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"QuestionText": "Do you have a language need other than English? ",
"SpanishQuestionText": "¿Precisa otro idioma que no sea inglés?",
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"AspControlType": "select",
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"IsChild": true,
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"AspControlType": "textarea",
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"QuestionText": "Do you have any special preferences we should be aware of?",
"SpanishQuestionText": "¿Tiene alguna preferencia especial de la que debamos estar al tanto?",
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"AspControlType": "checkbox",
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"IsChild": true,
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"ValidationRule": "7",
"ValidationCondition": "==",
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"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
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"QuestionText": "If other, describe:",
"SpanishQuestionText": "En caso de seleccionar otra, describa:",
"PageId": 1,
"AspControlType": "textarea",
"IsMandatory": false,
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"ParentQuestionId": "207",
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"AspControlType": "hidden",
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"OptionDisplaySize": 0,
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"QuestionText": "What is your main health concern right now?",
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"QuestionText": "Asthma",
"SpanishQuestionText": "Asma",
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"QuestionText": "Behavioral Health Conditions",
"SpanishQuestionText": "Enfermedades de salud conductual",
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"AspControlType": "select",
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"IsChild": true,
"ParentQuestionId": null,
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"QuestionText": "Bipolar Disorder",
"SpanishQuestionText": "Trastorno bipolar",
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"ParentQuestionId": "13",
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"QuestionText": "Depression",
"SpanishQuestionText": "Depresión",
"PageId": 3,
"AspControlType": "select",
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"ParentQuestionId": "13",
"OrderId": 0,
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"Conceptid": "503358",
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"QuestionText": "Psychotic Disorder (Schizophrenia)",
"SpanishQuestionText": "Trastornos psicóticos (esquizofrenia)",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "13",
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"Conceptid": "515773",
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"QuestionText": "Substance Use Disorders",
"SpanishQuestionText": "Trastornos de abuso de sustancias",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "13",
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"QuestionText": "Cancer (actively being treated)",
"SpanishQuestionText": "Cáncer (con tratamiento activo)",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 9,
"ValidationRule": null,
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"Conceptid": "503346",
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"QuestionText": "Congestive Heart Failure",
"SpanishQuestionText": "Insuficiencia cardíaca congestiva",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 10,
"ValidationRule": null,
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"DefaultValue": null,
"Conceptid": "503350",
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"QuestionText": "COPD with oxygen",
"SpanishQuestionText": "EPOC con oxígeno",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 11,
"ValidationRule": null,
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"DefaultValue": null,
"Conceptid": "503351",
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"QuestionText": "Diabetes w/ complications",
"SpanishQuestionText": "Diabetes con complicaciones",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 12,
"ValidationRule": null,
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"Rows": 0,
"Cols": 0,
"MaxLength": 0,
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"ValidationExpression": "",
"SubQuestion": null,
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"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503354",
"Calculation": ""
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"QuestionId": "22",
"QuestionText": "ESRD/Dialysis",
"SpanishQuestionText": "Enfermedad renal en etapa terminal (ESRD)/diálisis",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 13,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "515790",
"Calculation": ""
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"QuestionId": "23",
"QuestionText": "HIV/AIDS",
"SpanishQuestionText": "VIH/SIDA",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 14,
"ValidationRule": null,
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"Rows": 0,
"Cols": 0,
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"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
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"IsNestedCondition": false,
"ValidationChildCondition": null,
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"DefaultValue": null,
"Conceptid": "503359",
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"QuestionId": "24",
"QuestionText": "Intellectual/Developmental Disabilities",
"SpanishQuestionText": "Discapacidades intelectuales/del desarrollo",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
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"OrderId": 15,
"ValidationRule": null,
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"SubListQuestion": null,
