{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Walter B Spencer","gend":0,"currentgend":"Male","add":"101 Caleb St","city":"Portland","state":"ME","zip":"04102","dob":"1953-06-25","age":71,"mstatus":"Single","insh":"10000075620","cliId":"","pno":2073171798,"cno":null,"email":"walterspencer127@gmail.com","ename":"Mary Spencer (sister)","eno":"2073175020","pphy":"Sean R Lena","ppno":2077745816,"pcpadd":"Intermed,84 Marginal Way Ste 800","pcpcity":"Portland","pcpstate":"ME","pcpzip":"04101","pcpcounty":null,"pcpid":"","pcpname":"Intermed","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":null,"add2":"","add3":"","madd1":"101 Caleb St","madd2":"","madd3":"","mcity":"Portland","mstate":"ME","mzip":"04102","pcpfaxno":2078741483,"pcpnpi":1265895502,"currentgendcomment":"","pphycomment":"verified with member","uniqueid":"","medicareid":"9RX9QW6UP28","medicaidid":"","pcpFlag":0,"evalName":"Candace Hembrick , FNP","evalDate":"2025-02-13 10:20 AM","primaryLanguage":"","race":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":[true,null,null,null,true],"comment":[null,null,null,null,"virtual visit"],"score":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z0000","Z23","H401222","H401211","D122","Z86010","I10","E6609","F329","H35372","H401130","H2513","H47233","E7800","M5430","Z0001","Z125","S0990XA"],"date":["2025-01-13","2024-10-17","2022-01-12","2022-01-12","2022-04-28","2022-04-28","2023-06-19","2022-06-17","2023-06-19","2023-02-07","2024-05-21","2023-02-07","2022-08-04","2023-06-19","2023-06-19","2023-12-29","2024-01-02","2024-05-09"],"priorHcc":["","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","","1"],"comment":["","","","","","","","","","","","","",""],"sub":[]}}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","","1"],"comment":["","","","","master's degree in theology "],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","1",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","1",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":[true,false,false],"comment":["","",""],"score":["","",""],"textValue":""}},{"a":{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["","","","","","","1"],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["1","","","","","",""],"comment":["","","","","","",""],"sub":{"indx":[["family and friends are close by "]],"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":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["","Retired  - LL Bean"],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["","he has in the past and will intend to in the future. "],"sub":[]}},{"a":{"indx":["","","1"],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":["1","",""],"comment":["","",""],"score":[0,0,0,0],"sub":{"indx":[["1",""],["","1"]],"comment":[["",""],["",""]],"sub":[]}}},{"a":{"indx":[true],"comment":[""],"score":[""]}},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":{"indx":[["Mary Spencer (medical); Sarah Strickland (financial)"],["sisters"]],"comment":[[""],[""]],"sub":[]}}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":{"indx":[["in his home and sisters "]],"comment":[[""]],"sub":[]}}},{"a":{"indx":[true,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false,true],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}}]},{"t":"Activities of Daily Living","q":[{"a":[["1","",""],["1","",""],["1","",""],["1","",""],["1","",""],["1","",""]]}]},{"t":"Medical History","q":[{"a":{"indx":["1"],"comment":[],"sub":{"indx":[],"comment":[""],"sub":[]}}},{"index":0,"comment":"","sub":[{"sa0":"Ophthalmologist","sa1":"Dr. Robert Daly - Portland, ME","sa2":"eye exams"}]},{"a":[{"indx":["","1","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}]},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["5-6 years old - no definitive diagnosis"]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","","","","1","","","","","","1","1",""],"comment":["","","","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","","","1"],"comment":["","","","","","","",""],"sub":[]}}]},{"t":"Family History","q":[{"index":0,"comment":"","sub":[{"sa0":"Father","sa1":"dementia ","sa2":"complications of dementia "},{"sa0":"Mother","sa1":"pre-dementia","sa2":"complications of pre-dementia"},{"sa0":"Sibling1","sa1":"3 sisters - breast cancer ","sa2":"still living "}]}]},{"t":"Preventive Care","q":[{"a":[["Not Applicable","N\/A","N\/A",""],["Not Applicable","N\/A","N\/A",""],["Yes","2025","N\/A",true],["Yes","2022","colonoscopy ",true],["Yes","2024","N\/A",true],["Not Applicable","N\/A","N\/A",""],["Not Applicable","N\/A","N\/A",""],["Yes","2025","N\/A",true],["Yes","2025","N\/A",true],["Yes","2-3 years ago","N\/A",true],["Yes","2024","N\/A",true],["Not Applicable","N\/A","N\/A",false],["Yes","2 years ago","N\/A",true],["Yes","2025","N\/A",true],["Not Applicable","N\/A","N\/A",""],{"comment":""}]},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":1,"commentTxt":"","arr":[["",""]]}},{"a":{"comment":"","sub":[["HLD","","SIMVASTATIN","40mg","","PO = By Mouth","QD",""],["HTN","","LISINOPRIL","20mg","","PO = By Mouth","QD",""]]}},{"a":{"index":0,"commentTxt":"","arr":[["2025-02-13","MVI","1 tablet","PO = By Mouth","daily"],["2025-02-13","B complex","1 tablet","PO = By Mouth","daily "],["2025-02-13","Vitamin C","1000 mg ","PO = By Mouth","daily"],["2025-02-13","Vitamin D","1000 IU","PO = By Mouth","daily"]]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","1","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["sometimes but not often.  ",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":[true],"comment":[""],"score":[""]}}]},{"t":"Assessment of Diagnoses","q":[{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","1","","1"],"comment":["","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","","1"],"comment":["","",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","1"],"comment":["","","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","","1"],"comment":["","",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","1"],"comment":["","","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["screening for pressure - checking for glaucoma due to something in that was seen in his cones - monitoring floaters - has not had them in a while"],"comment":[],"sub":[]}]}]},{"indx":["","","","1","","",""],"comment":["","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,true,true,false,false,false,true,false,false],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","","","1","1","","","","","","",""],"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":["1",""],"comment":["",""],"sub":[{"indx":["1","","",""],"comment":["Taking Simvastatin ","","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["1",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[{"indx":["1",""],"comment":["",""],"sub":[{"indx":["1","","",""],"comment":["Taking Lisinopril ","","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","","1"],"comment":["","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","","","","1"],"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":["","","","","","","","","","1"],"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":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[true,true,true,true,false,true,false,false],"comment":["","","","","","","",""],"score":["","","","","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","1","","","","","","","","","","",""],"comment":["","","","","","","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["1","",""],"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":["","","","","","1"],"comment":["","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["1","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","","","1"],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","","","","1","","","","","","","","","","","","","","","","","","","","","",""],"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":["","1"],"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":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["a little anxiety about the future. ",""],"sub":[]}],"phq":[{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["","","","","",""],"comment":["","","","","","",""]},{"indx":["","","","","",true],"comment":[""]}]}]}},{"a":{"indx":[false,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","1","","","","","","","","","","","",""],"comment":["","","","","","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","1"],"comment":["",""],"sub":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","","","1","","","","","","",""],"comment":["","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]},{"indx":["","1"],"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":["","","","","","1"],"comment":["","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["","1"],"comment":["",""],"sub":[]}]}},{"a":{"indx":[false,false,false,true,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":[{"indx":["","1"],"comment":["","",""],"sub":[]}]},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Pain","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]]}}]},{"t":"Vital Signs","q":[{"a":["","","","","","0",false,true,false,{"txt":"Unable to obtain a complete set of VS due to virtual."