{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANGEL N BANKS","gend":1,"add":"249 HELENA LN","city":"SHIPMAN","state":"VA","zip":"22971-9998","dob":"1985-08-13","age":38,"mstatus":"","insh":"1011646*01","cliId":"","pno":4242351551,"cno":4242351551,"email":"","ename":"","eno":"","pphy":"HELENIUS, IRA M MD","ppno":4349241931,"pcpadd":"1222 JEFFERSON PARK AVE 3RD FLOOR,","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":"22903-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4342439282,"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":["M33.90","I10.","D86.9","E66.01","J32.9","F41.9","NO DATA","Z91.89","J34.2","J32.4","R07.9","I50.30","D86.85","R07.89","L73.2","L40.8","G47.33","F19.10","I50.9","Z99.89","I51.7","R06.02","E87.5","E83.42","E83.39","N25.81","I48.0","N89.8","Z11.3","R10.12","K59.00","L02.412","A60.1","U07.1","I11.0","Z87.891","M62.81","R26.2","G89.29","E11.9","G43.909","L40.9","Z74.1","Z79.899","R06.00","E09.9","G44.209","E78.2","V58.89","Z79.4","Z23.","I48.91","E87.3","I50.42","Z68.41","K21.9","Z79.01","Z80.0","D64.9","Z48.02","K02.9","R21.","H35.019","H53.71","I50.21","A60.09","B37.0","E87.2","K62.6","E87.1","I50.32","D86.1","T38.0X5A","Z20.822","R94.31","B00.2","M79.7","R73.9","K12.30","D86.89","D86.0","R51.9","R06.81","R06.83","R53.82","G47.19","Z82.0","J20.9","B37.9","L98.9","R52.","R53.81","R06.09","R74.01","R73.09","D51.9","R10.13","E23.6","J84.9","R10.31","R10.11","Z88.0","Z88.8","M54.9","G47.30","H53.9","R53.1","E09.65","I50.31","T50.1X5A","D84.9","I50.22","Z86.16","L30.8","Z68.42","H35.00","R68.89","I50.23","L98.421","R11.0","R14.0","G47.9","L24.9","R10.84","K13.70","I42.8","Z82.49","I50.20","M79.669","I49.9","R09.02","R00.2","R42.","H25.811","H25.12","H52.4","H35.013","I45.89","E87.6","Z13.6","B35.9"],"date":["2021-11-05","2023-02-17","2023-09-11","2023-08-09","2022-08-02","2022-10-10","2023-02-17","2021-12-30","2021-12-30","2021-12-30","2022-09-06","2023-02-17","2023-09-11","2022-08-01","2022-10-10","2022-08-01","2023-02-14","2022-08-01","2023-02-17","2022-08-02","2022-08-21","2023-08-09","2022-09-21","2023-03-20","2023-03-10","2023-02-16","2023-02-24","2021-08-27","2021-08-27","2021-12-07","2023-06-05","2022-01-11","2022-08-24","2022-09-21","2023-02-14","2023-02-14","2022-10-10","2022-10-10","2022-10-10","2023-07-31","2022-10-10","2022-10-10","2022-10-10","2022-10-10","2022-10-07","2022-11-15","2022-11-15","2023-07-31","2022-11-15","2023-07-31","2022-11-15","2023-08-25","2023-02-14","2023-08-25","2023-08-09","2023-02-14","2023-08-25","2023-02-14","2023-02-17","2021-10-25","2021-10-25","2022-05-09","2022-04-14","2022-04-14","2022-07-27","2022-08-19","2022-08-24","2022-08-19","2022-08-19","2022-08-22","2022-10-17","2022-08-19","2022-08-20","2022-08-19","2023-02-14","2022-08-24","2023-07-31","2022-09-12","2022-08-23","2022-10-17","2023-08-09","2022-10-05","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2022-07-23","2022-08-19","2022-08-19","2022-08-22","2022-08-22","2022-08-22","2022-08-22","2022-08-22","2022-08-22","2022-08-22","2022-10-21","2023-01-11","2021-08-08","2021-08-08","2021-08-08","2021-08-08","2021-08-08","2021-12-28","2022-08-21","2022-08-21","2022-08-21","2022-08-21","2022-08-20","2023-08-25","2022-10-07","2022-10-07","2021-10-13","2022-01-12","2023-04-27","2022-04-14","2022-08-05","2022-08-11","2022-08-11","2022-08-11","2022-08-11","2022-08-11","2022-08-19","2022-08-19","2022-10-17","2022-10-17","2022-08-01","2022-08-21","2023-02-14","2023-02-14","2023-02-14","2023-02-14","2023-07-19","2023-07-19","2023-07-19","2023-07-19","2023-08-29","2023-07-31","2023-08-25","2023-09-11"],"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":[["","65862042005","SMZ\/TMP