20056200061Restorative NursingAAAA128064255255255000000000000000002550001Arial140050101842150400000000002005620006100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000610000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061000000000000000000000000000000000000000000000000200562000610001000000000000000000000000000000000000000000000000801000000000000000000020056200061000000000000000000000000000000000000000000020056200062Late Entry for:AAAD21220820000010100000000000001105251020000Arial800000184215040000000000200562000620000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200062000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006200000000000000000000000000000000000000000000000020056200062012001000000000000000000000000000000000000000000000000100000000000000000002005620006200000000000000000000000000000000000000000002005620006157ABAA12812864255255255000000000000000002550001Arial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rial8000001842150400000000002005620006470000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200064700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000647000000000000000000000000000000000000000000000000200562000647000001000000000000000000000000000000000000000000000000100000000000000000002005620006470000000000000000000000000000000000000000000200562000648initial assessmentABAC025525500000100100000000001105251020000Arial80000018421504000000000020056200064800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000648000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006480000000000000000000000000000000000000000000000002005620006480000000000000000000000010000000000000000000000000000001000000000000000000020056200064800000000000000000000000000000000000000000002005620006481200562000647320056200064812005620006473200562000649annual assessmentABAD025525500000100100000000001105251020000Arial80000018421504000000000020056200064900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000649000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006490000000000000000000000000000000000000000000000002005620006490000000000000000000000010000000000000000000000000000001000000000000000000020056200064900000000000000000000000000000000000000000002005620006491200562000647320056200064912005620006473200562000650progress noteABAE025525500000100101000000001105251020000Arial8000001842150400000000002005620006500000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000650000000000000000000000000000000000000000000000000200562000650000000000000000000000101000000000000000000000000000000100000000000000000002005620006500000000000000000000000000000000000000000000200562000650120056200064-100102005620006501200562000647320056200065012005620006473200562000651other: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rial8000001842150400000000002005620006520000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000652000000000000000000000000000000000000000000000000200562000652000001000000000000000000000000000000000000000000000000100000000000000000002005620006520000000000000000000000000000000000000000000200562000653yesACAC025525500000100100000000001105251020000Arial80000018421504000000000020056200065300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000653000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006530000000000000000000000000000000000000000000000002005620006530000000000000000000000010000000000000000000000000000001000000000000000000020056200065300000000000000000000000000000000000000000002005620006531200562000652320056200065312005620006523200562000654noACAD025525500000100100000000001105251020000Arial8000001842150400000000002005620006540000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000654000000000000000000000000000000000000000000000000200562000654014//5zAHAAZQBjAGkAZgB5ADoA00000000000000000000100000000000000000000000000000010000000000000000000200562000654000000000000000000000000000000000000000000020056200065412005620006523200562000654120056200065232005620006159ADAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000615900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000615900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000615900000000000000000000000000000000000000000000000020056200061590001000000000000000000000000000000000000000000000000801000000000000000000020056200061590000000000000000000000000000000000000000000200562000655ROM/LOSS OF VOLUNTARY MOVEMENTUk9NL0xPU1MgT0YgVk9MVU5UQVJZIE1PVkVNRU5UOg==ADAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006550000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000655000000000000000000000000000000000000000000000000200562000655000001000000000000000000000000000000000000000000000000100000000000000000002005620006550000000000000000000000000000000000000000000200562000656no functional lossADAC025525500000100100000000001105251020000Arial80000018421504000000000020056200065600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000656000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006560000000000000000000000000000000000000000000000002005620006560000000000000000000000010000000000000000000000000000001000000000000000000020056200065600000000000000000000000000000000000000000002005620006561200562000655320056200065612005620006553200562000657neckADAD025525500000100100000000001105251020000Arial80000018421504000000000020056200065700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000657000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006570000000000000000000000000000000000000000000000002005620006570000000000000000000000010000000000000000000000000000001000000000000000000020056200065700000000000000000000000000000000000000000002005620006571200562000655320056200065712005620006553200562000658right