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"IsNestedCondition": false,
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"DefaultValue": null,
"Conceptid": "515791",
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"QuestionId": "25",
"QuestionText": "Pregnancy",
"SpanishQuestionText": "Embarazo",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 16,
"ValidationRule": null,
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"MaxLength": 0,
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"DefaultValue": null,
"Conceptid": "503345",
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"QuestionId": "26",
"QuestionText": "Other",
"SpanishQuestionText": "Otra",
"PageId": 3,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 17,
"ValidationRule": "1",
"ValidationCondition": "==",
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"MaxLength": 0,
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"QuestionId": "27",
"QuestionText": "If other, please describe:",
"SpanishQuestionText": "En caso de seleccionar otra, describa:",
"PageId": 3,
"AspControlType": "textarea",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "26",
"OrderId": 0,
"ValidationRule": null,
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"Cols": 40,
"MaxLength": 256,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H26# == 1",
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"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
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"DefaultValue": null,
"Conceptid": "503338",
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"QuestionId": "175",
"QuestionText": "1",
"SpanishQuestionText": "1",
"PageId": 3,
"AspControlType": "hidden",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 18,
"ValidationRule": null,
"ValidationCondition": null,
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"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "true",
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"IsNestedCondition": false,
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"DefaultValue": null,
"Conceptid": "523846",
"Calculation": "1"
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"QuestionId": "309",
"QuestionText": "1",
"SpanishQuestionText": "1",
"PageId": 3,
"AspControlType": "hidden",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 18,
"ValidationRule": null,
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"IsNestedCondition": false,
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"QuestionId": "28",
"QuestionText": "Compared to others your age, would you say your health is…..? (Adult only question)",
"SpanishQuestionText": "En comparación con otras personas de su edad, ¿diría que su estado de salud es...? (Pregunta solo para adultos) ",
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"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
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"ValidationRule": null,
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"ignoreSerialNo": "false",
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"IsNestedCondition": false,
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"IsReadOnly": false,
"DefaultValue": null,
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"QuestionId": "29",
"QuestionText": "Do you worry about your memory or have you been told by friends or family that they are worried about your memory? (Adult only question)",
"SpanishQuestionText": "¿Le preocupa su memoria o sus amigos o familiares le han dicho que les preocupa su memoria? (Pregunta solo para adultos) ",
"PageId": 4,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 19,
"ValidationRule": null,
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"ignoreSerialNo": "false",
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"QuestionId": "30",
"QuestionText": "Have you visited the Emergency Room in the past 6 months?",
"SpanishQuestionText": "¿Visitó la sala de emergencias en los últimos 6 meses?",
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"AspControlType": "select",
"IsMandatory": false,
"IsChild": true,
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"ValidationRule": "1",
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"QuestionId": "31",
"QuestionText": "If yes, how many visits?",
"SpanishQuestionText": "En caso de seleccionar Sí, ¿cuántas veces?",
"PageId": 4,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "30",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H30# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "515776",
"Calculation": ""
},
{
"QuestionId": "32",
"QuestionText": "Reason for visit:",
"SpanishQuestionText": "Motivo de la visita:",
"PageId": 4,
"AspControlType": "textarea",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "30",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 5,
"Cols": 40,
"MaxLength": 256,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H30# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "502424",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "515774",
"Calculation": ""
},
{
"QuestionId": "33",
"QuestionText": "Have you stayed overnight in the hospital in the past 6 months? ",
"SpanishQuestionText": "¿Pasó una noche en el hospital en los últimos 6 meses?",
"PageId": 4,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 21,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
{
"QuestionId": "34",
"QuestionText": "If yes, how many visits?",
"SpanishQuestionText": "En caso de seleccionar Sí, ¿cuántas noches?",
"PageId": 4,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "33",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
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"ValidationChildCondition": "#CK_H33# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "515777",
"Calculation": ""
},
{
"QuestionId": "35",
"QuestionText": "Reason for visit:",
"SpanishQuestionText": "Motivo de la visita:",
"PageId": 4,
"AspControlType": "textarea",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "33",
"OrderId": 0,
"ValidationRule": null,
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"Rows": 5,
"Cols": 40,
"MaxLength": 256,
"OptionDisplaySize": 0,
"ValidationExpression": "",
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"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H33# == 1",
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"DefaultValue": null,
"Conceptid": "502425",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
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"DefaultValue": null,
"Conceptid": "515775",
"Calculation": ""
},
{
"QuestionId": "36",
"QuestionText": "Do you understand what your medications are for and why you are taking them?",
"SpanishQuestionText": "¿Entiende para qué son sus medicamentos y por qué los toma?",
"PageId": 4,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 22,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "515778",
"Calculation": ""
},
{
"QuestionId": "115",
"QuestionText": "Adolescent/Child Immunization",
"SpanishQuestionText": "Vacunas para adolescentes/niños",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 23,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
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"QuestionId": "131",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "115",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H115# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504558",
"Calculation": ""
}
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"ignoreSerialNo": "false",
"additionalRawData": "",
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"IsNestedCondition": false,
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"DefaultValue": null,
"Conceptid": "503369",
"Calculation": ""
},
{
"QuestionId": "116",
"QuestionText": "Breast Cancer Screening",
"SpanishQuestionText": "Pruebas de detección del cáncer de mama",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 24,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
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"QuestionId": "132",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "116",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
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"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H116# == 1",
"IsReadOnly": false,
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"Conceptid": "504559",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
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"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503368",
"Calculation": ""
},
{
"QuestionId": "117",
"QuestionText": "Colorectal Cancer Screening",
"SpanishQuestionText": "Prueba de detección de cáncer colorrectal",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 25,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
{
"QuestionId": "133",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "117",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
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"SubListQuestion": null,
"ignoreSerialNo": "false",
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"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H117# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504560",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503370",
"Calculation": ""
},
{
"QuestionId": "118",
"QuestionText": "Diabetes Eye Exam ",
"SpanishQuestionText": "Examen de retinopatía diabética",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 26,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
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"QuestionId": "134",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "118",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H118# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504561",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503371",
"Calculation": ""
},
{
"QuestionId": "119",
"QuestionText": "Glaucoma ",
"SpanishQuestionText": "Glaucoma",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 27,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
{
"QuestionId": "135",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "119",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H119# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504562",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503372",
"Calculation": ""
},
{
"QuestionId": "120",
"QuestionText": "Influenza ",
"SpanishQuestionText": "Influenza",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 28,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
{
"QuestionId": "136",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "120",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H120# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504563",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503373",
"Calculation": ""
},
{
"QuestionId": "121",
"QuestionText": "Lead Screening in Children",
"SpanishQuestionText": "Prueba de detección del plomo en niños",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 29,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
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"QuestionId": "137",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "121",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H121# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504564",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503374",
"Calculation": ""
},
{
"QuestionId": "122",
"QuestionText": "One provider visit in the last year",
"SpanishQuestionText": "Una visita al proveedor en el último año",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 30,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
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"QuestionId": "138",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "122",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H122# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504565",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503375",