DS","TAB 800-160","12","Select","Select",""],["","16729021616","SERTRALINE","TAB 50MG","30","Select","Select",""],["","00054001829","PREDNISONE","TAB 20MG","60","Select","Select",""],["","65862056099","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","50228043605","NAPROXEN","TAB 500MG","30","Select","Select",""],["","45802026937","PERMETHRIN","CRE 0.05","120","Select","Select",""],["","68382091634","METHYLPRED","TAB 4MG","21","Select","Select",""],["","70756020111","AMITRIPTYLIN","TAB 10MG","30","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","15","Select","Select",""],["","00378427677","VALACYCLOVIR","TAB 1GM","18","Select","Select",""],["","59267100001","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","16729048516","HYDROXYCHLOR","TAB 200MG","30","Select","Select",""],["","0","COMPOUND"," ","40","Select","Select",""],["","00115168974","BUDESONIDE","SUS 0.5MG\/2","120","Select","Select",""],["","45802056202","CLINDAMYCIN","SOL 0.01","60","Select","Select",""],["","42806031250","DOXYCYCL HYC","TAB 100MG","60","Select","Select",""],["","73317686805","LIDOCAINE","OIN 0.04","50","Select","Select",""],["","80681013200","VITAMIN D","3 50 MCG","30","Select","Select",""],["","08290320550","BD PEN NEEDL","MIS 32GX4MM","100","Select","Select",""],["","00169406013","VICTOZA","3-PAK 0.6 MG\/0.1","9","Select","Select",""],["","96295013877","PEN NEEDLES","MIS 32GX5\/32","90","Select","Select",""],["","00074055402","HUMIRA PEN","INJ 40\/0.4ML","2","Select","Select",""],["","00169413212","OZEMPIC","INJ 2\/1.5ML","2","Select","Select",""],["","00168000616","TRIAMCINOLON","OIN 0.001","454","Select","Select",""],["","00169452514","WEGOVY","INJ 0.25MG","2","Select","Select",""],["","00185013005","BUMETANIDE","2 MG","60","Select","Select",""],["","69315012710","FOLIC ACID","1 MG","60","Select","Select",""],["","51285036601","TREXALL","TAB 5MG","24","Select","Select",""],["","00054418125","DEXAMETHASON","TAB 1MG","42","Select","Select",""],["","00078065920","ENTRESTO","24 MG-26MG","60","Select","Select",""],["","61703035038","METHOTREXATE","25 MG\/ML","4","Select","Select",""],["","00023920515","REFRESH LIQU","DRO 1% OP","15","Select","Select",""],["","00002880559","HUMULIN N","INJ U-100KWP","15","Select","Select",""],["","45963070996","METOPROL SUC","TAB 25MG ER","30","Select","Select",""],["","00168014630","HYDROCORT","OIN 0.025","28","Select","Select",""],["","45802095301","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","08290305945","1ML TB SYRNG","MIS 27GX1\/2\"","4","Select","Select",""],["","00310621030","FARXIGA","TAB 10MG","90","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","100","Select","Select",""],["","53885001110","ONETOUCH DEL","MIS PLUS 30G","100","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","23155050110","HYDROXYZ HCL","TAB 25MG","30","Select","Select",""],["","53746051110","SPIRONOLACT","TAB 25MG","30","Select","Select",""],["","00002879959","HUMALOG KWIK","INJ 100\/ML","3","Select","Select",""],["","59762151603","CELECOXIB","CAP 