{ "version": "0.4", "data": [ { "t": "Demographics", "q": [ { "name": "Theresa R Ackerson", "gend": 1, "currentgend": "Female", "add": "24 DALE ST", "city": "Farmingdale", "state": "ME", "zip": "04344", "dob": "1928-09-03", "age": 97, "mstatus": "Widowed", "insh": "10000037863", "cliId": "", "pno": "2076238081", "cno": "", "email": "declined@07222021.com", "ename": "Daniel\/David Ankerson (Son)", "eno": "0000000000", "pphy": "CATHERINE BATZ", "ppno": "2075826608", "pcpadd": "5 Central Maine Crossing", "pcpcity": "Gardiner", "pcpstate": "ME", "pcpzip": "04345", "pcpcounty": "", "pcpid": "", "pcpname": "GARDINER FAMILY MEDICINE", "plan": "Martin's Point", "program": "Medicare", "lob": "GA - 2026", "region": "", "aligned": "", "ano": "", "add2": "", "add3": "", "madd1": "24 DALE ST", "madd2": "", "madd3": "", "mcity": "Farmingdale", "mstate": "ME", "mzip": "04344", "pcpfaxno": "2075822258", "pcpnpi": "1003307752", "currentgendcomment": "", "pphycomment": "", "uniqueid": "", "medicareid": "3K61K66EU29", "medicaidid": "", "pcpFlag": 0 }, { "a": { "indx": [ "1", "", "", "", "", "", "", "" ], "comment": [ "", "", "", "", "", "", "", "" ], "sub": [] } }, { "a": { "indx": [ "", "1", "", "" ], "comment": [ "", "", "", "" ], "sub": [] } }, { "a": { "indx": [ "1", "" ], "comment": [ "", "" ], "sub": [] } }, { "a": { "indx": [ "", "1" ], "comment": [ "", "" ], "sub": [] } }, { "a": { "indx": [ true, false, false, false, false ], "comment": [ "", "", "", "", "" ], "score": [ "", "", "", "", "" ] } } ] }, { "t": "Previously Documented Conditions", "q": [ { "a": { "diag": [ "Z23", "U071", "S065XAA", "R918", "R0600", "I6200", "S72142A", "I480", "I878", "L97912", "I10", "R600", "S91001A", "I350", "I4821", "R220", "G319", "I872", "I509", "S4992XA", "M19012", "M810", "I110", "S91009A", "G5600", "I4891", "N179", "M79605", "I130", "I959", "E162", "E785", "I21A1", "I5030", "L97319", "R5383", "R2689", "W19XXXA", "R609", "S91302A", "R0602", "S90911A", "R58", "Z7401", "S199XXA", "M5030", "M47812", "M4852XA", "J9811", "L97318", "Z7901", "X58XXXA", "S72142D", "S065X0D", "L03115", "Z471", "K625", "W010XXA", "Z0000", "I5033", "D6869", "L97311", "D72829", "N390", "D649", "J90", "R590", "Z139", "Z1331", "R7303", "E559", "S062X0A", "R402412", "W01190A", "S79002A", "S72042A", "R0902", "I2720", "R413", "H6122", "K8020", "K449", "N134", "N1330", "M25551", "Z09", "N189", "I83213", "L0390", "S70912A", "E7800", "I629", "I083", "I3139", "M159", "I082", "Z1152", "J811", "Z96641", "S299XXA", "S72002D", "M1712", "I214", "S72002A" ], "date": [ "2025-01-22", "2024-04-28", "2025-01-07", "2024-10-15", "2024-10-15", "2024-12-11", "2024-01-15", "2025-04-22", "2024-03-08", "2024-03-06", "2025-01-07", "2025-04-18", "2025-12-22", "2025-11-20", "2025-11-20", "2024-11-17", "2024-11-17", "2025-12-22", "2025-12-04", "2024-01-18", "2024-01-18", "2023-09-08", "2025-05-30", "2025-12-11", "2024-07-02", "2025-05-01", "2025-06-12", "2024-02-05", "2025-04-18", "2025-05-26", "2025-04-15", "2025-04-15", "2025-04-16", "2025-05-30", "2025-12-08", "2024-01-13", "2025-01-07", "2025-01-07", "2024-02-06", "2024-02-22", "2024-10-15", "2025-11-10", "2025-10-28", "2024-11-17", "2024-11-17", "2024-11-17", "2024-11-17", "2024-11-17", "2025-04-15", "2025-12-15", "2025-12-08", "2025-11-10", "2024-02-25", "2024-11-21", "2024-03-08", "2024-02-15", "2023-12-26", "2024-01-15", "2024-08-06", "2025-05-07", "2024-12-23", "2024-07-29", "2023-12-26", "2023-12-26", "2024-08-06", "2024-04-29", "2024-03-17", "2023-08-30", "2023-08-30", "2023-08-30", "2023-08-30", "2024-11-17", "2024-11-17", "2024-11-17", "2024-01-24", "2024-01-26", "2024-10-15", "2024-03-17", "2025-04-09", "2025-04-09", "2023-12-26", "2023-12-26", "2023-12-26", "2023-12-26", "2024-11-25", "2024-11-25", "2025-04-22", "2025-12-01", "2024-02-15", "2024-01-13", "2024-06-04", "2024-12-11", "2025-05-01", "2025-05-01", "2024-12-23", "2024-10-15", "2024-10-15", "2024-04-29", "2024-11-25", "2024-11-18", "2024-11-18", "2024-02-15", "2025-04-17", "2024-01-15" ], "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": [ "", "", "", "", "" ], "sub": [] } }, { "a": { "indx": [ "", "", "" ], "comment": [ "", "", "" ], "sub": [] } }, { "a": { "indx": [ "", "1" ], "comment": [ "", "" ], "score": [ 0, 0, 0, 0 ], "sub": { "indx": [ [ "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "" ], [ "", "" ] ], "comment": [ [ "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "" ], [ "", "" ] ], "sub": [] } } }, { "a": { "indx": [ "", "1", "", "" ], "comment": [ "", "", "", "" ], "sub": [] } }, { "a": { "indx": [ "", "1" ], "comment": [ "", "" ], "sub": [] } }, { "a": { "indx": [ "1", "" ], "comment": [ "", "" ], "sub": [] } }, { "arr": [ "Retired" ], "comment": [] }, { "a": { "indx": [ "", "", "1" ], "comment": [ "", "", "" ], "score": [ 0, 0, 0, 0 ], "sub": { "indx": [ [ "1", "", "", "", "" ], [ "" ] ], "comment": [ [ "", "", "", "", "" ], [ "" ] ], "sub": { "indx": [ [ [ "", "", "", "", "" ], [], [ "", "", "", "", "", "", "", "", "" ] ], [] ], "comment": [ [ [ "", "", "", "", "" ], [], [ "", "", "", "", "", "", "", "", "" ] ], [] ], "sub": [] } } } }, { "a": { "indx": [ "", "", "1" ], "comment": [ "", "", "" ], "score": [ 0, 0, 0, 0 ] } }, { "a": { "indx": [ false ], "comment": [ "" ], "score": [ "" ] } }, { "a": [ { "indx": [ "1", "" ], "comment": [ "", "" ], "sub": [] } ] }, { "a": { "indx": [ "1", "", "" ], "comment": [ "", "", "" ], "sub": { "indx": [ [ "Daniel\/David Ankerson (Son)" ], [ "son" ] ], "comment": [ [ "" ], [ "" ] ], "sub": [] } } }, { "a": { "indx": [ "1", "", "" ], "comment": [ "", "", "" ], "sub": { "indx": [ [ "Daniel\/David Ankerson (Son)" ], [ "son" ] ], "comment": [ [ "" ], [ "" ] ], "sub": [] } } }, { "a": { "indx": [ "1", "", "" ], "comment": [ "", "", "" ], "sub": { "indx": [ [ "At home and with provider." ] ], "comment": [ [ "" ] ], "sub": [] } } }, { "a": { "indx": [ false, false ], "comment": [ "", "" ], "score": [ "", "" ] } }, { "a": { "indx": [ "", "", "1" ], "comment": [ "", "", "" ], "sub": [] } }, { "a": { "indx": [ false, false, false, false, false, false, false, false, false ], "comment": [ "", "", "", "", "", "", "", "", "" ], "score": [ "", "", "", "", "", "", "", "", "" ] } }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] }, { "a": [] } ] }, { "t": "Activities of Daily Living", "q": [ { "a": [ [ "1", "", "" ], [ "1", "", "" ], [ "1", "", "" ], [ "1", "", "" ], [ "1", "", "" ], [ "1", "", "" ] ] } ] }, { "t": "Medical History", "q": [ { "a": { "indx": [], "comment": [], "sub": { "indx": [ "1", "1", "", "", "", "", "", "", "", "" ], "comment": [ "" ], "sub": [], "textValue": "" } } }, { "index": 0, "comment": "", "sub": [ { "sa0": "Cardiologist", "sa1": "Cardiology", "sa2": "Afib" } ] }, { "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": [] } }, { "a": { "indx": [ "", "", "", "", "", "", "", "", "", "", "1", "1", "" ], "comment": [ "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "sub": [] } }, { "a": { "indx": [ "", "", "", "1", "", "", "1" ], "comment": [ "", "", "", "", "", "", "", "Maine General wound clinic- Right ankle wound with band aid dressing applied\/intact." ], "sub": [] } } ] }, { "t": "Family History", "q": [ { "index": 1, "comment": "", "sub": [] } ] }, { "t": "Preventive Care", "q": [ { "a": [ [ true, "" ], [ false, "" ], [ true, "" ], [ "", "" ], [ true, "" ], [ "", "" ], [ "", "" ], [ "", "" ], [ true, "" ], [ true, "" ], [ "", "" ], [ true, "" ], [ "", "" ], [ "", "" ], { "comment": "" } ] }, { "a": { "indx": [ "", "", "1" ], "comment": [ "", "", "" ], "sub": [] } }, { "a": { "indx": [ "", "", "1" ], "comment": [ "", "", "" ], "sub": [] } } ] }, { "t": "Allergies \/ Medications", "q": [ { "a": { "index": 1, "commentTxt": "", "arr": [ [ "", "" ] ] } }, { "a": { "comment": "", "sub": [ [ "Atrial Fibrillation", "", "ELIQUIS", "2.5mg", "", "PO = By Mouth", "BID", 0 ], [ "Peripheral Edema", "", "BUMETANIDE", "2 MG", "", "PO = By Mouth", "PRN", 0 ] ] } }, { "a": { "index": 1, "commentTxt": "", "arr": [ [ "", "" ] ] } }, { "a": { "indx": [], "comment": [], "sub": { "indx": [ "", "", "", "1", "", "", "", "", "" ], "comment": [ "" ], "sub": { "indx": [ [ [ "", "", "1", "" ] ] ], "comment": [ [ [ "", "", "", "" ] ] ], "sub": [] }, "textValue": "" } } }, { "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": [] } ] }, { "a": { "indx": [ false, false, false, false, false, false ], "comment": [ "", "", "", "", "", "" ], "score": [ "", "", "", "", "", "" ] } }, { "a": { "indx": [ false ], "comment": [ "" ], "score": [ "" ] } } ] }, { "t": "Assessment of Diagnoses", "q": [ { "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": [ "", "1" ], "comment": [ "", "" ], "sub": [ { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] }, null, { "indx": [], "comment": [], "sub": [] } ], "subgroup": [] } }, { "a": { "indx": [ false, false, 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 ], "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": [ "1", "" ], "comment": [ "", "" ], "sub": [ { "indx": [ "1", "", "" ], "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": [ "1", "" ], "comment": [ "", "" ], "sub": [] }, { "indx": [ "Peripheral Edema" ], "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": [], "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, false, false, false ], "comment": [ "", "", "", "", "" ], "score": [ "", "", "", "", "" ] } }, { "a": { "indx": [ "", "1" ], "comment": [ "", "" ], "sub": [ { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] }, null, { "indx": [], "comment": [], "sub": [] } ], "subgroup": [ { "indx": [ "", "1" ], "comment": [ "", "" ], "sub": [] }, { "indx": [ "", "1" ], "comment": [ "", "" ], "sub": [] }, { "indx": [ "", "1" ], "comment": [ "", "" ], "sub": [] } ], "phq": [ { "indx": [ "1", "", "", "" ], "comment": [ "", "", "", "" ], "sub": [] }, { "indx": [ "1", "", "", "" ], "comment": [ "", "", "", "" ], "sub": [] }, { "subGroup": [ { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "" ], "comment": [ "", "", "", "" ] }, { "indx": [ "", "", "", "", "", "" ], "comment": [ "", "", "", "", "", "", "" ] }, { "indx": [ "", "", "", "", "", false ], "comment": [ "" ] } ] } ] } }, { "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 ], "comment": [ "", "", "", "", "" ], "score": [ "", "", "", "", "" ] } }, { "a": { "indx": [ "", "1" ], "comment": [ "", "" ], "sub": [ { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] }, null, { "indx": [], "comment": [], "sub": [] } ], "subgroup": [ { "indx": [ "", "" ], "comment": [ "", "" ], "sub": [] } ] } }, { "a": { "indx": [ false, 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": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [ { "indx": [ "1", "" ], "comment": [ "", "" ], "sub": [ { "indx": [ "Right inner ankle", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "comment": [], "sub": [] }, { "indx": [ "", "1", "" ], "comment": [ "", "", "" ], "sub": [ [], [ { "indx": [ "Maine General wound clinic- Right ankle