"Calculation": ""
},
{
"QuestionId": "123",
"QuestionText": "Pneumonia",
"SpanishQuestionText": "Neumonía",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 31,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
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"QuestionId": "139",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "123",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H123# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504566",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503376",
"Calculation": ""
},
{
"QuestionId": "124",
"QuestionText": "Well Child Visit",
"SpanishQuestionText": "Consulta preventiva para niños",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 32,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
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"QuestionId": "140",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "124",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H124# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504567",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503377",
"Calculation": ""
},
{
"QuestionId": "125",
"QuestionText": "None",
"SpanishQuestionText": "Ninguna",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": null,
"OrderId": 33,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503379",
"Calculation": ""
},
{
"QuestionId": "126",
"QuestionText": "Other",
"SpanishQuestionText": "Otro",
"PageId": 4,
"AspControlType": "checkbox",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 34,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 2,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
{
"QuestionId": "141",
"QuestionText": "Please enter screening date:",
"SpanishQuestionText": "Ingrese la fecha de la prueba de detección:",
"PageId": 4,
"AspControlType": "date",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "126",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H126# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "504568",
"Calculation": ""
},
{
"QuestionId": "127",
"QuestionText": "If other, list/describe:",
"SpanishQuestionText": "En caso de seleccionar otro, mencione/describa:",
"PageId": 4,
"AspControlType": "textarea",
"IsMandatory": false,
"IsChild": false,
"ParentQuestionId": "126",
"OrderId": 0,
"ValidationRule": null,
"ValidationCondition": null,
"Rows": 5,
"Cols": 40,
"MaxLength": 256,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": null,
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": "#CK_H126# == 1",
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "502517",
"Calculation": ""
}
],
"ignoreSerialNo": "false",
"additionalRawData": "",
"additionalDateField": "",
"IsNestedCondition": false,
"ValidationChildCondition": null,
"IsReadOnly": false,
"DefaultValue": null,
"Conceptid": "503378",
"Calculation": ""
},
{
"QuestionId": "128",
"QuestionText": "Have you fallen in the last 6 months?",
"SpanishQuestionText": "¿Se cayó en los últimos 6 meses?",
"PageId": 4,
"AspControlType": "select",
"IsMandatory": false,
"IsChild": true,
"ParentQuestionId": null,
"OrderId": 35,
"ValidationRule": "1",
"ValidationCondition": "==",
"Rows": 0,
"Cols": 0,
"MaxLength": 0,
"OptionDisplaySize": 0,
"ValidationExpression": "",
"SubQuestion": null,
"SubListQuestion": [
{
"QuestionId": "129",
"QuestionText": "If yes, did you have any fractures or injuries related to a fall in the last 6 months?",
"SpanishQuestionText": "En caso de seleccionar Sí, ¿sufrió alguna fractura o lesión relacionada con la caída en los últimos 6 meses?",
"PageId": 4,
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"SpanishQuestionText": "¿Necesita ayuda con alguna de las siguientes opciones y NO LA ESTÁ RECIBIENDO?",
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"QuestionText": null,
"SpanishQuestionText": null,
"PageId": 4,
"AspControlType": "checkbox",
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"IsChild": true,
"ParentQuestionId": null,
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"QuestionText": "Living Will",
"SpanishQuestionText": "Testamento vital",
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"QuestionText": "Over the last 2 weeks, how often have you had little interest or pleasure in doing things?",
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"QuestionId": "183",
"QuestionText": "Over the last 2 weeks, how often have you been feeling down, depressed or hopeless?",
"SpanishQuestionText": "Durante las últimas 2 semanas, ¿con qué frecuencia se ha sentido triste, deprimido o sin esperanzas?",
"PageId": 4,
"AspControlType": "select",
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"QuestionId": "307",
"QuestionText": "PR Condition Score",
"SpanishQuestionText": "Puntuación de condición PR",
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"AspControlType": "scoreid",
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"ParentQuestionId": null,
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"QuestionId": "163",
"QuestionText": "Any other area of concern related to your health?",
"SpanishQuestionText": "¿Hay algún otro aspecto que le preocupe acerca de su salud?",
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*indicate name and specialty and/or PCP",
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*indique el nombre y la especialidad o el PCP",
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"AddedByEportal": false,
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"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "Reassessment",
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"SpanishOptionText": "Cambio en el estado de salud",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "Change in health status",
"Score": 0,
"IsScoreApplicable": false
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"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Arabic",
"Score": 0,
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"AddedByEportal": false,
