONE","TAB 750MG","","Select","Select",""],["","","FERROUS","TAB 325MG","","Select","Select",""],["","00115169449","EPINEPHRINE","INJ 0.3MG","2","Select","Select",""],["","68462010340","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","","PROMETHAZINE","SYP DM","","Select","Select",""],["","16571041250","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","00143314250","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","80777027399","MODERNA","INJ COVID-19","0","Select","Select",""],["","49483034010","ACETAMIN","TAB 325MG","50","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10","Select","Select",""],["","","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","00173089310","TRELEGY","AER ELLIPTA","60","Select","Select",""],["","","SMZ\/TMP","TAB 800-160","","Select","Select",""],["","50580049698","TYLENOL","TAB 325MG","100","Select","Select",""],["","00310737020","BUDES\/FORMOT","AER 160-4.5","10","Select","Select",""],["","00143122701","DICYCLOMINE","TAB 20MG","20","Select","Select",""],["","59779076678","PAIN","TAB 325MG","100","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","15","Select","Select",""],["","59746011306","PROCHLORPER","TAB 5MG","30","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","50428043715","MAGNESIUM","TAB 500MG","60","Select","Select",""],["","58526000542","D","TAB 2000UNIT","90","Select","Select",""],["","59310057922","PROAIR","AER ","17","Select","Select",""],["","51672401801","ETODOLAC","TAB 400MG","60","Select","Select",""],["","","PRAMIPEXOLE","TAB 0.25MG","","Select","Select",""],["","","GABAPENTIN","CAP 300MG","","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","","PHENAZOPYRID","TAB 100MG","","Select","Select",""],["","00781707787","METRONIDAZOL","GEL 0.75%VAG","70","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","","CEFUROXIME","TAB 500MG","","Select","Select",""],["","","LEVEMIR","INJ ","","Select","Select",""],["","","CETIRIZINE","TAB 10MG","","Select","Select",""],["","","BUDESONIDE","SUS 0.25MG\/2","","Select","Select",""],["","","SILVER","CRE 0.01","","Select","Select",""],["","","CEFDINIR","CAP 300MG","","Select","Select",""],["","","PERFOROMIST","NEB 20MCG","","Select","Select",""],["","68163011136","GAS","CHW 80MG","30","Select","Select",""],["","00173069500","ADVAIR","AER 100\/50","60","Select","Select",""],["","66993058497","FLUTIC\/SALME","AER 100\/50","60","Select","Select",""],["","00032122407","CREON","CAP 24000UNT","270","Select","Select",""],["","57896079101","SIMETHICONE","CHW 80MG","30","Select","Select",""],["","45802006435","TRIAMCINOLON","CRE 0.001","15","Select","Select",""],["","29300022019","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","16714008210","HYDROXYZ","TAB 25MG","12","Select","Select",""],["","68645052254","SERTRALINE","TAB 50MG","30","Select","Select",""],["","16571020150","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","42192060704","BROM\/PSE\/DM","SYP ","120","Select","Select",""],["","00527193206","CLARITHROMYC","TAB 500MG","14","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}