armADAE025525500000100100000000001105251020000Arial80000018421504000000000020056200065800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000658000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006580000000000000000000000000000000000000000000000002005620006580000000000000000000000010000000000000000000000000000001000000000000000000020056200065800000000000000000000000000000000000000000002005620006581200562000655320056200065812005620006553200562000659left armADAF025525500000100100000000001105251020000Arial80000018421504000000000020056200065900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000659000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006590000000000000000000000000000000000000000000000002005620006590000000000000000000000010000000000000000000000000000001000000000000000000020056200065900000000000000000000000000000000000000000002005620006591200562000655320056200065912005620006553200562000660right handADAG025525500000100100000000001105251020000Arial80000018421504000000000020056200066000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000660000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006600000000000000000000000000000000000000000000000002005620006600000000000000000000000010000000000000000000000000000001000000000000000000020056200066000000000000000000000000000000000000000000002005620006601200562000655320056200066012005620006553200562000661left handADAH025525500000100100000000001105251020000Arial80000018421504000000000020056200066100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000661000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006610000000000000000000000000000000000000000000000002005620006610000000000000000000000010000000000000000000000000000001000000000000000000020056200066100000000000000000000000000000000000000000002005620006611200562000655320056200066112005620006553200562000662right legADAI025525500000100100000000001105251020000Arial80000018421504000000000020056200066200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000662000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006620000000000000000000000000000000000000000000000002005620006620000000000000000000000010000000000000000000000000000001000000000000000000020056200066200000000000000000000000000000000000000000002005620006621200562000655320056200066212005620006553200562000663left legADAJ025525500000100100000000001105251020000Arial80000018421504000000000020056200066300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000663000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006630000000000000000000000000000000000000000000000002005620006630000000000000000000000010000000000000000000000000000001000000000000000000020056200066300000000000000000000000000000000000000000002005620006631200562000655320056200066312005620006553200562000664right footADAK025525500000100100000000001105251020000Arial80000018421504000000000020056200066400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000664000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006640000000000000000000000000000000000000000000000002005620006640000000000000000000000010000000000000000000000000000001000000000000000000020056200066400000000000000000000000000000000000000000002005620006641200562000655320056200066412005620006553200562000665left footADAL025525500000100100000000001105251020000Arial800000184215040000000000200562000665000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006650000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066500000000000000000000000000000000000000000000000020056200066500000000000000000000000100000000000000000000000000000010000000000000000000200562000665000000000000000000000000000000000000000000020056200066512005620006553200562000665120056200065532005620006160AEAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000616000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616000000000000000000000000000000000000000000000000020056200061600001000000000000000000000000000000000000000000000000801000000000000000000020056200061600000000000000000000000000000000000000000000200562000671(W) - within normal limits,AEAC025525500000100100000000001105251020000Arial80000018421504000000000020056200067100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000671000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006710000000000000000000000000000000000000000000000002005620006710000000000000000000000010000000000000000000000000000001000000000000000000020056200067100000000000000000000000000000000000000000002005620006711200562000655320056200067112005620006553200562000672(L) - limited ability,AEAD025525500000100100000000001105251020000Arial80000018421504000000000020056200067200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000672000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006720000000000000000000000000000000000000000000000002005620006720000000000000000000000010000000000000000000000000000001000000000000000000020056200067200000000000000000000000000000000000000000002005620006721200562000655320056200067212005620006553200562000666Within normal functional limitAEAE25525525500000000000000000001105251020000Arial8000101842150400000000002005620006660000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000666000000000000000000000000000000000000000000000000200562000666000100000000000000000000000000000000000000000000000000100000000000000000002005620006660000000000000000000000000000000000000000000200562000667is the ability to