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{
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"AddedByEportal": false,
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"AddedByEportal": false,
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"AddedByEportal": false,
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"IsScoreApplicable": false
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"SpanishOptionText": "No",
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"SpanishOptionText": "No",
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"QuestionId": "16",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "16",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "17",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "17",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "18",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "18",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "19",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "19",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "20",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "20",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "21",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "21",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "22",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "22",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "23",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "23",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "24",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "24",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "25",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "25",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "26",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "26",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "175",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "175",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "28",
"OptionText": "Excellent",
"SpanishOptionText": "Excelente",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Excellent",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "28",
"OptionText": "Very Good",
"SpanishOptionText": "Muy bueno",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "Very Good",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "28",
"OptionText": "Good",
"SpanishOptionText": "Bueno",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "Good",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "28",
"OptionText": "Fair",
"SpanishOptionText": "Regular",
"OptionId": "4",
"OrderId": 4,
"AddedByEportal": false,
"DisplayText": "Fair",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "28",
"OptionText": "Poor",
"SpanishOptionText": "Malo",
"OptionId": "5",
"OrderId": 5,
"AddedByEportal": false,
"DisplayText": "Poor",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "29",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "29",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "30",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "30",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "1",
"SpanishOptionText": "1",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "1",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "2",
"SpanishOptionText": "2",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "2",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "3",
"SpanishOptionText": "3",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "3",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "4",
"SpanishOptionText": "4",
"OptionId": "4",
"OrderId": 4,
"AddedByEportal": false,
"DisplayText": "4",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "5",
"SpanishOptionText": "5",
"OptionId": "5",
"OrderId": 5,
"AddedByEportal": false,
"DisplayText": "5",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "6",
"SpanishOptionText": "6",
"OptionId": "6",
"OrderId": 6,
"AddedByEportal": false,
"DisplayText": "6",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "7",
"SpanishOptionText": "7",
"OptionId": "7",
"OrderId": 7,
"AddedByEportal": false,
"DisplayText": "7",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "8",
"SpanishOptionText": "8",
"OptionId": "8",
"OrderId": 8,
"AddedByEportal": false,
"DisplayText": "8",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "9",
"SpanishOptionText": "9",
"OptionId": "9",
"OrderId": 9,
"AddedByEportal": false,
"DisplayText": "9",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": "10",
"SpanishOptionText": "10",
"OptionId": "10",
"OrderId": 10,
"AddedByEportal": false,
"DisplayText": "10",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "31",
"OptionText": ">10",
"SpanishOptionText": ">10",
"OptionId": "11",
"OrderId": 11,
"AddedByEportal": false,
"DisplayText": ">10",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "33",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "33",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "1",
"SpanishOptionText": "1",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "1",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "2",
"SpanishOptionText": "2",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "2",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "3",
"SpanishOptionText": "3",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "3",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "4",
"SpanishOptionText": "4",
"OptionId": "4",
"OrderId": 4,
"AddedByEportal": false,
"DisplayText": "4",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "5",
"SpanishOptionText": "5",
"OptionId": "5",
"OrderId": 5,
"AddedByEportal": false,
"DisplayText": "5",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "6",
"SpanishOptionText": "6",
"OptionId": "6",
"OrderId": 6,
"AddedByEportal": false,
"DisplayText": "6",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "7",
"SpanishOptionText": "7",
"OptionId": "7",
"OrderId": 7,
"AddedByEportal": false,
"DisplayText": "7",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "8",