wound with band aid dressing applied\/intact." ], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] } ], [] ] } ] }, { "indx": [ "", "1", "" ], "comment": [ "", "", "" ], "sub": [ { "indx": [], "comment": [], "sub": [] }, { "indx": [], "comment": [], "sub": [] } ] } ] }, { "indx": [], "comment": [], "sub": [] } ] }, { "indx": [], "comment": [], "sub": [] }, null, { "indx": [], "comment": [], "sub": [] } ], "subgroup": [] } }, { "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, 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": [ "122", "78", "18", "98.6", "97", "0", "68", false, false, false, true, false ] }, { "a": [ "5", "1", "122", "23.0", { "txt": "" }, { "malnutrition": { "indx": [ "", "", "1", "" ], "sub": { "indx": [], "comment": [], "sub": [] } } } ] }, { "a": { "indx": [ "", "", "", "", "", "", "", "", "", "", "1", "" ], "comment": [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], "sub": { "indx": [], "comment": [], "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, false, false, false ], "comment": [ "", "", "", "", "" ], "score": [ "", "", "", "", "" ] } } ] }, { "t": "Exam Review", "q": [ { "a": [ { "indx": [ true, true ], "comment": [ "", "" ], "sub": [] }, { "indx": [ true, true ], "comment": [ "", "" ], "sub": [] }, { "indx": [ true, true ], "comment": [ "", "" ], "sub": [] }, { "indx": [ true, true ], "comment": [ "", "" ], "sub": [] }, { "indx": [ true, true ], "comment": [ "", "" ], "sub": [] }, { "indx": [ "", "" ], "comment": [ " Right ankle wound with band aid dressing applied\/intact. No s\/s of infection noted.", "" ], "sub": [] }, { "indx": [ true ], "comment": [ "" ], "sub": [] }, { "indx": [ true, "" ], "comment": [ "", "" ], "sub": [] }, { "indx": [ true, true ], "comment": [ "", "" ], "sub": [] }, { "indx": [ 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", "", "3", "2", "5" ], "indx": [ false, false, false, true, false, false, false, false, false, true, false, false, false, false, false, true, false, false ], "version": [ false, false, false, true, false, false ] } }, { "a": { "indx": [ false, false, false, false, false ], "comment": [ "", "", "", "", "" ], "score": [ "", "", "", "", "" ] } } ] }, { "t": "Home Safety & Personal Goals", "q": [ { "a": { "indx": [ "1", "", "", "", "" ], "comment": [ "", "", "", "", "" ], "score": [ 0, 0, 0, 0 ] } }, { "a": { "indx": [ false ], "comment": [ "" ], "score": [ "" ] } }, { "a": [ "7" ] }, { "a": [] }, { "a": { "indx": [ true, false ], "comment": [ "", "" ], "score": [ "", "" ] } }, { "a": { "indx": [ true, true, true, false, false ], "comment": [ "", "", "", "", "" ], "score": [ "", "", "", "", "" ] } }, { "a": { "indx": [ false ], "comment": [ "" ], "score": [ "" ] } }, { "a": [ "None" ] }, { "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 face to face. Verbal consent was received by the patient to conduct this visit. Patient identity was verified by (Picture ID or Insurance Card whichever used), address and DOB. Provided counseling for Preventive Health maintenance recommendations. Previously documented conditions listed and member's PAF Form reviewed with member at time of visit. Any conditions NOT identified in the HRA are considered resolved or are unable to be confirmed. \"", "a2": "2026-02-14T11:20:00", "a3": "2026-02-14T12:24", "a4": "", "a5": "true", "a6": "", "a7": [ { "date": "2026-02-16T16:26:16.504Z", "signature": "data:image\/png;base64,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" } ], "a8": "", "a9": "In Person", "a10": [], "a11": "", "a12": "true", "a13": "true", "a15": [], "a14": "", "a16": "", "a18": "true", "a20": "true", "a21": "true" } ] } ] }