voluntarilyAEAF25525525500000000000000000001105251020000Arial8000101842150400000000002005620006670000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000667000000000000000000000000000000000000000000000000200562000667014//5Q100000000000000000000000000000000000000000000000000100000000000000000002005620006670000000000000000000000000000000000000000000200562000668and purposefully move or useAEAG25525525500000000000000000001105251020000Arial8000101842150400000000002005620006680000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000668000000000000000000000000000000000000000000000000200562000668014//5Q100000000000000000000000000000000000000000000000000100000000000000000002005620006680000000000000000000000000000000000000000000200562000669a joint to perform usualAEAH25525525500000000000000000001105251020000Arial8000101842150400000000002005620006690000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000669000000000000000000000000000000000000000000000000200562000669014//5Q100000000000000000000000000000000000000000000000000100000000000000000002005620006690000000000000000000000000000000000000000000200562000670functions or ADLsAEAI25525525500000000000000000001105251020000Arial8000101842150400000000002005620006700000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200067000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000670000000000000000000000000000000000000000000000000200562000670014//5Q1000000000000000000000000000000000000000000000000001000000000000000000020056200067000000000000000000000000000000000000000000002005620006161AFAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000616100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616100000000000000000000000000000000000000000000000020056200061610001000000000000000000000000000000000000000000000000801000000000000000000020056200061610000000000000000000000000000000000000000000200562000673TRANSFERS:AFAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006730000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200067300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000673000000000000000000000000000000000000000000000000200562000673000001000000000000000000000000000000000000000000000000100000000000000000002005620006730000000000000000000000000000000000000000000200562000674independentlyAFAC025525500000100100000000001105251020000Arial80000018421504000000000020056200067400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000674000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006740000000000000000000000000000000000000000000000002005620006740000000000000000000000010000000000000000000000000000001000000000000000000020056200067400000000000000000000000000000000000000000002005620006741200562000673320056200067412005620006733200562000675with supervisionAFAD025525500000100100000000001105251020000Arial80000018421504000000000020056200067500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000675000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006750000000000000000000000000000000000000000000000002005620006750000000000000000000000010000000000000000000000000000001000000000000000000020056200067500000000000000000000000000000000000000000002005620006751200562000673320056200067512005620006733200562000676with limited assistanceAFAE025525500000100100000000001105251020000Arial80000018421504000000000020056200067600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000676000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006760000000000000000000000000000000000000000000000002005620006760000000000000000000000010000000000000000000000000000001000000000000000000020056200067600000000000000000000000000000000000000000002005620006761200562000673320056200067612005620006733200562000677with extensive assistanceAFAF025525500000100100000000001105251020000Arial80000018421504000000000020056200067700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000677000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006770000000000000000000000000000000000000000000000002005620006770000000000000000000000010000000000000000000000000000001000000000000000000020056200067700000000000000000000000000000000000000000002005620006771200562000673320056200067712005620006733200562000678totally dependentAFAG025525500000100100000000001105251020000Arial800000184215040000000000200562000678000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006780000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200067800000000000000000000000000000000000000000000000020056200067800000000000000000000000100000000000000000000000000000010000000000000000000200562000678000000000000000000000000000000000000000000020056200067812005620006733200562000678120056200067332005620006162AGAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000616200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616200000000000000000000000000000000000000000000000020056200061620001000000000000000000000000000000000000000000000000801000000000000000000020056200061620000000000000000000000000000000000000000000200562000679W/C MOBILITY:V0hFRUxDSEFJUiBNT0JJTElUWTo=AGAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006790000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200067900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000679000000000000000000000000000000000000000000000000200562000679000001000000000000000000000000000000000000000000000000100000000000000000002005620006790000000000000000000000000000000000000000000200562000680independentlyAGAC025525500000100100000000001105251020000Arial80000018421504000000000020056200068000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000680000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006800000000000000000000000000000000000000000000000002005620006800000000000000000000000010000000000000000000000000000001000000000000000000020056200068000000000000000000000000000000000000000000002005620006801200562000679320056200068012005620006793200562000681with