}]},{"a":["5","8","195","29.6",{"txt":""},{"malnutrition":{"indx":["","","","1"],"sub":{"indx":[],"comment":[],"sub":[]}}}]},{"a":{"indx":["","","","","","","","","","1","",""],"comment":["","","","","","","","","","","","","heavy on vegetables - more resembling Mediterranean. "],"sub":[]}},{"a":{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}},{"arr":["At least 30 minutes 5 or more days a week."],"comment":[]},{"arr":["I am not interested at this time."],"comment":[]},{"a":{"indx":["","","","","","","","","1"],"comment":["","","","","","","","","",""],"sub":[]}},{"a":{"indx":[false,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Exam Review","q":[{"a":[{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[true,""],"comment":["",""],"sub":[]},{"indx":["",true],"comment":["",""],"sub":[]},{"indx":[true,""],"comment":["",""],"sub":[]},{"indx":["",true],"comment":["",""],"sub":[]},{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[""],"comment":["N\/A member does not have diabetes"],"sub":[]},{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[true,""],"comment":["",""],"sub":[]}]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"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":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}}]},{"t":"Mini-Cog","q":[{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":{"data":["","1","","2","2","4"],"indx":[true,false,false,false,false,false,true,false,false,false,false,false,false,false,false,false,false,false],"version":[true,false,false,false,false,false]}},{"a":{"indx":[false,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Home Safety & Personal Goals","q":[{"a":{"indx":["","1","","",""],"comment":["","member was on a hike and he was sitting down and taking a rest.  They were on a down slope and when he went to get up he rolled over and fell hitting his head on a rock.  ","","",""],"score":[0,0,0,0],"sub":{"indx":[["","1"],["","1"]],"comment":[["",""],["",""]],"sub":[]}}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":["10"]},{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["","all electric"],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[true],"comment":[""],"score":[""]}},{"a":["More exercise "]},{"arr":["I am already working on it and don't need any help."],"comment":[]},{"a":{"indx":["","","","","","","","1","","",""],"comment":["","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"This is a completed audio & video virtual visit performed via Google Meet on members cell phone. Verbal consent was received by the patient to conduct this virtual visit. Patient identity was verified by Driver's License, address, and DOB. Palpation, percussion, and auscultation portions of the assessment as well as the Monofilament Test were unable to be performed due to this being a virtual visit. Unable to obtain complete set of VS, during HRA visit, due to virtual visit. Provided counseling for Preventive Health maintenance recommendations. Previously documented conditions on PAF form were reviewed. Any conditions NOT identified in the HRA are considered resolved or are unable to be confirmed.  Member advised to contact member services using the number on the back of insurance card with any plan questions or services needed.  \n","a2":"2025-02-13T10:20","a3":"2025-02-13T11:14","a4":"","a5":"true","a6":"","a7":[{"date":"2025-02-13T23:22:28.864Z","signature":"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAakAAABaCAYAAAACXalYAAAAAXNSR0IArs4c6QAAIABJREFUeF7tvQt8HOV5Lv5+M7MzszfdVzfL2NgGEyk2F3MphItIQi6UJKSJ3Jw0DTRpoQ25tGnSnjRtLfcc2nJ6mn8TQtI4TQLnNE1rnaRJIJALLSJQKAVDgEiAMbZsy7Ks1W21l9mZnZnvr2d2Rh6tdnWzbGxr5oeRtDvzzTfvXJ553\/d5n5dRsAQWCCwQWCCwQGCB09QC7DSdVzCtwAKBBQILBBYILEABSAUXQWCBwAKBBQILnLYWCEDqtD01wcQCCwQWCCwQWCAAqeAaCCwQWCCwQGCB09YCAUidtqcmmFhggcACgQUCCwQgFVwDgQUCCwQWCCxw2logAKnT9tQEEwssEFggsEBggQCkgmsgsEBggcACgQVOWwsEIHXanppgYoEFAgsEFggsEIBUcA0EFli0BTjr5sSGdu0RD+sjQsysEVJWWjAibUxLpgVTlZilpFksL7EJRWST+RyjNFFUEVk8Fnf2ks6kKStHOP4SVYsLusVF1eSiHudS3uThRNyOS5pdL9fb2WjOTvaP2J30qN3d3c2JCP+CJbDAqrJAAFKr6nQHB7sUC3R3dwt97e0s2Z9gndd1Ul+yX4hmR4QxIy7oUyGWtdOCGZaYmZOYlReZpWSYrYvMkkVmGzk2pWuMKObsMqrgd6KsHOYALixVisUFOcJFw+JEUxSiJhvAJUVMHhaLYDWaNXiNlLBjzQbvSLTbvY\/2UqI9yTv6u3j3DuLEWABcSzmpwbpnnAUCkDrjTlkw4VNhAc45297TH6LBlDhUsKU8V4W8bIgFWxdsQ2Tp8SLo8ILIslF3RgXdvZ8is6bIZz4vfsxCSgmw5IpfuJ\/HAGSZDLFQmAPiBMXijUq9pTLDNuNhK5FIWUTVFlGf1bN9+0VE9HMi8u\/0USK6iYgyRPSuaQfuD31\/l5oPu3iAiP52ep1niOghIvro9HZ7KtjZG+\/Xiehf3O3uX+Y5WWhuyxx2ZrOWCsdzsvd7ovMOtvdZYCVBSiaiQhCSCK6v18MCnIgVg2H4HyPm\/rWEubBuzhnt7BX62huF\/IQmjeimlBmflEYzTLKZLGRZQcB4ORdTFho74sFGjsi\/iff5YsZxhogUEUiQBEvgsl2vSJaqylZ9a8h88jPvvjA7duRflGjkfTf9wz\/s6ejv593d3d8ionXzAFOlqW8jon8loveeIpBayIQn+n0AUidqwdNg+xMFKZGIbiSij7k3xX8S0R8TUfI0OLZgCqvIAry7W6DregWiTqJkH6eu3TZbQiisu5sLA+t65VdHQqFJTQjp+qQ4BWAq6AzekgMTZp7N8lcWsK8Po078TADlJNuBYRayOLyumGzxzD91b9EH+++LNZ3zwRvuevBpoinrR7de1pDL5R50PaJWnye12ed1\/R\/3nvU8onum79s7iOg6IvI8MXz2YXfyh4joV6a9rkvd8fye1PuJqJ+I7iIiAN03iOidRHTUd+B4Lvy1+7c3\/vULzA3eIOaEsc4lonOICPO+xR3nPt\/8\/ru7f88z9I6jpoxnCE\/qf7hjXOg7Xv988LXnYS7XUzzx8x6MsGyBWbxRXjD9jve\/iOhaIhpG2J2I8ObyB0R0NxHZJ9m+tUR0FREBGMdO8r6C4U8TCyAMR7STEbUz2vWw4DwS908wSkSFwWSWtcWabQrXW\/Qo2ay7e8FrsGv3bpGoQ4TndDgnysMj6dCUlQ+V83I8r8YzxUqB0Ozg4HFD+72vil7Xz+7ayoZe+Ibc1n7rpl\/\/qz2xOsEce+hryoGH\/+m7Ykj8gmWa3C4U\/oBz7oEKwnkAEzzg4W35wWbI50nhd9zPz1IxseY9sDFBhA\/92+EzABXAA2DU7gMSfOf3aF6ZZ6zSuXkghZdgACQA1\/P03urbj398fA5Qw7YAnX92n1H+8CVA6ofTx\/buaVB+xJ0P9g0A\/A4R\/Td3X+XA9jS5E1bPNJbjSWEbXAh\/SUQJ9+0IsWmECL48\/aK3c\/qi\/t9EZJ1EMwIkcTN0u\/vFW2OwnOUWcACqd6dINCBRMitNZpOSYOlOCK5KVOxRu8rKxxWzLdFRoM4d1kKeFLynvvYnlVePhJWR1KSUmrBEzkwhZwqsFJBKgQl\/z4r6uSG9ucCluZuGZ85OWVDyfVju+0oRRuMHd221jrzwDbHtjR9R3vWZ58lQeOjg4+HMw1\/6thqt+pJVyFvG1OgnLNP8UyL6ti+UVy635Acp76Hu91bwUC8HUshleQ93eEv\/b9qjKvU+vHHK5cv+rMLc\/J4Ufgcp0suZfdLnRXm2\/XMieou7DoB4vnAfnlUAPnh7fmDFPDF\/P\/Ce5XfW6X14SwUprI+L4B+cwH8xFPCEm4vCRYE3LFzIJxs0mtx9wJvC29LB09vMweyWYgHOp5NKO7sZtbczSvQzSvYJFGtmZA2INDIuTnE7JOSSIgurQlQROPGEReE6k8K1hX2iYm3KDJvU1WNXykuBtUfX7RCeeOanylEzIu8fN5WshnwTACVcjOi5eSD\/vOdNRXlfSir3w5dHkiglTzg7kPNLvf9mRRuxS+NHd201D77wDVqz9aN0wx+\/4Mz32Z5G9ssffltec8HvC6ljicLEkd9TIlXd2uSxexU58r5cLvU0YwwP\/VKPyA9SGAmEjL+YfhlF2G8+TwqAhIf7k0T0AdcT8Yf6PDP6Q3EIzyFEiDksF6S8EGPp+J5HthyQAnjDK8RSDmyXcikH666ABZZ6k2xwGT3nTYfYPkFE\/9cFqyuIqGf64oQrv52IxldgbpWGwJxxg\/3AvTE+EpA1TqK1X4eh+e4ukTo6RBp8LURJW6T8fomsMYHslJBN2wILcUZGmEVaak0S1xaoao1OWqtJ1G7RNHGAdnTz+YgT3bv75KeG0+qzh1JqJmcKWcEUHHCax5sBIJSG3OaAmWRzVrC4EK1xwoxMtngsDXZehNtyjnFDYxmKEX4iz8VDOiNTcO7BGQAsIVn4zV8OPNM\/umurceiFb4jnbP2o\/KtFkNL+4SNf5Ka5Run83Q+be753FU0dvb368pt+J\/3U93eJAvvJh\/\/mp3+96\/ZL8aI5X7gPQ3nhLoTZAFgAICyl4AaQQuAVDEG8MHo5I2\/6AAvP0wJ4AdAAMB5IVQpFzudJIZrjhQGxH4T9P+6GAJcb7sOLNoAUoIxcVWle7XW4G4JdLgWkqqajKl8gog8S0VfcsB4qPhT34oTr\/Gn3Yj6ZlsW9+kU3Jo6b5mR7bSfzWFb92I7XRN3FHFNPj4jcEkJ5RBNiemIiFBfGxdx4GgSd4iITt9VqKybU2BO1Gwq1bW0GDV5psO3bFwwvd3MujN29L7SPxpQ9w5nwyJQtznhPi\/GcXPKCn7jA5ASvoYJT3xRiYXtKt7gQMXlTtMYhObTmUQNVDIwPpUU2OkpkhUVm51KsShGZlc8wW6ljhakRwZZB0CBKA8QMkWXxxwxxA8deBDT\/Ak\/KOvj89xjxmXgiF0NPytfccYu+\/oos\/fCPbqDJ4dvp2jtuUQ78+wbzwHP\/SnYhLBB92zaNtUpN9QdyY2PfIc49Cjoe9gd8OSePgDDpekqlwILtAFL+vFU5ooGXB8L0l0OcKA33IRx5IsQJhPtwnH6iCCj7WMrl1Vb9vfp6GWCxIIW4P2onQIjARQx3eNSdNL5rdn8HgWLBZPUJHiy8uR9Nv0WNuPMImIQnaNDXc3PHa0pEQwCmVCEXEjJZkdmHBaanGctmBCrkGIWBIPVkS7WmqdYZWkPcaBHXWw5BwmHyVQ7t+Y\/tEw++qjw3MBzZ+4ouZ3y5J78H5a1f6jnhzQjrVUe4GVEiBZmF7YIYMqNinV0j5e2D4wYPt2g8fv427jyCqdcZ6mPtnZy6iPp7e1mv8zmWTufRmN67x7n\/tNowWzcss0kzKTREZZY204JmhQXdUoRCShPGZFO0M7Jgm1Piojw6dy\/liBdRO2THIoY9\/vUPf4nxAn\/73\/z0o2rtNr1nO1sQ5Be4Tiqx+pZzeQF8sJR6ZMsZa6nbLAS2Sx0vWP8ELbBYkFrvsmHaiOg3XZCYb9fwrnCyceFPueG4cpXx2D8+x5sykqIAvFQZ0oXqsgd1N\/H7peni\/c+64QhvXMk3BvZpuhMs3S\/2Aa8QC9bzQNWbA37iJTZ\/grYNNi9jAYf80NMjOLkmbUwkcVJKjR6QRT0rCalxiYwsc4JfGh6xEeIRZnO1xbKbN1pVtNHYFxMLm955t7GUOigQJMYu3xd66XBK\/cVLo5HRKZ1RpJh7WgigIpLNYxHJrorJdpgxs0pImHZo3Gxrq7Y6utrN7iLNfcVUH5Av66XrhPNb4myvnBbjRlwYn8yLYa4KR\/OGWCBdSJEhOJ6W52UhZFjCtiglX6Rfeyqq\/+ye+8gqXOlMl4lHohe\/58b1b\/nI4JoNUX3z5BHzmuZ3ml1dtCTqvnuKPS\/Jo4Ev9dr356qwrUd3L5fXWurYS1kfYUnPk\/SKoZeyfbDuSbDAYkHqNiL6OyJ62H27mZhnLlvcdfATT5ofu9XwP3Fj0NgUQNHpgkofEb1neuyr3fwW6hf8dFFQ3Lum2T\/Ig8FrQq2Hl5c65s4D9RO3ujUcKCp+3AUahCYwZ+8tEd9hrF9zQQgJ2\/0u3RS0U8wB9zdoqX9zkhmKJ+F0nv5D8ke6JcoMyRPaRKhWOyiRVRBo6ohAIc5ymazggBM8J4qQnVhbiMXqDWrbYtBgtdWbILtzkdRyvyVue+aZ0N7HxGh\/ckwZmcqKXv6p9EF+3EtxCRQRotYatXBeTNZjzWsKtRNt5t6jvbwoS4Si2R142q8YQM3M2aHZTwdBdxLra+9hHf0JRq4sUzI7IsijdWJK0cRUJhMqGJZ4NMfwgubmzCqTP+Z4VpLNo4bF49VxK1FVY160hhsb127Vu69n3gve6X9BBTM86y2wGJCCF\/Ndt2j3fW6dQqUbE8B0r5t09PIITiTfJVSA7IBlLREBtHBHATgAQPC+sO5vTSc\/d7ve1W9Mb\/s\/iaiOiP7JBQ2EHfEZwAzzgFeE+oZfdfeD8Q13P\/C4Pu\/+jf0AlEBdxTZ4S8PbEmqsdk2PgTDiN90EMOaDWDXi8MFyAhaYyTn1kuB4TpnhUFo7qMSNnJQbHxaPUwZcz4kxO9rQYk3ZCatqY5uxT2tesud0fLqcdT\/SKz67vyX85MtHo8mxKaGSB+U8wF3SQjQcsmNRw95QFYfHZNRuaNd3bSNzsTp5xWPG4r9Npsu7iv+dMKh5tV21E5o0LMXEAyNJSddNMZUxhIwsMp4zBYeQMY93NQeQJZWf06gY5zcVjHUtTUZ9eNDa0dm5II3\/BC6NYNPAAouywGJAChXm\/0ZE+1y2C3JBpQvcdXgn8LhQ4Y0qcY9tg5opsP5AXT\/iboiQ4ddckILH8vdubRXCBlCwQAEhfgcF9Plp9x8MPng8X3VrtEBzR20GwA\/1H783rVP2GZdhCG8IgIZ5gGn4fXe933Vru37fVx2PeQDEMB4YRq+6dV9w++HdeUUuizJmsNJcC3DeLQz2pJQ2YyRE1quhTG5MZOkpl6GHZ7b\/\/b6eIs0tOoXX6RRrLvSG663leE7eLECUePab\/xHtO8zCRyfTYm5KZxGE+Uoe3v4HdoTC1NYQMi4Ih3Tl3Fodoq706E6okC8q1+oAVE+X0NufdERpjy+9RJ2d02PMzzxc1DU07Wl179zJIH7bkUiwvmSj4GkMTtlcOpbW5Yxpi342YjlmYCmjsAjOsr2hipltim50tFO++\/rrA69qUSclWOlkWWAhkML3AB6ACOio+L30ZkX4DZRUgEqDWzsFTwghPQACVClQRAhAwFvkGvfvK6fHQvEdvB2E6+BlAXgAONgvKssvd8EC4bfL3M9AswXDECFHMArB7gPgAawwN4AhqsxBhQXgISSICngAHgALXhhAFTIrIHxA5wx0XIQlcRwb3Z8gZwTLMixQzDttF6DkcCz\/WqhJPCBnk5My0\/2ekzdwhHgsZnOhyo5VrS1QQ53RK2\/Ur7+++4QejkWZowH5iYMDsb2jBXjRZXNQMx6UZPNGLtmJdZHCJQ1RfePacX2hBzQAmHr6GE3UClQ7wSibFMhIC2RqglPmnq5l1FBPNDpGFA9xyo9zUqM2xWpsysQ4JZI2JRNLlnCqdEq6H+HSwMCAdCx9TJ40bWn\/VFrKTIgMBcoe1d3zrvw4PdurQp4uTG2RkHFhojHfbMmF4ebnzJ7t23FvnbAXuIzLKdhklVtgIZBCyG6HGyYDmHyqxF4AEdQUXOwrqH2z+\/v5RPQ9ItrkPvSxHm5dhOawDgrukEcCUQLKEWDywBt7zv0dXtPPXAYfckqgjAIk8Q\/AgjAkwnTwluAJAWRQ5AuAwissgAt1FPC2UKOBugcAo8cGxPaYC5Qy\/sMNOaIWBMcLrw0hRoQWQbfHHINlkRZ45JFuqTMzJKem+pXqjCaSdljMcVsgwy\/D5b7Hywlu1TUZcXhP1GE4tU5dXctJ3s\/MDuSDsct\/wyFKvNA\/qY6ksyIevKUFun6mXDRcsC+uq9I3NbdpN0bXF7Z3kT1feM\/RCrx8LATiB6WOSlNTWbEKtVwhm2V0zooNOmYv4DfHFMbThWoej4UtitWZJHCLYtsMdoKgjD3h5WAnXvB6SUBbkVTeDI0NFaTB\/JiSzjGp6Fkdz1lV9iiJwAKMV4tWooqZ6+vC+rbbtuW7GVuUN7nIyyRYLbDAoiywGJCChwIQARnht10Ppt71