{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALLYSSA   C HOWELLS","gend":1,"add":"238 N MADISON ST","city":"ORANGE","state":"VA","zip":"22960-9998","dob":"1982-11-27","age":39,"mstatus":"","insh":"1487573*01","cliId":"","pno":"434\/465-9801","cno":"","email":"","ename":"","eno":"","pphy":"ARTALE, TERESA FNP","ppno":"540\/661-3004","pcpadd":"661 UNIVERSITY LN STE B","pcpcity":"ORANGE","pcpstate":"VA","pcpzip":22960,"pcpcounty":"","pcpid":"","pcpname":"UNIVERSITY OF VIRGINIA PHYSICIANS GROUP","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/661-3060","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F32.1","M25.541","M79.644","L40.50","Z79.899","E78.00","J42.","Z01.810","J34.89","L40.0","Z51.81","M65.311","Z98.890","K13.21","R09.81","J84.9","M54.5","M96.1","G60.9","G89.4","G50.0","M54.81","G56.03","R10.30","E86.0","NO DATA","R76.8","V58.89","S92.245A","I73.00","G47.33","M25.572","M76.72","M25.372","M79.2","Z23.","S93.402S","J34.2","F32.9","Z11.59","Z01.818","Z03.818","M54.2","M99.02","M54.9","M99.01","M99.08","M99.07","M99.00","J84.115","K21.9","K13.0","G43.909","G89.29","R20.0","R20.2","K52.9","R10.31","E04.2","S93.602A","S93.402A","R51.9","L68.0","R93.6","I99.8","I49.8","L40.9","L30.4","M85.88","Z00.00","R74.8","R79.89","R20.9","I73.9","R51.","L60.3","J02.9","J06.9","R93.5","R10.9","R11.2","S99.922A","M79.18","R68.89","E01.0","Z86.39","N92.6","E28.2","S93.325A","S90.32XA","R06.00","K90.9","D50.8","J45.41","R93.3","Z78.9","K14.8","M53.3","S93.602S","G56.00","S93.622A","T14.8XXA","W10.8XXA","Z47.89","M24.151","H53.40","H35.9","R06.02","H47.323","Z48.810","Z96.1","F32.89","G47.9","M79.641","H26.32","H26.9","J98.4","G47.10","E66.9","E87.5","F41.9","R00.2","E78.5","Q14.2","H47.321","H52.223","H25.043","M25.551","R26.9","M62.81","H26.31","Z98.84","K91.2","Z68.28","K75.81","M16.11","N23."],"date":["2021-12-06","2020-01-23","2020-06-01","2021-12-29","2021-11-01","2020-05-26","2021-12-03","2020-02-27","2020-06-22","2021-12-29","2021-12-29","2020-06-01","2020-07-13","2020-07-13","2020-07-13","2020-07-29","2021-07-01","2021-12-03","2021-03-29","2021-10-14","2021-12-30","2021-12-30","2020-12-14","2021-03-18","2021-03-18","2021-12-30","2021-11-01","2021-12-03","2021-08-26","2020-05-28","2021-11-30","2021-12-28","2021-12-03","2021-12-03","2021-12-03","2021-12-03","2021-12-03","2020-06-16","2021-12-15","2020-06-13","2020-06-13","2020-06-13","2021-02-23","2020-12-07","2021-02-23","2020-12-07","2020-12-07","2020-12-07","2020-12-07","2021-02-16","2021-02-16","2021-03-01","2021-09-07","2021-11-29","2021-03-10","2021-03-10","2021-03-22","2021-03-22","2021-11-01","2021-09-17","2021-09-17","2021-11-29","2021-11-01","2020-01-22","2020-01-22","2020-05-28","2020-12-16","2020-09-16","2020-11-30","2020-11-30","2021-11-01","2021-12-29","2020-02-10","2020-02-10","2020-08-24","2020-12-16","2020-12-22","2020-12-22","2021-03-13","2021-03-17","2021-03-13","2021-07-04","2021-07-13","2021-08-23","2021-07-29","2021-07-29","2020-08-26","2020-08-26","2021-08-05","2021-08-05","2021-02-16","2021-03-17","2021-03-17","2021-03-17","2021-06-02","2020-01-21","2020-01-21","2021-07-01","2021-09-17","2020-10-19","2021-07-23","2021-07-23","2021-07-23","2019-06-24","2019-03-18","2019-03-20","2019-11-04","2019-10-08","2019-11-04","2019-11-04","2019-11-04","2019-01-16","2019-09-24","2019-12-09","2019-04-18","2019-05-03","2019-07-01","2019-11-06","2019-11-06","2019-11-06","2019-11-06","2019-11-06","2019-11-06","2019-03-12","2019-03-12","2019-03-12","2019-03-12","2019-07-11","2019-06-25","2019-06-25","2019-04-24","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-01-02","2019-04-16"],"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":[["","","SUMATRIPTAN"," SUMATRIPTAN ","8","Select","Select",""],["","","COSENTYX"," COSENTYX ","2","Select","Select",""],["","","SALICYLIC","SHA 0.06","","Select","Select",""],["","","LEFLUNOMIDE","TAB 10MG","","Select","Select",""],["","52565004230","NYSTAT\/TRIAM","OIN ","30","Select","Select",""],["","","FLOVENT"," FLOVENT ","60","Select","Select",""],["","","MIDODRINE"," MIDODRINE ","60","Select","Select",""],["","","ALBUTEROL"," ALBUTEROL ","8","Select","Select",""],["","","SAVELLA","TAB 25MG","","Select","Select",""],["","","KETOCONAZOLE","SHA 0.02","","Select","Select",""],["","","GABAPENTIN"," GABAPENTIN ","90","Select","Select",""],["","43199001301","HYOSCYAMINE","TAB 0.125MG","60","Select","Select",""],["","","TIZANIDINE","TAB 4MG","","Select","Select",""],["","","AZITHROMYCIN"," AZITHROMYCIN ","12","Select","Select",""],["","","FERROUS"," FERROUS ","30","Select","Select",""],["","","PROAIR"," PROAIR ","8","Select","Select",""],["","","MONTELUKAST"," MONTELUKAST ","30","Select","Select",""],["","63646004060","CALCIP\/BETAM","SUS ","60","Select","Select",""],["","","AMITRIPTYLIN"," AMITRIPTYLIN ","30","Select","Select",""],["","11086004306","KERALYT","SHA 0.06","160","Select","Select",""],["","","OYSTER","TAB 500MG","","Select","Select",""],["","","SPECTRAVITE"," SPECTRAVITE ","30","Select","Select",""],["","","CLOBETASOL","SOL 0.0005","","Select","Select",""],["","","CIPROFLOXACN"," CIPROFLOXACN ","5","Select","Select",""],["","","OMEPRAZOLE"," OMEPRAZOLE ","60","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","30","Select","Select",""],["","00093356026","PEG\/NASUL,C","SOL NACL\/POT","1","Select","Select",""],["","","SPIRIVA"," SPIRIVA ","4","Select","Select",""],["","","OYSCO"," OYSCO ","30","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","21","Select","Select",""],["","","CVS"," CVS ","60","Select","Select",""],["","69584061150","METHOCARBAM","TAB 500MG","180","Select","Select",""],["","","OXYCODONE"," OXYCODONE ","42","Select","Select",""],["","53746051401","SPIRONOLACT","TAB 50MG","60","Select","Select",""],["","","TOPIRAMATE","TAB 25MG","","Select","Select",""],["","","VITAMIN"," VITAMIN ","90","Select","Select",""],["","65649020175","MOVIPREP","SOL ","1","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","","ASPIRIN"," ASPIRIN ","30","Select","Select",""],["","","PROMETHAZINE"," PROMETHAZINE ","18","Select","Select",""],["","","VENTOLIN"," VENTOLIN ","18","Select","Select",""],["","","HYDROXYZ"," HYDROXYZ ","40","Select","Select",""],["","","LIDOCAINE"," LIDOCAINE ","30","Select","Select",""],["","","AZELASTINE"," AZELASTINE ","30","Select","Select",""],["","","FLUTICASONE"," FLUTICASONE ","16","Select","Select",""],["","","QVAR"," QVAR ","11","Select","Select",""],["","","RESTASIS"," RESTASIS ","60","Select","Select",""],["","","VOLTAREN"," VOLTAREN ","100","Select","Select",""],["","","DICLOFENAC"," DICLOFENAC ","100","Select","Select",""],["","","PREDNISONE"," PREDNISONE ","21","Select","Select",""],["","","PREDNISOLONE"," PREDNISOLONE ","5","Select","Select",""],["","","HYDROCO\/APAP"," HYDROCO\/APAP ","15","Select","Select",""],["","","ACYCLOVIR"," ACYCLOVIR ","30","Select","Select",""],["","","AMOXICILLIN"," AMOXICILLIN ","21","Select","Select",""],["","","NITRO-BID","OIN 0.02","","Select","Select",""],["","","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","","LEVOFLOXACIN","TAB 500MG","","Select","Select",""],["","0",""," ","4","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":"In Person","a10":[],"a11":"","a12":"","a13":""}]}]}