supervisionAGAD025525500000100100000000001105251020000Arial80000018421504000000000020056200068100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000681000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006810000000000000000000000000000000000000000000000002005620006810000000000000000000000010000000000000000000000000000001000000000000000000020056200068100000000000000000000000000000000000000000002005620006811200562000679320056200068112005620006793200562000682with limited assistanceAGAE025525500000100100000000001105251020000Arial80000018421504000000000020056200068200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000682000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006820000000000000000000000000000000000000000000000002005620006820000000000000000000000010000000000000000000000000000001000000000000000000020056200068200000000000000000000000000000000000000000002005620006821200562000679320056200068212005620006793200562000683with extensive assistanceAGAF025525500000100100000000001105251020000Arial80000018421504000000000020056200068300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000683000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006830000000000000000000000000000000000000000000000002005620006830000000000000000000000010000000000000000000000000000001000000000000000000020056200068300000000000000000000000000000000000000000002005620006831200562000679320056200068312005620006793200562000684totally dependentAGAG025525500000100100000000001105251020000Arial800000184215040000000000200562000684000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006840000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200068400000000000000000000000000000000000000000000000020056200068400000000000000000000000100000000000000000000000000000010000000000000000000200562000684000000000000000000000000000000000000000000020056200068412005620006793200562000684120056200067932005620006163AHAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000616300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616300000000000000000000000000000000000000000000000020056200061630001000000000000000000000000000000000000000000000000801000000000000000000020056200061630000000000000000000000000000000000000000000200562000685BED MOBILITY:AHAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006850000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200068500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000685000000000000000000000000000000000000000000000000200562000685000001000000000000000000000000000000000000000000000000100000000000000000002005620006850000000000000000000000000000000000000000000200562000686independentlyAHAC025525500000100100000000001105251020000Arial80000018421504000000000020056200068600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000686000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006860000000000000000000000000000000000000000000000002005620006860000000000000000000000010000000000000000000000000000001000000000000000000020056200068600000000000000000000000000000000000000000002005620006861200562000685320056200068612005620006853200562000687with supervisionAHAD025525500000100100000000001105251020000Arial80000018421504000000000020056200068700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000687000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006870000000000000000000000000000000000000000000000002005620006870000000000000000000000010000000000000000000000000000001000000000000000000020056200068700000000000000000000000000000000000000000002005620006871200562000685320056200068712005620006853200562000688with limited assistanceAHAE025525500000100100000000001105251020000Arial80000018421504000000000020056200068800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000688000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006880000000000000000000000000000000000000000000000002005620006880000000000000000000000010000000000000000000000000000001000000000000000000020056200068800000000000000000000000000000000000000000002005620006881200562000685320056200068812005620006853200562000689with extensive assistanceAHAF025525500000100100000000001105251020000Arial80000018421504000000000020056200068900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000689000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006890000000000000000000000000000000000000000000000002005620006890000000000000000000000010000000000000000000000000000001000000000000000000020056200068900000000000000000000000000000000000000000002005620006891200562000685320056200068912005620006853200562000690totally dependentAHAG025525500000100100000000001105251020000Arial800000184215040000000000200562000690000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006900000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200069000000000000000000000000000000000000000000000000020056200069000000000000000000000000100000000000000000000000000000010000000000000000000200562000690000000000000000000000000000000000000000000020056200069012005620006853200562000690120056200068532005620006164AIAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000616400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616400000000000000000000000000000000000000000000000020056200061640001000000000000000000000000000000000000000000000000801000000000000000000020056200061640000000000000000000000000000000000000000000200562000691AMBULATION:AIAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006910000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200069100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000691000000000000000000000000000000000000000000000000200562000691000001000000000000000000000000000000000000000000000000100000000000000000002005620006910000000000000000000000000000000000000000000200562000692independentlyAIAC025525500000100100000000001105251020000Arial80000018421504000000000020056200069200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000692000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006920000000000000000000000000000000000000000000000002005620006920000000000000000000000010000000000000000000000000000001000000000000000000020056200069200000000000000000000000000000000000000000002005620006921200562000691320056200069212005620006913200562000693with