mJDfgfI56pZQ0ItczttdUgLCfDc4JfxF7wghQ0gmvcPdBuE0hPIAYvCG4Lkg9AcCA9aDFiA8JoAZlC3+ys0jYUzknMAkwrpgBQKkEF6EbiBCg8h5YX2QPTBHhALhmWEcAG\/jdOjxd1zQxfPkaXefIAlDxQJe4Z+422BbL8e1KKOuxpWKmno9AvX3i9TXJyPvJI4fk2fYeiUJkkiM2ZlwtRVTmk2qatdJe6u+mFqnxdgWHsWz+18J9x0+GD46yYthvgZXScIdwJ+DaqwSrPPjirHpV9q0ezvX6\/OCk1NoTCLtz0ukaSHSpqRsJhNidtqRZ5pZZgDB9xmAsph6KxJDJMXklmrFw80GbagrEK03qRPsusWFFkts4a8Zcthx3ZwfQ13Ywegx+cAIl5KcS+ljhlAq\/TSfVyX8y6c\/JhpTm66\/++GPXjVNqoAmYnd3AFaLuQ6DdVbGAguBFPYC2SGoSQCY9rpAgRAfQmXIHaHAFx4TQnwgIuAncjrIP2F95HwAINgXiAjwckCuQOEvHv4AC3hJ\/+7evgA1yLMAeEDYwAKvBmQHjAudQAAiColBFb\/ZZfDhb4R1EFr8x+kc00sulRVeGEAL88c8cU+CMYhtAZIArp+6ocbqae\/tTe684KVhfbdF3coY\/Gwdhe\/eLR7L36+GjRFFKOyTnLwT5w5Robhobvqp+JSO1KwzRpvX6A2hdQZlrjGpa3tFGaOl2gyKEj8ZTMWePzSl+HX4\/Lp6Xr4Gn72xtVq\/8crGLHWuN+bzFhzv6W0pJXXgaRUeYlY7LJLBmaeAsWiFdC8ZJGucFxjn8SqbCzV2Idpo1NVt0mlpFHuPvu1XesBL1peJIld2d2eHoQ4\/tDfOjhKFhiYoNJnXlaO5rJTLlfeqZuWq\/uVjdzAje17jH9z78S0t9fob9Or83Z88D6UgwRJY4JRYYDEgFXI9KHgmeIhjAW0cwILKchTwAgg+5OauMCZyWBCaRC4InhAe9GDj4Se8LsiNQOcL62I7hN1AyAAw4I0QeSuAEcJ38LDgzQDcUN2OBaHH\/89VYvdaDmA95JSQq8I+sW+Mh5wYJFTgVYFMAVYf5g4ww\/2IfBTAFW\/CAFUULCM\/BpANwhsLXIbFvAxJVP1aiIZfUXPDR5XjovQownVBynkgEnHGbLvp3EL8nEt1osb8SoS5jk+Rs+5uYk9seCH8i5eTsUp082KYT6OIpPC2GqVwxYY6beP+rVolD8EhQ\/R2i5TZI08dG1Wl9JBy3EPE3l34mwHkRdy7rj2OE0ciFKlqNam+UadEm07JGwuL9CwrFdHic7zseTJEH2aMkSDJh1suueEtY0cOXJafPPYnxATGbaudQaXihjtuiW+8Ipva\/bkbrNGBezkxjYvyz4mxNH3oK58K\/fDP38KTr\/0fbhrELYts28KLpCeJ5DVe9AvI+ttz+FtsLMJAwSqBBYoWWAxIebZCDgfFvPBAAEylSVSMhZwTwnR4q8MDHp+BFIFwPKjeGAPrDPq2BwiC\/o0QhZ9NB6DC+gMuCCK3hHAilC7wz9s\/9gevzlsP88U+MC5u0GIXvKIXhlAeWIr+N0FQ3zEujgtzONHK+1V1bfEHP6FMZIZVaeL5kJCakBzvyXluzwYn52EsJ3ikcW2ezr0sv0fOmtu2fc1cSKl8KcZ0ZI8e2hd67JVM+NWBMSWLXFSZMJ\/jReU0amyOWtetEbNdiU5t+zyKC1DFGFX0iDp2WGWjg+KcY1z0JCs09\/AASybOmWBHE5cZdPnbc+y8Ty7GYwEQeFp1nqyPf0a47mdabjAmPhAKR\/5OlGXByOf\/MXTuxe\/O175hlF741weobt3nQ22XPG+9+P0HxPpzPh\/edvMT2Yfvuc9m0hH+oW9+ChJLje\/93z9uam40Xrnz6jvMXOY827bB5IX4rL\/Nhl+XDy+AWILeTIu+ToIV\/RZYCkgFlgssMGMBhPco0R+iZJ+SHXpGZfoxty7O857wQEbhkebo7XEWt63Y+YWq9naNflqtL6bX01LN3f3IIxJqop46fDCcRi4KLTd8mnz+PBSUJC48p0rfcq2c3nXppcirzlmK3X53C\/TT+9XMkV9GhOQrePFxF5+XuNSJFlHct5VrJ09po3odN2ou1mqa1mr0X\/WFBWy12Fboc1puCCH5ntZLrnuLteZyY+Rnu75DtW1\/b5HA2PihO6VLb76p+vKukcn7PnYHL+TPVz74zU859vvXP7qBTR66V7ALJJD97Xht8+cmju6\/n3Ne2nLe70V5xxp4U8u6Vlb3RgFIre7zv6yjd3Iz24bUqWMHVeSfhHxKdJh7\/nCX4x0Usxs81mhHE5s0ir0hj\/zTIsNYS54bCBMPv\/R4\/OW9WXXUVRcvBSl4UQColhpmnV9Xnb9ii5arRDV3Qpk\/zYRp7JlwdmJAYpkRYYYi6C\/vmsGt4z2jjoOQu+JMeM\/nZc5pvAGTIeAQIa7ErcK6C\/WatY1ZdumusiDq7rZSuM9TGofiStmWG4yxL9e2tr6p4bxr8wf+60ffZw3n\/L1BikhjB++kC997U+TqrhHDBano9bf\/Sfrhe+7jiEtce8ctwpPf\/LBoZs5r3rTl80ee+\/n3bNsEYcmvFBOItC75Cg42KGeBAKSC62LRFphpOpgZkkl7Uc0deVUhI1e8hiLgpXjeEz4YI5IjRcXy+ktQnJtnN969mPDVoucze0XOPvHgPvkn\/an44MC4UxdVWhPk5aIaq6JWe0LUt2xu0+r\/a1OhNBdV9KC6QeWW6dBj0dzw88pM7sjhbbssPVlwiA8kM86VOCdF5DFV4GlkXlWRg3ZKIYtRHrR0ixWLmDNsDqDP8aoAVDmK1J1rjTZen2t49ztyRBWJJfMQJ2a62VZqueE1\/ktLIeVHan3rPfJ5V\/1y4tkf\/5TXr\/08bX3fE+yxe+4TROkIQAqhP6pd8zXrjTc\/QY9++T4SpcHWG377M8kH\/vbbnJsPFTTtrxhjIEVhQV2i1xXX68brhQSXeY6DzVajBQKQWo1nfZnH7OjuTR0KZ8aec3MzWdezgAfhC++5HlQksbkwWr8237CmOU\/bWq1lUqsXM1vW3c3ZnpY96ktjuei+oXzIqwGalQVyZY82NkTNqzbEskWyhKO2Oiu\/6niKvzEWoueG1TmhTI9DXhPldqjOtG3VqlJrTJJjNoXzNsXqbdKO8X37irUVFG9i1DAmkKYKU1ODsphJh4pFze7ieJ+lEhhFkHJAvnqtqcWu1BLUqc3jgc4n0Or\/DqQGf8uNGZBijD0QCsf+7j33\/uQnD\/z+re\/RU6PfsUnQSAr9nDExXX\/bNz+F0J+dnfgTh1ChxL9OBe0y5U2\/\/ZvRqdfUqWfv\/zEv5Nss0\/SLwwbEicVcvcE681ogAKngAlnQAs5D+6YhkY4Mq5mhgbAwtc8RNC2GvuYCFGdRm6ttVn7d2nxD1SXayjL45k4XHt7tu\/ZIz+tm+IDbJ2pOLgqbuZE3UM7XbYqle7ajeLjMeABj7dUIHXxRzeX3iZRy24WA+MEEm8J1VirWbFW3RgqktFn9g4NWe6LDrtSyfsYDTfaFyJAdeajsRFJiutsnayZM6oPUmXBphKzmC\/V4oj2zRGr6gue17LFzzn7r3l5l0IgrL746pmSYLKBrcams0kwhNOYZIWqO1xYu39SYvyRu6dTfbga1VMsyf7BRGQucKEiBGQfGH9h85WRswM4DbR0qDwGd+wy9BPnubpmoL5wZe0UR8kNiMcRXHqDwudW8QY\/XXaRRrNWo9OBeSVNAAql3Xa88NiyF96d1OTtli2VzUYDVKptfEI\/m2+vCmV23VyBMPPgJJZ3sj4njz8sz4Uw3t2bWtOnV516Wn1FlRz+r\/g5OO3bw+ZiKnqYfJTrYYDIVihf2qtJkn8IyGR8bsoT95wKVHW4tZGuuzDWp78qvZD1ZpXMAliRUK544\/IJyaDCvHhpKKTlPqaISEcWweWt9xFy\/PmK8YW11\/u4bz8MLQCCjtJIX+iod60RB6iq35gjSRKB2+xcwoVAoi8JZtJpH76aVXvAaj9on6POdKhBEqAYahYjJnJC+3EobY6XHm6mBMp5SSXs5nBv3M\/iQg3LdE\/dhypWYZdeuN3PNm\/NNT27UTgaDr9wxdu3mYurgC+qhQl49PJELOW\/+JQ\/T44SJuNWxtl6bOnxU6+2eLZ46AyRE4ezQM1GmHxAdMJYjPKK2WpPNG4yamovy1LlDPxHqPPYz2PMHalthr5pN9stFZmS9L+rn96jGCJ6pVbfJqNr49hzSm0kVAAAgAElEQVR10nQvrWUpUiz58oDauprfrD49mFTHj5E0wkwh4qqrz+ImIozqeFRhamqImltURX\/D1up8\/Ts3FQIppSWbPdigxAInClKfc\/XxIFX0csnYEGqFYgOSpWiRMR9DaTknBgAF6SUU+aJY91Q0SEOYC9JQaCcCDUEoVpy1y6sPfkLZpL8Yzh48CMW5ovberByKjzotR7gZP0+fqmrT2qhrUe3cV8pw3d2PSH2JRvW51Fh4aCQnlaOeA6Sgz7e2VimcV9+uqbUtc7rROqDcOyCnhvaFpSOvKCyXFNDbKlK3wRoPX6jVXXCtRtuOrkhujcNbefLTSvrF56Li5C+LRA8sc+xbJKBwuZFHz704R+Hzcic7fDozF87Z7h4SHswOhH4xOam+OjSp4gUA5YyOmrzvBMK+jpaIZPOqcMRsbrQKF9VQ\/t5bO+eVmVqpayAY5+y1wImAFMhLACGoQkAw1msnD2shhAFtPaigo9DQT01dKWu+0e0WDOUKSCuVIwWv1L68cSCvhAp7hDFQn4Ki