"SpanishOptionText": "8",
"OptionId": "8",
"OrderId": 8,
"AddedByEportal": false,
"DisplayText": "8",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "9",
"SpanishOptionText": "9",
"OptionId": "9",
"OrderId": 9,
"AddedByEportal": false,
"DisplayText": "9",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": "10",
"SpanishOptionText": "10",
"OptionId": "10",
"OrderId": 10,
"AddedByEportal": false,
"DisplayText": "10",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "34",
"OptionText": ">10",
"SpanishOptionText": ">10",
"OptionId": "11",
"OrderId": 11,
"AddedByEportal": false,
"DisplayText": ">10",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "36",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "36",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "115",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "116",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "117",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "118",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "119",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "120",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "121",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "122",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "123",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "124",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "125",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "126",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "128",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "128",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "128",
"OptionText": "Unable to answer",
"SpanishOptionText": "No puede responder",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "Unable to answer",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "129",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "129",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "129",
"OptionText": "Unable to answer",
"SpanishOptionText": "No puede responder",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "Unable to answer",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Homeless",
"SpanishOptionText": "Sin hogar",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Homeless",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives alone",
"SpanishOptionText": "Vive solo",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "Lives alone",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives in a group home",
"SpanishOptionText": "Vive en un hogar comunitario",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "Lives in a group home",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives in a nursing facility",
"SpanishOptionText": "Vive en un centro de enfermería",
"OptionId": "4",
"OrderId": 4,
"AddedByEportal": false,
"DisplayText": "Lives in a nursing facility",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives in a shelter",
"SpanishOptionText": "Vive en un refugio",
"OptionId": "5",
"OrderId": 5,
"AddedByEportal": false,
"DisplayText": "Lives in a shelter",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives in assisted living facility",
"SpanishOptionText": "Vive en un centro de vida asistida",
"OptionId": "6",
"OrderId": 6,
"AddedByEportal": false,
"DisplayText": "Lives in assisted living facility",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives with other family",
"SpanishOptionText": "Vive con otra familia",
"OptionId": "7",
"OrderId": 7,
"AddedByEportal": false,
"DisplayText": "Lives with other family",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives with others unrelated",
"SpanishOptionText": "Vive con otras personas con quienes no tiene vínculo",
"OptionId": "8",
"OrderId": 8,
"AddedByEportal": false,
"DisplayText": "Lives with others unrelated",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives with spouse",
"SpanishOptionText": "Vive con su cónyuge",
"OptionId": "9",
"OrderId": 9,
"AddedByEportal": false,
"DisplayText": "Lives with spouse",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives in out of home placement",
"SpanishOptionText": "Vive en un hogar sustituto",
"OptionId": "10",
"OrderId": 10,
"AddedByEportal": false,
"DisplayText": "Lives in out of home placement",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Lives in out of state medical facility",
"SpanishOptionText": "Vive en una instalación médica fuera del estado",
"OptionId": "11",
"OrderId": 11,
"AddedByEportal": false,
"DisplayText": "Lives in out of state medical facility",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "None of the above",
"SpanishOptionText": "Ninguna de las opciones anteriores",
"OptionId": "12",
"OrderId": 12,
"AddedByEportal": false,
"DisplayText": "None of the above",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "37",
"OptionText": "Other",
"SpanishOptionText": "Otra",
"OptionId": "13",
"OrderId": 13,
"AddedByEportal": false,
"DisplayText": "Other",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Obtaining Food",
"SpanishOptionText": "Obtener comida",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Obtaining Food",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Transportation",
"SpanishOptionText": "Transporte",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "Transportation",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Bathing",
"SpanishOptionText": "Bañarse",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "Bathing",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Dressing",
"SpanishOptionText": "Vestirse",
"OptionId": "4",
"OrderId": 4,
"AddedByEportal": false,
"DisplayText": "Dressing",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Toileting",
"SpanishOptionText": "Ir al baño",
"OptionId": "5",
"OrderId": 5,
"AddedByEportal": false,
"DisplayText": "Toileting",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Transferring",
"SpanishOptionText": "Traslados",
"OptionId": "6",
"OrderId": 6,
"AddedByEportal": false,