supervisionAIAD025525500000100100000000001105251020000Arial80000018421504000000000020056200069300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000693000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006930000000000000000000000000000000000000000000000002005620006930000000000000000000000010000000000000000000000000000001000000000000000000020056200069300000000000000000000000000000000000000000002005620006931200562000691320056200069312005620006913200562000694with limited assistanceAIAE025525500000100100000000001105251020000Arial80000018421504000000000020056200069400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000694000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006940000000000000000000000000000000000000000000000002005620006940000000000000000000000010000000000000000000000000000001000000000000000000020056200069400000000000000000000000000000000000000000002005620006941200562000691320056200069412005620006913200562000695with extensive assistanceAIAF025525500000100100000000001105251020000Arial80000018421504000000000020056200069500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000695000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006950000000000000000000000000000000000000000000000002005620006950000000000000000000000010000000000000000000000000000001000000000000000000020056200069500000000000000000000000000000000000000000002005620006951200562000691320056200069512005620006913200562000696totally dependentAIAG025525500000100100000000001105251020000Arial80000018421504000000000020056200069600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000696000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006960000000000000000000000000000000000000000000000002005620006960000000000000000000000010000000000000000000000000000001000000000000000000020056200069600000000000000000000000000000000000000000002005620006961200562000691320056200069612005620006913200562000618AJAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000618000000000000000000000000000000000000000000000000200562000618000100000000000000000000000000000000000000000000000000100000000000000000002005620006180000000000000000000000000000000000000000000200562000620DISTANCE WALKED/NO SITTING:RElTVEFOQ0UgV0FMS0VEIFdJVEhPVVQgU0lUVElORzo=AJAB21220820000010100000000000001105251020000Arial800000184215040000000000200562000620000000000000000000000000000000000000000000000000200562000620000001000000000000000000000000000000000000000000000000100000000000000000002005620006200000000000000000000000000000000000000000000200562000621150+ feetAJAC025525500000100100000000001105251020000Arial800000184215040000000000200562000621000000000000000000000000000000000000000000000000200562000621000000000000000000000001000000000000000000000000000000100000000000000000002005620006210000000000000000000000000000000000000000000200562000621120056200062032005620006211200562000620320056200062251-149 feetAJAD025525500000100100000000001105251020000Arial800000184215040000000000200562000622000000000000000000000000000000000000000000000000200562000622000000000000000000000001000000000000000000000000000000100000000000000000002005620006220000000000000000000000000000000000000000000200562000622120056200062032005620006221200562000620320056200062326-50 feetAJAE025525500000100100000000001105251020000Arial800000184215040000000000200562000623000000000000000000000000000000000000000000000000200562000623000000000000000000000001000000000000000000000000000000100000000000000000002005620006230000000000000000000000000000000000000000000200562000623120056200062032005620006231200562000620320056200062410-25 feetAJAF025525500000100100000000001105251020000Arial8000001842150400000000002005620006240000000000000000000000000000000000000000000000002005620006240000000000000000000000010000000000000000000000000000001000000000000000000020056200062400000000000000000000000000000000000000000002005620006241200562000620320056200062412005620006203200562000625less than 10 feetAJAG025525500000100100000000001105251020000Arial8000001842150400000000002005620006250000000000000000000000000000000000000000000000002005620006250000000000000000000000010000000000000000000000000000001000000000000000000020056200062500000000000000000000000000000000000000000002005620006251200562000620320056200062512005620006203200562000626AKAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000626000000000000000000000000000000000000000000000000200562000626000100000000000000000000000000000000000000000000000000100000000000000000002005620006260000000000000000000000000000000000000000000200562000627TIME WALKED/NO SITTING:VElNRSBXQUxLRUQgV0lUSE9VVCBTSVRUSU5HOg==AKAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006270000000000000000000000000000000000000000000000002005620006270000010000000000000000000000000000000000000000000000001000000000000000000020056200062700000000000000000000000000000000000000000002005620006281-2 