100MG","60","Select","Select",""],["","10006073043","VITAMIN B-12","TAB 1000MCG","90","Select","Select",""],["","49483034010","ACETAMIN","TAB 325MG","90","Select","Select",""],["","65702071110","ACCU-CHEK","TES GUIDE","100","Select","Select",""],["","53885004401","ONE TOUCH","KIT VERIO FL","1","Select","Select",""],["","11877001140","BINAXNOW COV","KIT HOME TES","2","Select","Select",""],["","69315011610","FUROSEMIDE","TAB 20MG","30","Select","Select",""],["","45802004811","NYSTATIN","OIN 100000","30","Select","Select",""],["","55111014401","FLUCONAZOLE","TAB 100MG","20","Select","Select",""],["","71930001752","ONDANSETRON","TAB 4MG","60","Select","Select",""],["","70000043401","GAS RELIEF","CHW 80MG","60","Select","Select",""],["","24357070130","ANECREAM","CRE 0.04","30","Select","Select",""],["","00169183411","NOVOLIN N","INJ U-100","10","Select","Select",""],["","16729028515","ROSUVASTATIN","TAB 10MG","90","Select","Select",""],["","00169185550","NOVOFINE PLS","MIS 32GX4MM","90","Select","Select",""],["","27808003501","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","00603020922","MAG OXIDE","TAB 400MG","60","Select","Select",""],["","00116200116","CHLORHEX GLU","SOL 0.0012","473","Select","Select",""],["","65162006205","SUCRALFATE","SUS 1GM\/10ML","420","Select","Select",""],["","00527058610","DICYCLOMINE","CAP 10MG","30","Select","Select",""],["","00003089421","ELIQUIS","5 MG","180","Select","Select",""],["","57237016999","ROSUVASTATIN CALCIUM","10 MG","30","Select","Select",""],["","00603020922","MAGNESIUM OXIDE","400 MG","60","Select","Select",""],["","08290305945","SAFETYGLIDE TB SYRINGE","27GX1\/2\"","12","Select","Select",""],["","80681014000","CALCIUM CITRATE","200(950)MG","90","Select","Select",""],["","65862056099","PANTOPRAZOLE SODIUM","40 MG","30","Select","Select",""],["","45963070996","METOPROLOL SUCCINATE","25 MG","30","Select","Select",""],["","53746051105","SPIRONOLACTONE","25 MG","30","Select","Select",""],["","53885027210","ONETOUCH VERIO TEST STRIP","","100","Select","Select",""],["","08290320550","NANO","2ND GEN PEN NEEDLE 32GX 5\/32\"","100","Select","Select",""],["","57896045401","GERI-KOT","8.6 MG","90","Select","Select",""],["","49483008010","SENNA","8.6 MG","30","Select","Select",""],["","63304069201","CLINDAMYCIN CAP","150MG","28","Select","Select",""],["","00168020160","CLINDAMYCIN SOL","1%","60","Select","Select",""],["","17478071130","LIDOCAINE GEL","2% JELLY","30","Select","Select",""],["","42806031250","DOXYCYCL HYC TAB","100MG","60","Select","Select",""],["","64380073706","VITAMIN D CAP","50000UNT","12","Select","Select",""],["","68382009601","HYDROXYCHLOR TAB","200MG","30","Select","Select",""],["","08290320550","BD PEN NEEDL MIS","32GX4MM","100","Select","Select",""],["","00169406013","VICTOZA INJ","18MG\/3ML","6","Select","Select",""],["","96295013877","PEN NEEDLES MIS","32GX5\/32","90","Select","Select",""],["","00074055402","HUMIRA PEN INJ","40\/0.4ML","4","Select","Select",""],["","00169413212","OZEMPIC INJ","2\/1.5ML","2","Select","Select",""],["","00168000616","TRIAMCINOLON OIN","0.1%","454","Select","Select",""],["","00169452514","WEGOVY INJ","0.25MG","2","Select","Select",""],["","42291039930","LIDOCAINE CRE","4%","30","Select","Select",""],["","45802004811","NYSTATIN OIN","100000","30","Select","Select",""],["","33342015715","CELECOXIB