5LNucR7W\/SRR3+PhbHJfuEi99trYlvegorGNBWr\/FY2u\/EL+RLyM5RgT9VFPvRiOvDycCR\/LmUJFkKoSrPMSot6yuU27ohyrzyGGPBt28m7j+0SndX11A4+s2aZTx5UZ1tG9ohqOsPPoDw9F1aFnwjNh1BmWJCzhvQQUwcuq32jEa7akTy5LsswZ4Jzdeu+AMjA5qb50ZEQ+NsVFkmfXoLmzLXpUFKaoKFjn1Yr6NZe3aYFHtZyrOtjGs8CJgBQaHD7hCs9CP89PL4YCOlTJn3KVzleaeoyHJjQBUe2ORoxQMT8VC5owQvIJrCWorJ+V6hRODir0i0j24PPK7OR+pcT+Bj0eflOO6MpT6kF5Jxz1UY\/v3RN9fl86jJbqlUAKQrLnNse0c5rj+Y4yyX2wFycHemPy5IEwpQ4yCkW43bLZzNdfnG+oOmfFCSDFliY7Q8j3zbAIS0HKO8ic5nYq3pShrt2n\/kXAVfN46YWU+sLRSXXEQofjYluPsgK1hs1jVczaFJONm69bn9\/Ruf6EQqSn4uYO9nF6WmC5IIXt8MBGBTn09PDQ9nJCCIlBQRx6ewiNQXB2pRdILaGNx4vTYcYPnEBuCPJJb3OBFuSP+RaQQHAsra74LXTRzpqlqGK+k9GeFpFGfh7OHviPyPHi1VKaNN7wi7mSaNO5hWOnOAdVavTbvvZMaG9OjP4yeSycmxKYE3Yqk5NqauDmGxJtOUqO5Ht3dFqlauf8mdtC9IsX47mxV1XSRonXNFrR1q15oqs16tpRWJKH6DQmRPt3Yh1dqLoqrxzu6gIqtPf+WG7yoDyrIHrm8V\/0qCJV1SbJHRptuEQ7FYSUuRd3sRYNQPXLVE4e1nIS+lT5bT3Lo8KJUCW787zW\/C0X1eRv7VxvsKDdx1nzzDhVB7JckAKrD0KxkEKBQCwe3h6TB80EoSqOHBRauh9Y4YOBF4WcEPaPKvflgiDyABCdRW4JYUnUjFRaYCeAGVTZ0UYELUXOqsWROeroF2moL5zte0llfFhwmG3l3uxd9QQomVPrttxKttlYjlGPg1Q6nJvKlwUpjBu3udnU1JzdvO6VfM\/2LntOfdTuLpm0g\/Hc8H6neNeuajGz0auyTfuXSALhnHX19DhNH\/MTmlQv19vrD95nVOruy\/u65fQzj8XFqb2KIyPluCb+F4MiSDkqFNXr9JqmLRq9s77gEiigOIE2NOiL5oXVK6lQLNW80PxDTnlG8sjTR3R6dR2cVB0R3x\/uuIGlhm+Pv\/WOW+SNV2S9uLujkWjYXH3wM2\/hE4f\/6tzz3nDNB25+8lBAT1\/qaVjd6y8XpNCPCarj64noOrcdu2dJXNAAEKiJow\/VSof6IBLrKZ9DhRnCsstZwD5Ey3g0bEQID63jKy2g0X\/TbZyIfUJA86xa+P23RcZTWUlJ+TwoPCi9AhnnaD0tvmhRSeKCq3PU2Zg7VWyzSgZfKkj9WrZCEW8pSCU2F2LNV08tOQfkglR+YoMyMa4pkhrjiTUX5XZ3UVlvzAkzTv4iJo+8EqbJpKvgUQakWMy2mxoLDr1fm9DZ9h6Em08pSDnngHP2iYf2yQCqXw7k5CnXoyrbVHJUI3p4xw3C+OE7my9801ve9\/m\/HQhyVGfVo+OkH8xyQepqlzSBnBQ8KU99GdXtIFNc6noeaAePBYrmaOsO7wpeFujbWOAVIbaNzwF8WActO9BbCtRytH9HJvYnrko5tkHLeOwDQPh\/XWYftoFGmUcJx7gAIT9AIlyHvz2PD2FJHD\/27\/8cj2XMA9sDiPHdNe4+0VcLoc1LXOV29MkCq\/GMrwfhu6+sS08Ygjj6UsghDNSDI1KqhIBX4zGKVLWY4\/Hz83UX3KzRtttWVMl8OVf8osN96gKeFMJ9+w\/Gcwf6VRynDZC64j2p5RAmED5996494acHclGuiOzaRE2uo30kv6Oz0yoNG84oecwQKMqzKHmM2bZ0jhlf365R6l15V4FiMSBVTvnBE6aFAgUakEKNAq1tvBY2KB1BSBueFF4EsQ4uAOdzJggPiSHlEInSxWJNy11GJvVBfu3Hb5EO9G60Dz7\/PSIeRvuP6FvvuCX79PevsscO3hl9w1veYez9t1+ztPQfWwUd45wMQtVyLqFgm9PYAssBKQDA\/5wGjc\/6WrnjEDEWmHwIiYEB95tuE0KE5NDgEA9y5IDQyh2degFMYOXh4kereNDJL3BbtaMvFPJZaG6IcXGToS8U9o0mi2gzjz5QaDmPHBGABjkwL2QHUgP2i3Ber0uTBwMRnXvRDh6ABV0x9I8CCxH5NIwBrwpjYL9gcmEbADHm5oUFMV\/Q3jEGar8QBkTzxzN64d++upZMQ8ge6wuxXFagcIOrx+c7LCd+M+aEwWKtHRpVvV65kdmmXixxAjU86+vE\/IWKpH3ttm1zwNUDC0q9HKb0kJCW6s3DtRumOrb3LIvVt+1rz0Re7p+MZ62seOWGRH5zbUtu\/a1zGyuiFQjlVZX4K2r22EiI8YzbLLKEqCJHeaS6znSkpo4reQCkvF5OfsN48kR4YcT9VNoyA+v+0M2v4mUSL1y4V\/ytNxCx8D7Hvea1BcG9+W+CIHz1N+597u6eP\/vQzfrEyB18682\/x178wVdFNfZIzS1fuWfiHz7yRRZS93Kleq81evBOCtd+SdKS72647r3vHX7oWyjwD5bAAgtaYKkghVwUwnt4+KOH051uIS12BFlNgA+8DtwU8HLAwANYoAEiPCiA0bjbFh5jobkgmIAvuCQI0MrRfh55LHy3zo21Iw+E0CHCiyBMYN\/wrnBToWPvH7mfAxgBfgCwW11CBGqZQK5AyA5A8y0XWNC9F40T73JBCoXJCFF6va7QoRceI57MmDtADH204AVibjhGqG3gjfTxBS19mq\/AH7lVTSazUjizL3y8JYVfVQIH4CbwYzGbpHqTZr\/Rv25H6FHQnx231PRkumyLDlCji8Ky9fqWzbGytGiHev\/QWIhoXKHJI3KKm1Z1pj3Dbp9XhbzicXd94YnwQ0PpeCaflyAbdEGbpSUSnVpPSe8qB6TaSJ7qHwyL40fl+UDKCbO2XqrRcbbhQp4UCupx\/\/kXgA8EYGe0+0r6PXkK6h5IfdzX3BBitbi3fiCK4id+7Tsv\/Pv9n\/ngzfrk8Mf4hms+w\/Y\/9nV57Rv\/MP6rf4x72rl5cv\/8uRto9MC9AiOtuq757W\/9256nKklSvW4XUbDj09YCSwUpgAg8IXS9xYJQnBfqAjigdgpjAgjgTQEs0GEXYAZPB4xAXPAI1+HNDjfKYTdkCDDBTQOQw431S5egABAAzfxpX6t53EQAJnThRSgRYIWxwCrE6ycSychdgWCBhob\/NB3Ce2y6o3CX6yFhfvCaMAd4UwAwrOO1swc4bXY7AAOMAJI4Tnhf2O\/lLgUd7EIcExQvzujF05cbnToUVseeU2PaoJjLlBGQdY8yYgqc6poMat6cJ3mj\/vqwzYqTcRQn8i+okPCprDihUTRcZbfUitbFm+q1Lmov2+jQRwuXKVxr+3I\/iz+\/bhFsT7I\/\/Ojeo9GRdFaMxqNWS21M20dajuYoXRSLiGloX5iSR+QcNP3KFU3Dk1KrrfH4lnzdmpmi3sWAFO5XeEL+xW0x74TP8YLpb0q4IEgJgvgDpabx09s+u\/vfn\/rqJ99lTg79rrjhms\/Y+x\/7esgFqRl9vx\/+kZOTUtTIFwrp5M1V0babxsf3nQwFmsWfo2DNM8YCSwWpOhek8JBGCA9Aggc7gGaHGypAaOwvpsHj69Ohgne4oPTf3DwO3ugQbkPYD98DkOB9gaEHJiBk\/hFGBIgAQJADAnDBI0OOCqFEJEuwLvaNBWoTCO990PXGINGEfQBc4PF4tHHkzrANvC14ggCl2908FgAUocD3u2DmnUCEH3HzgrGIPBnWgVcGoAVAwTND3B7HibAj8mSnSp5pxS+yGSFU4zVldpO\/8h4VWsFHG9osqr8473uzX\/F5LTQgGGcD9\/bKe6DdN6zLWauydl+0IWR3VNfkP7bmonSlbryOoO6OdkY9PUBAe0nU8+nJQkuQrhuQf\/Lc0cjzh6aU3JTOmupU00pEtVGtoFUCqdRL+8KScUR2atMqgNQyPCmE+8q1zAD5Z7GeFF4CZ8J9ihK\/zWbWw2LD+s+JH\/7Sw9l\/\/Mw7wO6LXPKe38s\/+4OvMjX2iHzLV+7J7frIF4lzEqsb76fkvjsbm9uuPnZo7\/+wLavPjWAsdGqD7wMLLNg+HjkgeCJHXHIE8i8I4yG8BRYfkq5YvPAbwl\/IS4FMgHAcCn5xQSJBCgCCtwQPBnFvgAli4njQI7+D77E\/eCYAPoALPDOsBzUL0MT\/dDocCIUJgAn2jXAgtgOYIDQBOQTkjOBh4SeADqCE7QAeACpIOAFs4Z3B40L+CcliJIcxLrZFaO9KdzscM47hYy4Q4qaH1wYPEfVamD\/AFgCG8c4CEsVucVT5cWSWEoJD3ZqrNoGTb1dtMmP1m3OU6ICu3RxiwMm+zwCuO3t7xd7+RvWl5GTk2GhWqqSCjrf7Ta1q4eor16bXP7reOBl06O7dfXLfhBZ+5uCkemw4K+Ykhbe2KoWGaJ22ed3WfNlwH\/oXF46q2SODyrzhvuo6MxbbpPUmOvLXX98NotBCnhTkwioRJ5YCUohu5CKRqs74xq1jo\/v7HrXq1\/0pvXvnz+iHf3GDmDpyO0gS1tihaG7P9x\/gtr2GGDsS7bjxRjr8ZEc+eeguq6DjXsPLXCllHpcI5ogF4fdgCSwwY4GFPCmEvAAWyAf9l+tFAYgQNgNZAA9kjAEBWRT1wjvBQxvMOHggACTkpJDTgQeEUBke+gAhiLQCSOChIMb9Vy6I\/Jub94JiBbwthAwRxtvqhvZw08GbAbAhjHiRuz8wC5HLQvgPuSbQyjF3ACZCgCA7AOAQ2gOowBsDCP65C8R4W4Rnhc\/gKSEcgt+j7jEgF4UwCNYHE8pbB2+kuMEQg19Wgv10ux49jyqZ7FPDY69EFmrNUWxu2GrF4lvydMG1Grv09pXWaVzQRJjz9p4n1Wf70\/HXRpnTSqRcTykvN7V1XU0eat1feucmFJiu2IsF5vHpnkH1R\/37ooOTegheVFSV7PWNtcaGFjmv1m6bqxm4u0s8Gq5VWo69qGadnNSIMKc+DXVSsZhtS\/Wl7L4FbbNSK3R3dwuvbXhv+GknrDoayo6ZgqM44SOB+lt4NDQr\/KJ1DTnYeRG0c9RkXe8+Q1ZqysE4Z4EFFgIpkCQQMgPFHFRsvEojNAbg8BZ4UQAU\/ERY7xH3C3gWf+mCCT7CGMj\/oBAWuSLEwfF2Bg\/HK8iF15R3GUfwVgB2uO7hueENC8QGLx+G7dDxE2EIhPGwLsAMzCN4c\/C0ACbITYEMgRAfap0AXvCusIDEAQIFSBLwkLDgAQtm1PeJCHJPGOOTLoCC+AGbYR3kobAtjgfjnHUL57tF+uGPIxm\/ttw8HhVXNlh6w1qtTr4iT11knur6qdueeSb04s+NuBNiW0z7+E3V+SvkeH5HV\/vS1CQqnGkQOPqSSujl1yx1\/7ipZMemHM3DxnjU2rYxpsUqyTHBzj+9X00PHA4LptumvoyGH2cx26prMaqq2pALNtw6qVNy3e3ezcUeGpRf3DcUeXkoBdKTszT4AcoVmUWqGiSV89sU4+L1zbm7bzxvMbWSeInEMyGgpZ+SM3rm7GQhkIJ4LNg88DqQd8JD+p6Sthtw35GPArEBD22ADBaE1AAG8IAAGM+5XhNqmn7X9cRA78YFj1AaQmrwuLAADPEZxsZFC6IFQA4hOgAZbv6X3JyV\/6KGJ4TQIIAVC+qs8IYGoAFA4o0ZiWKE\/XCjY38gVIAQgjAj3sDhjaE2BN9jXwgnApDAQkT+DGCIdbAtwHHF3sJPt8vG16xPzQ69FGX6frejbEnoD6bCq4SMMs+4HV13oT5QU5M\/9\/p7vWvhlBwaQOLZ\/S3h\/mMj6tBATsrJOqukLQe17rYapXDFhjrtXerWfKX81GInDi+jr\/2jSv\/g4fDAaC6UzZkCJIOgFNF0ToN5YTSWvapSEbErbEtjh9VcalwiI1tWbR6KE9HqdfoArc+Dyn6qXgI8D+qp\/ePhI9mclNVCThPEuR5U8TqI1lfZF9THtauCdh2LvXyC9eaxwEIghe9BcgBxAOEuAFXpWxHWQXk8Pi8VXMVDDSCEMJi\/9xIe9Pjbe8Djb3hG\/u3xWWmhLcAJlHPsE6BVGlYqHbfcoWNbzAn78m+PbTG+16wN6wG0\/Ot4b5CrqqGbUz+kvRrJ7n0iXGzZgaaH6H\/kL\/YdQ1Ohor3RwbbmXI3Wd+Z7iczOzu7p9hYnH8xBWBir2xd6SUmpL\/RPqmDVlYajMD2nrYSjhafwcxol47K2RD6sFYxytVPzPT2cXBgRG9qzRzy6h0L7jxrqgUl4cbp7X0F8VaNzWpv1G2J1mbs\/Wd6jcOyb7Itmk31hZoywSi1RHO2+U1yfVvSgnpRf3Ce6HlRR5bycNiLe66Ji1NrQrBid0eZcpeMNnsiBBZZigYVAailjBeuepRZwPKo9uyR6+fvhbOolV3gWB+v3qJzHv6MxhwVv\/Vbr+YWq8Lo83dSaP0Vv\/ay7m7Ohlj3qzw5Oxg8MZx2WXHkBVMwStHTJXlvbUDi\/qWA0m2p+1+3bzFJNv0qnFUXEfcknQxP7ZflQPh2Cl8FZSHCw2tXgS4Sr7I7Wmvz511yU3XUpK5urA0hNJZ+skiZeVmgyWyKL5AI\/VNCrWs1s9MKlawku87qEBzW07Sb15y9Ohg8P6qGsYAoRF6C8Ib0+UkUBXIWfv07Rrtncpg1nnjN7tm8\/K7sELNOcwWbLtEAAUss03GrczGsjT2PPKrl8qkwbeT9Q5SgiJzitadUpvCVPWqt5qvJUAI\/eX\/wi9nRyTMlCAHW+lhIuq6Y1rhbqW2T9HNMu1EZls\/X8bbz30V5KtHfOhHOT\/b2s87pO6kv2C9FsRBi3j4QOjHDpWFqXR6ZsNxTqXhk5jRL1kr2ppdb4lba1WnVXm15OCd15AXjokzJNvhjPHXabHzr0c9\/iAp5V\/8ZT0k\/KY0vu2RuXXx2bDB8ashVPNHaWB+VrdBiLSPb5ccW4+MJF56BW4y0UHPMyLBCA1DKMtlo3ceqHbmoRx1\/+eVgZfT48O0c1VxDV8agYs+3qc0yzdkOhNtacp3fePZ1LObmhv2Ld1IC8Z3gw\/NqxrAqGXSWPyoHVXLGjbLyGWdUk2\/VVih2NypY2mbdDsQKXc3XciIyzgtrCwsmMkJUNcczWhVRGFjKGxjjyT7Lg3EvFiGcxN7PxnAbzqg2xbF59Jd\/T1WXPaQ3CiVHPboGq71cz+5+POizKGZo\/Qqmzmx5GmtrzRFdm2PaVbb5Yej0XCSCN6vP9I2q5HNQMg89J2xZbxl9SJ+avaI7nqavdDFrGr9YnxMk57gCkTo5dz+pR+TNfC9HLPw9n0i+qzD4qsAx3O\/eWAyqnu9PxNhPRi3VKVBeok+yTGQJEqCrV\/jbloX25yOFBMZQV0PZ8dp+pmZDVDLgUaxXgLcQiIVuSRStnWDOelEWyYGcNgbOCcPxBXRzFSc85noVGEUnh8CxAc7\/6\/HS2+\/rr\/fnYmWuj2K6e5KnXnoyI469UoJ4X28dH6lstqr5Uo3e\/I8fYrDBaJe0+qPVj8fT5oACDxROWRQ0hKN\/43lmYIJAgiD\/f\/Lbf+fXxCz9gDafzyNPOHJ97iO5xEkXDBTsuxa2LW2R97VWStuvSS0956cFZfaMFB1e8LgM7BBZYqgX8dVTqxH5VRLM+h96HpzWImT5hVHyGcJXH\/AvXWbT2AoPCIYM6v3VSu7U6OaP+XvX5JKl7R6dkZ4oVclRzbGDYDjixkDIDUrwAQkSESM7Pvm886rWbjzu3OWpd0BzT1l51hfa1baDil6\/Dcnp4xX4QzR54LlIkTJTp3+U2l7TqNhlTVb+itXVV6yXgXq6Y1zscABJACOxWgBLIRqUg5Rb08uEL3vJrda899cgPuFL9iPybX\/uKv8Oxc3ZdEHaIE5LtkE7OaUvkr1o7rpdTd1\/qdRWsH1ignAUCkAqui2VbwBFGrVbV9PArqjCRlIrMP6\/NhINY7the2Mr1quqarWhDg05NF+v9g9VWO\/VZy5EfWnjinHU\/QmJfsl99cd9RpZj8D814VP4ZemMdfxjPP\/qcNlsgYdiSDQ\/qkos25NdesEmrRJTAyJ4XRUd7Y8dzUfjG80aP2wyq81r9Jbm+REe+c66ix0IgBRACUKFWELWGs0CKMfbl2pYNV7\/7zoeTA5OT6uN\/+f7PmIX8ZvrQtz7lHaPnQTlhUcPm8SpmbWiNm1uicr716Lb8yVDtWPjcBmusFgsEILVazvRJOE6n9TntFqj3wRBNDqjZoQGVZTJC0asqo\/dXUk9lh+ssS15r1mw+V6crrzRKwlgrMmN4fbfv2iNp4ZD89GBSdUgAvu63pcw\/12GYd98e0764UpHN2CApvKmmSl+zIapftXarvqOTKspDzZAlMsNqdugZlenHxGK80AdQngeK2ozE2kLs3AvTFTzPcuE+SIShyN0TkUXXXrS4QbG9v3XH9YIYuqf1wje\/Ofb+z04M\/Mfj1fnHvvqPpMQfifzWV1APORPaKx5nmJrjagHhvU2b6nWXwYfSkbO2VnBFLsJgkBOyQABSJ2S+YGPPAgceuVWtGZhUa4zDUjZ1SGLcn6eax6uKxWxLcVQUDIo1FyhcbyFfRaybsxV8+DlK6QdfUI9ks8poJi1lcqbABVNwgKGkt+OizmpOIxaussmweHWtaNUrkrW+Lqyrtfv1+ajXDkD17wzRwVfVzMH\/VAWPJTlHYWKMInKEZ+UYL7RelK+puSjDilp9pctiPCkUsAOcoNbST4z9Ye25574nP556S0HTvmuLIbKLSlJEYuhJ5do7bhHbr8g6GOWSShiX7LVNcfP8pmqj+cJMPsg\/LeoqCVZaAQsEILUCRgyGcMNX\/STR4GshGn5FzQ0fVY43YC7nVflyVYUY53HR5pF6qyDWF+rqNun0zvrCihIrnJbuJGSG90maaISSyZQ8ktXlLEgQbi6p6MlUXmawLEIU5SG7vtYqRIUac8OGJoNoyiJqt3q2oyi9shagU7hLIyrtfUrN5Q6GKodHx4izqB2t22QcbdqSb6lca7ZYkILkEBRhfslE8ZqNb\/vw+488\/\/hb9dTY\/xIvvvmmwkUfSHrhvdmeIlFTAzfb1Hp9S1O9LhtjVuvRB6zu7u4zVu0\/uF\/PLAsEIHVmna\/TfrYOGaD6fnXq8IhSVdgnZdNTwmK9KpAabKnWNNU6o0aUC6ReVaAE2Y5nRTv4SgnBFinWm0KvHhlVkpohpsYnRaIYcVljVBDn3hOhIsOPGWEeC1m8Jq7Yali21kaaDLV2wuzpai+U0stLT5RD3+8iifr65DTIJg5AlSFKOO4LQms5iiRaC7Tmyhy97V15oq5KLUMWB1KcD0ei1ZfmjVyvGFKfTdx0x28ce+qnndb44b+krTfdRJd8cGRGQATRWlDyJWbV1tVY8J7WZUXj7k9uMhZb6HzaX6jBBM8YCwQgdcacqjNjok44i3oEeugxiQoH5fTwEWUW+69srso9Nh8LkCtxHquPmmTUmLSmyaC4bNG2XdOitSuQ\/3C9qv0TJDTqJBzRX5ByWU00lIJo6yLjssi4AbBKE9MjXKwybImFbTUetsJSrd2oZ60RZZO9oZbsjn7iiyEO8L5uGSE+OvyyPDccWp5gYjVfqMcT78nQOz8xn1L7okCqazcfqZ3Yo9z72Xd8wyJ2jvTmT35Yf\/b7V9P4oTtp68030SVd0NR0FoBVa41aqI\/J+hvimrF+PZn0aKe9mOM8M67SYJZnkgUCkDqTztYZNlcntGW8ptDhfQoJSTE7mhLn9apmvAjvaRkmblVb0USNQbE6k3TFJOqwHO8q2cdXihEIzb\/7W\/aIcble1CcklrXGhWZIK0OwUivwuFxvh9Mm18YHrUd2dC66X5bL4BOIBqSJ5KBSO3ZAyU2lpPLEEjhPkMfMOXVRdvUbTC22RUt0NeaWG\/ZErVh7+w722PA+6ZWanHQIxJERU3a0BV1ui6fDR4bNWUSyY4bFwdxLVNuF5gvVIPd0ht1zZ+N0A5A6G8\/qaXJMs7yqzHDICXMZI3LxYey8szt1SzO\/O794AjzHc1YRFrdJETgJNfaUKNtViUSBhGaLWqhAD7Ra7ITzI5xxTrRzJ7G+9h5WbJfmLT3U0dXFaSdR9w7iC4X1vK2c8N51AzJNCSGa\/CWOWSxKSZWj6LvH7YT5RonH1tta25uzDe9+R45o+3TR8\/K8R6f5IpHcP5iSx5KmmE6lRejvzTKzWzcWkwSrKa4Y9VVmYYulFeq3hK2g9uk0uZFW+TQCkFrlF8CpOnx4VWiiqExNyUJhn8SQqwpxn+0hmp4AAAspSURBVOK3N5MyhcDHX\/sdUEPeCqHAcaPGLNiW1dSw2aRG3aZ0Ky96WB0OqNCObr7cB\/xS7FKk4nOinu0CJToYNZJA+4ckMkfkzPB+WZgacr2n0mJnby+oiQJwF5U50OqE1jZm2aW7lqbgMB1q7YYq+649oiHXi4PHxpSBVE4eSudDM+QQx7zFYlzPc0LeqU0Qzbamej0bXV8o7Ry8FFsE6wYWWGkLBCC10hYNxitrAXhVvb07xc4kCUnqkxOFo6Hs5KAyq67Kca5KpJVKR\/PyVgXGo\/EqO0NRikVUKyUl7OqYaB5LVdtNDTVF0No\/YVNXz7I9kcWeSqeoeUOtcPQohVrsYXEqqYeE3IjI7ElhpsB55thcD3JmcBegtBxR9Tpu1Fys1TSt1ZbDbuzavVuMZi8LDRpjyqGj6dCRCUvkminMtA7xACpC1BKJmvHqiFEjy+aWc+WCfjhlt962zeoG2q5gp+LF2jBYL7BAJQsEIBVcG6fcAs5DnUiezBYU0TgsCdq4SKEMczQASxXAZxUx+QRXS7wrkmPctkMWAIvsiEWhsE22ZR3VFN6ydr1FmWFOE7Wczm\/lRL3FY04mZhehwgMrt\/T0Hb9PEAnsTTLaez6j2glGiahAxpBISVGk\/KSUKWQlwZyQPIZeMaRZ9F5mF2Qdb8GBb7kiWNHEZQa1Xqax67sX1yzSIYD0CLUTGwRFrxZeFAdDyaQuj2QVOakVBK9tCtrXU43CY7LF43KYN7Mas65RNusEpRB4Tqf88g92uEQLBCC1RIMFq5+4BZzwWE+X0E8dYjulxAl6UZYmJkJibjTkdKX1L7M8K3zhy1n513M6A2ucF2Kc5GKdEhiCpIicqwKPS7KdKoi8OqTaZIQ46VOcQlGbahVOmsod1aAEdPrWE7XFi2D1eJrR+gGiJDT72ojyKYHUakZGRpgsaEJNVBfINIRMqiAwPc3I4KwYwsQxlBYJ+yuG\/TJRXpPIizVaX5On5I0Ftsg+TChQJnpSnpiQ5Tmek4ONYYqGQ3ZtlExFkaz6qrpCQk9Z1FZtdSRGbOqcZuwFntOJX9DBCCfVAgFInVTzBoMvZIEiYHWHqPq1EI0ekCmjiVm\/Z4UB5nhXzofu0LM9kjn7828rxzg3GY8Kkg3wShcETqrI44Usp7BQBKZI\/WxvKjdWvEc0m1Eoyihvsaygi2TYjNlWUQJqphh4hjJXErYsAVevMWSM2VyosmPNWwyquShPnd3T4rGVSBLT+abuIrEDntNhvVqY0o7JkyEhNDKly8lRqLwf1w+Mh8K8Lq7YVfWiKYRDZqtVZQ0cHDB7u69HI8JAxmihCzP4\/rSxQABSp82pWL0TcZhw7e2orxKPhvNSi6aF0nM8q5m2e\/MzAhcyo+mCEZ7UrsflbJIlivr\/9saJEmUN1H4Vlyh8Ofxt2Gx+OaVSraUS74kiZNWsM\/TmNXqDfok+f0NID6D6pfyEJh3OpeVciqSJLElT+x+PGw\/fcx8zjSuJWyQK4j+\/6a7v\/k4ioVg\/+OiN7zBzme9xvAkI7HN2oXCXm2\/6YyL6a\/eQDhERZJOOulp\/M607iOi\/u6K0pVZtIaL\/JKJzShTWK41b7qzEpqWaHiCivyUifxsRb\/9+5faFzqpfNBdK7\/754cK5dvrY9pQM4l8HX3nHWunzheYQfH+SLBCA1EkybDDs8izgANblYyESJ6XU6LgsZIaLBATdZsdJCPPp7ZWE1fzTmPF4ys0NOaOiWOyil1ke3jz7xYB+wodabVEkYdHaTTrJG\/UKmnzHp+HmnkCKGLf10N5jg7JJsjCVMYTxr3\/048zInbf1cw\/dPvjt369Pvvx0L3Hrq7Zp3ktEDxHRR92BvkFE7ySiViLyfgcw3UdE69xWHne4+n4Qp51vwTb9RAQRWg9ohuYZF8DhX\/xAgL5XACl85s33FXdc\/A3l9vkWDxj9oIb5YcFx4Hsct9eqxBvLOwaM74n0fmBaNur97rGVfu4B6aIvj2DFlbFAAFIrY8dglBW0gOdZ9VO\/2J4YEEb3j4ckYUqUeCoU03QxZ6ddUoAvvIb9z6m5ctBhBWdWaagyAOV16J3Zf4R4LGbbscZCPLxOd8R0M9eY1FVR7mhmZ2BG9vSQ8GC2NzSQI6mQCbGQVuB6lWLVSAk71mzwjkS73Zck\/t0PSN+yifeRbQNE3F5RBN2+Uq\/FG9\/vhQB0sN18wOABzMddcAEIQLi2FNhKvRtvf\/CgsJ8vEtG\/TheGeeP4jVvOyypnfOwD+8biByL\/nEp\/x7qlx1dpf4udxym4xlbvLgKQWr3n\/ow5cke5QhsTKTMcmswWJDAC4V3F9DTLhjhjCL9J4RW4lhfwhpZisRkiR5Eqj0Jkqt1QoHBtoTfWalxfXtG8\/B58LD7kogBKRTFbhvySf\/F7I\/CY\/tD1ILAOQKqcZ+J5FGjv4YXwsL4\/DFhpHwihLcZTKXdcpWDnB83SRo0LWb7cHDwPq1LI0j8mPCm\/d+l9V+nzheYTfL+CFliBG3sFZxMMFVigjAWKyhU7p3tXtbM9ux4W6mVDXB\/NSlQ4GkpnNFEwNYnBu8Iyb0gPKyzUmmOmSXrlc7HQPlyPDpJOdlixCtFGo06OFSjRUaBkO1+M9zRn5yjU3Qkb7HC+KqN+UfrW7\/dkKoFUJS8I61cCHz8QVgKp+cb1Dq0SSHnfV9p\/ufPiX7f0WBcap\/R4\/PPzwo+l+azgPj2FFghA6hQaO9jVylkA3tVgsi\/UVq0KlDoqTU1lxSrLEDIhm8X0KZbVbYcSDqaD42lhWZDsgJUWA1KgjRcJGFzOccpGCbT3qCJwJF9innyTWmNSosGi+rCxZPWIpZmq3IPWa3gIUkS5cJ8\/J1Nub972txHR91zDIO\/z20T0b74wXSkglY7rtbDHPrxmjPh9IZDyzx+5s\/kWPxDFfbktgMt8AryBB7W06+x1WTsAqdfF7MFOT9QCM95VTzujRD\/rT\/YJ7dmoQA1jAo0wcSKeE0QAV8himVxeZJLNWMYSSLLZ\/HmqhUEqIsTtrCzwqBiyQWPn0BMUFXs8FLbrbMuita0WJbM2JTrsZXtOizcQHvbfcbvu+h\/mfuDCaKVkif\/nY9V5oOEfx08+KJ1NOeIEiAX4vHTcSkdSClKlxzHf\/kvHnM+TqgR2AKg\/I6IPEZGf2FHp88WfkWDNFbVAAFIras5gsNfbAkVhVxIoSQJRn0h5VaDqlEDpAqOCJpBsMtIsRqHiv0w+wpxnVAbORskSw0s5UUwVeDpNFBdlm8IinzQkzqMSt9IRu6Gt2qZU3h7IRvn6LbIFKSa2vac0V3QyzYKH+YdLduDlYfxejMei83\/mbeYx464nIo8CXikn5feCQEH3t6r309ex3nw08nKelH9upWy9+cCvNKRXiYKO9bB4rMTrSuy2fVqHBAzH0s89253M8xiMXcECAUgFl8ZZZwHHy0L+pt2VM4LoK5a9Q8WftRNs33CGbYo3scFolrU5Hw4SDR4+bou2teSoTCSifGCAaH3TMU6ZGKcNtXzPHqJtjrwSpJX6ij8dSaUd01rqjE6FqO1Zd9LmPyB4N3hjcPWsVtnRr\/LDDUBqlV8Aq\/3wZwCNusuYYlo06BQpqa\/287DA8X9w2rt5xC04Dky1yiwQgNQqO+HB4QYWCCwQWOBMskAAUmfS2QrmGlggsEBggVVmgQCkVtkJDw43sEBggcACZ5IFApA6k85WMNfAAoEFAgusMgsEILXKTnhwuIEFAgsEFjiTLBCA1Jl0toK5BhYILBBYYJVZIACpVXbCg8MNLBBYILDAmWSBAKTOpLMVzDWwQGCBwAKrzAL\/P5saNDvwHrxmAAAAAElFTkSuQmCC"}],"a8":"","a9":"Virtual","a10":[],"a11":"true","a12":"true","a13":"true","a15":[],"a14":"","a16":"true","a18":"true","a17":"Driver's License "}]}]}