minutesAKAC025525500000100100000000001105251020000Arial80000018421504000000000020056200062800000000000000000000000000000000000000000000000020056200062800000000000000000000000100000000000000000000000000000010000000000000000000200562000628000000000000000000000000000000000000000000020056200062812005620006273200562000628120056200062732005620006293-4 minutesAKAD025525500000100100000000001105251020000Arial80000018421504000000000020056200062900000000000000000000000000000000000000000000000020056200062900000000000000000000000100000000000000000000000000000010000000000000000000200562000629000000000000000000000000000000000000000000020056200062912005620006273200562000629120056200062732005620006305-10 minutesAKAE025525500000100100000000001105251020000Arial800000184215040000000000200562000630000000000000000000000000000000000000000000000000200562000630000000000000000000000001000000000000000000000000000000100000000000000000002005620006300000000000000000000000000000000000000000000200562000630120056200062732005620006301200562000627320056200063111-15 minutesAKAF025525500000100100000000001105251020000Arial800000184215040000000000200562000631000000000000000000000000000000000000000000000000200562000631000000000000000000000001000000000000000000000000000000100000000000000000002005620006310000000000000000000000000000000000000000000200562000631120056200062732005620006311200562000627320056200063216-30 minutesAKAG025525500000100100000000001105251020000Arial800000184215040000000000200562000632000000000000000000000000000000000000000000000000200562000632000000000000000000000001000000000000000000000000000000100000000000000000002005620006320000000000000000000000000000000000000000000200562000632120056200062732005620006321200562000627320056200063331+ minutesAKAH025525500000100100000000001105251020000Arial8000001842150400000000002005620006330000000000000000000000000000000000000000000000002005620006330000000000000000000000010000000000000000000000000000001000000000000000000020056200063300000000000000000000000000000000000000000002005620006331200562000627320056200063312005620006273200562000634ALAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000634000000000000000000000000000000000000000000000000200562000634000100000000000000000000000000000000000000000000000000100000000000000000002005620006340000000000000000000000000000000000000000000200562000635WALKING SELF-PERFORM:ALAB21220820000010100000000000001105251020000Arial800000184215040000000000200562000635000000000000000000000000000000000000000000000000200562000635000001000000000000000000000000000000000000000000000000100000000000000000002005620006350000000000000000000000000000000000000000000200562000636independentALAC025525500000100100000000001105251020000Arial8000001842150400000000002005620006360000000000000000000000000000000000000000000000002005620006360000000000000000000000010000000000000000000000000000001000000000000000000020056200063600000000000000000000000000000000000000000002005620006361200562000635320056200063612005620006353200562000637supervisedALAD0255255255255000100100000000001105251020000000000184215040000000000200562000637000000000000000000000000000000000000000000000000200562000637001000000000000000000001000000000000000000000000000000000000000000000000002005620006371200562000635320056200063712005620006353200562000638limitedALAE0255255255255000100100000000001105251020000000000184215040000000000200562000638000000000000000000000000000000000000000000000000200562000638001000000000000000000001000000000000000000000000000000000000000000000000002005620006381200562000635320056200063812005620006353200562000639extensiveALAF0255255255255000100100000000001105251020000000000184215040000000000200562000639000000000000000000000000000000000000000000000000200562000639001000000000000000000001000000000000000000000000000000000000000000000000002005620006391200562000635320056200063912005620006353200562000640AMAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000640000000000000000000000000000000000000000000000000200562000640000100000000000000000000000000000000000000000000000000100000000000000000002005620006400000000000000000000000000000000000000000000200562000641WALKING SUPPORT:AMAB21220820000010100000000000001105251020000Arial800000184215040000000000200562000641000000000000000000000000000000000000000000000000200562000641000001000000000000000000000000000000000000000000000000100000000000000000002005620006410000000000000000000000000000000000000000000200562000642no help, independentAMAC025525500000100100000000001105251020000Arial8000001842150400000000002005620006420000000000000000000000000000000000000000000000002005620006420000000000000000000000010000000000000000000000000000001000000000000000000020056200064200000000000000000000000000000000000000000002005620006421200562000641320056200064212005620006413200562000643set-up help onlyAMAD025525500000100100000000001105251020000Arial80000018421504000000000020056200064300000000000000000000000000000000000000000000000020056200064300000000000000000000000100000000000000000000000000008010000000000000000000200562000643000000000000000000000000000000000000000000020056200064312005620006413200562000643120056200064132005620006441 person physical assistAMAE025525500000100100000000001105251020000Arial80000018421504000000000020056200064400000000000000000000000000000000000000000000000020056200064400000000000000000000000100000000000000000000000000000010000000000000000000200562000644000000000000000000000000000000000000000000020056200064412005620006413200562000644120056200064132005620006452 or more people