CAP","200MG","30","Select","Select",""],["","10702001801","OXYCODONE TAB","5MG","16","Select","Select",""],["","00185013005","BUMETANIDE TAB","2MG","60","Select","Select",""],["","69315012710","FOLIC ACID TAB","1000MCG","60","Select","Select",""],["","65862042005","SMZ\/TMP DS TAB","800-160","12","Select","Select",""],["","51285036601","TREXALL TAB","5MG","24","Select","Select",""],["","00054455025","METHOTREXATE TAB","2.5MG","16","Select","Select",""],["","45802095301","DICLOFENAC GEL","1%","100","Select","Select",""],["","61703035038","METHOTREXATE INJ","25MG\/ML","4","Select","Select",""],["","00054418125","DEXAMETHASON TAB","1MG","42","Select","Select",""],["","24357070130","ANECREAM CRE","4%","30","Select","Select",""],["","53746051105","SPIRONOLACT TAB","25MG","30","Select","Select",""],["","00310621030","FARXIGA TAB","10MG","90","Select","Select",""],["","45963070996","METOPROL SUC TAB","25MG ER","30","Select","Select",""],["","73317686805","LIDOCAINE OIN","4%","50","Select","Select",""],["","71930001752","ONDANSETRON TAB","4MG","60","Select","Select",""],["","00078065920","ENTRESTO TAB","24-26MG","60","Select","Select",""],["","11877001140","BINAXNOW COV KIT HOME TES","","2","Select","Select",""],["","70000043401","GAS RELIEF CHW","80MG","60","Select","Select",""],["","55111014401","FLUCONAZOLE TAB","100MG","20","Select","Select",""],["","65162006205","SUCRALFATE SUS","1GM\/10ML","420","Select","Select",""],["","69315011610","FUROSEMIDE TAB","20MG","30","Select","Select",""],["","53885027210","ONETOUCH TES VERIO","","100","Select","Select",""],["","53885001110","ONETOUCH DEL MIS PLUS","30G","100","Select","Select",""],["","00002879959","HUMALOG KWIK INJ","100\/ML","3","Select","Select",""],["","65862056099","PANTOPRAZOLE TAB","40MG","30","Select","Select",""],["","00002880559","HUMULIN N INJ U-","100KWP","15","Select","Select",""],["","00023920515","REFRESH LIQU DRO","1% OP","15","Select","Select",""],["","20555001600","VITAMIN B-","12 TAB 1000MCG","30","Select","Select",""],["","00093506101","HYDROXYZ HCL TAB","25MG","30","Select","Select",""],["","00054001829","PREDNISONE TAB","20MG","60","Select","Select",""],["","00169183411","NOVOLIN N INJ U-","100","10","Select","Select",""],["","53885004401","ONE TOUCH KIT VERIO FL","","1","Select","Select",""],["","00168014630","HYDROCORT OIN","2.5%","28","Select","Select",""],["","00378427677","VALACYCLOVIR TAB","1GM","20","Select","Select",""],["","00527058610","DICYCLOMINE CAP","10MG","30","Select","Select",""],["","49483034010","ACETAMIN TAB","325MG","90","Select","Select",""],["","65702071110","ACCU-CHEK TES GUIDE","","100","Select","Select",""],["","66993001968","ALBUTEROL AER HFA","","18","Select","Select",""],["","00603020922","MAG OXIDE TAB","400MG","60","Select","Select",""],["","16729028517","ROSUVASTATIN TAB","10MG","30","Select","Select",""],["","00169185550","NOVOFINE PLS MIS","32GX4MM","90","Select","Select",""],["","00116200116","CHLORHEX GLU SOL","0.12%","473","Select","Select",""],["","27808003501","HYDROCO\/APAP TAB","5-325MG","12","Select","Select",""],["","65862098799","POTASSIUM CHLORIDE","10 MEQ","180","Select","Select",""],["","51672400102","NORTRIPTYLINE HCL","10 MG","90","Select","Select",""],["","51672127506","CLOTRIMAZOLE","1 %","45","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":"","a15":[]}]}]}