"DisplayText": "Transferring",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Continence",
"SpanishOptionText": "Continencia",
"OptionId": "7",
"OrderId": 7,
"AddedByEportal": false,
"DisplayText": "Continence",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Feeding",
"SpanishOptionText": "Alimentación",
"OptionId": "8",
"OrderId": 8,
"AddedByEportal": false,
"DisplayText": "Feeding",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "None",
"SpanishOptionText": "Ninguna",
"OptionId": "9",
"OrderId": 9,
"AddedByEportal": false,
"DisplayText": "None",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "143",
"OptionText": "Other",
"SpanishOptionText": "Otra",
"OptionId": "10",
"OrderId": 10,
"AddedByEportal": false,
"DisplayText": "Other",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "168",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "168",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "169",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "169",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "170",
"OptionText": "Yes",
"SpanishOptionText": "Sí",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Yes",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "170",
"OptionText": "No",
"SpanishOptionText": "No",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "No",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "182",
"OptionText": "Not at all",
"SpanishOptionText": "Nunca",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Not at all",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "182",
"OptionText": "Several days",
"SpanishOptionText": "Varios días",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "Several days",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "182",
"OptionText": "More than half the days",
"SpanishOptionText": "Más de la mitad de los días",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "More than half the days",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "182",
"OptionText": "Nearly Every day",
"SpanishOptionText": "Casi todos los días",
"OptionId": "4",
"OrderId": 4,
"AddedByEportal": false,
"DisplayText": "Nearly Every day",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "183",
"OptionText": "Not at all",
"SpanishOptionText": "Nunca",
"OptionId": "1",
"OrderId": 1,
"AddedByEportal": false,
"DisplayText": "Not at all",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "183",
"OptionText": "Several days",
"SpanishOptionText": "Varios días",
"OptionId": "2",
"OrderId": 2,
"AddedByEportal": false,
"DisplayText": "Several days",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "183",
"OptionText": "More than half the days",
"SpanishOptionText": "Más de la mitad de los días",
"OptionId": "3",
"OrderId": 3,
"AddedByEportal": false,
"DisplayText": "More than half the days",
"Score": 0,
"IsScoreApplicable": false
},
{
"QuestionId": "183",
"OptionText": "Nearly Every day",
"SpanishOptionText": "Casi todos los días",
"OptionId": "4",
"OrderId": 4,
"AddedByEportal": false,
"DisplayText": "Nearly Every day",
"Score": 0,
"IsScoreApplicable": false
}
],
"AssessmentContent": [
{
"contentId": "1",
"contentText": "Do you have any of these \nconditions?",
"spanishContentText": "¿Tiene alguna de estas \n enfermedades?",
"pageId": 3,
"dependantQuestionId": "11",
"ParentQuestionId": null,
"ValidationRule": null,
"ValidationCondition": null
},
{
"contentId": "2",
"contentText": "Remember to Bring your medications \"Brown Bag\" to your next Doctor appointment",
"spanishContentText": "Recuerde traer todos los medicamentos que utiliza actualmente a la próxima cita con el médico",
"pageId": 4,
"dependantQuestionId": "36",
"ParentQuestionId": "36",
"ValidationRule": "2",
"ValidationCondition": "=="
},
{
"contentId": "15",
"contentText": "\n
Have you or your child had any of the \nfollowing screenings?
\n", "spanishContentText": "\n
¿Les han realizado a usted o a su hijo alguna de las siguientes pruebas de detección?
\n", "pageId": 4, "dependantQuestionId": "36", "ParentQuestionId": null, "ValidationRule": null, "ValidationCondition": null }, { "contentId": "23", "contentText": "\n
An advanced directive is a form that lets your loved ones know your \nhealth care choices if you are too sick to make them yourself. They will know \njust what types of treatment you want and how you wish to be cared for. \n
\nDo you have a living will or an advanced directive in \nplace?
Las voluntades anticipadas son una forma de hacerles saber a sus seres queridos sus elecciones de atención médica en caso de estar demasiado enfermo como para tomarlas usted mismo. Sabrán exactamente qué tipos de tratamiento quiere y qué tipo de atención desea recibir. \n
\n¿Tiene un testamento vital o un documento de voluntades \n anticipadas?
Got health questions call us?
Nurse Advice Line (NAL) is available 24/7
English: (888) 275-8750
Spanish: (888) 648-3537
Deaf and Hard of Hearing: 711 or (866)735-2929
Crisis Text Line:
Text HOME to 741741
They provide24/7 text support and information for members in crisis
National Suicide Prevention Lifeline:
1-800-273-8255(TALK)
They provide 24/7 telephonic support for members in crisis
", "spanishContentText": "¿Tiene preguntas de salud? Llámenos.
La Línea de asesoría de enfermeras (NAL) está disponible las 24 horas del día, los siete días de la semana:
Inglés: (888) 275-8750
Español: (888) 648-3537
Sordos y personas con dificultades de audición: 7-1-1 u (866) 735-2929
Línea de mensajes de texto para crisis:
Envíe HOME en un mensaje de texto al 741741
Proporcionan apoyo con mensajes de texto e información las 24 horas al día, los siete días de la semana, a los miembros que están en crisis
Línea nacional para la prevención del suicidio:
1-800-273-8255(TALK)
Proporcionan apoyo telefónico las 24 horas del día, los 7 días de la semana, a los miembros que están en crisis
", "pageId": 4, "dependantQuestionId": "183", "ParentQuestionId": "183", "ValidationRule": null, "ValidationCondition": null } ], "AssessmentDetail": { "