assistMiBvciBtb3JlIHBlb3BsZSBwaHlzaWNhbCBhc3Npc3Q=AMAF025525500000100100000000001105251020000Arial80000018421504000000000020056200064500000000000000000000000000000000000000000000000020056200064500000000000000000000000100000000000000000000000000000010000000000000000000200562000645000000000000000000000000000000000000000000020056200064512005620006413200562000645120056200064132005620006165ANAA12812864255255255000000000000000002550001Arial14005010184215040000000000200562000616500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000616500000000000000000000000000000000000000000000000020056200061650001000000000000000000000000000000000000000000000000801000000000000000000020056200061650000000000000000000000000000000000000000000200562000697EATING:ANAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006970000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200069700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000697000000000000000000000000000000000000000000000000200562000697000001000000000000000000000000000000000000000000000000100000000000000000002005620006970000000000000000000000000000000000000000000200562000698independentlyANAC025525500000100100000000001105251020000Arial80000018421504000000000020056200069800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000698000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006980000000000000000000000000000000000000000000000002005620006980000000000000000000000010000000000000000000000000000001000000000000000000020056200069800000000000000000000000000000000000000000002005620006981200562000697320056200069812005620006973200562000699with supervisionANAD025525500000100100000000001105251020000Arial800000184215040000000000200562000699000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006990000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200069900000000000000000000000000000000000000000000000020056200069900000000000000000000000100000000000000000000000000000010000000000000000000200562000699000000000000000000000000000000000000000000020056200069912005620006973200562000699120056200069732005620006100with limited assistanceANAE025525500000100100000000001105251020000Arial8000001842150400000000002005620006100000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006100000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006100000000000000000000000000000000000000000000000000200562000610000000000000000000000000100000000000000000000000000000010000000000000000000200562000610000000000000000000000000000000000000000000002005620006100120056200069732005620006100120056200069732005620006101with extensive assistanceANAF025525500000100100000000001105251020000Arial8000001842150400000000002005620006101000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006101000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006101000000000000000000000000000000000000000000000000200562000610100000000000000000000000100000000000000000000000000000010000000000000000000200562000610100000000000000000000000000000000000000000002005620006101120056200069732005620006101120056200069732005620006102totally dependentANAG025525500000100100000000001105251020000Arial8000001842150400000000002005620006102000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006102000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006102000000000000000000000000000000000000000000000000200562000610200000000000000000000000100000000000000000000000000000010000000000000000000200562000610200000000000000000000000000000000000000000002005620006102120056200069732005620006102120056200069732005620006166AOAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006166000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006166000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006166000000000000000000000000000000000000000000000000200562000616600010000000000000000000000000000000000000000000000008010000000000000000000200562000616600000000000000000000000000000000000000000002005620006103opens/pours/unwrapsAOAC025525500000100100000000001105251020000Arial8000001842150400000000002005620006103000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006103000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006103000000000000000000000000000000000000000000000000200562000610300000000000000000000000100000000000000000000000000000010000000000000000000200562000610300000000000000000000000000000000000000000002005620006103120056200069732005620006103120056200069732005620006104grasps utensils, cup glassAOAD025525500000100100000000001105251020000Arial8000001842150400000000002005620006104000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006104000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006104000000000000000000000000000000000000000000000000200562000610400000000000000000000000100000000000000000000000000000010000000000000000000200562000610400000000000000000000000000000000000000000002005620006104120056200069732005620006104120056200069732005620006105plate guardAOAE025525500000100100000000001105251020000Arial8000001842150400000000002005620006105000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006105000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006105000000000000000000000000000000000000000000000000200562000610500000000000000000000000100000000000000000000000000000010000000000000000000200562000610500000000000000000000000000000000000000000002005620006105120056200069732005620006105120056200069732005620006106adaptive utensilsAOAF025525500000100100000000001105251020000Arial8000001842150400000000002005620006106000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006106000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006106000000000000000000000000000000000000000000000000200562000610600000000000000000000000100000000000000000000000000000010000000000000000000200562000610600000000000000000000000000000000000000000002005620006106120056200069732005620006106120056200069732005620006107scoops/spears food(fingers)AOAG025525500000100100000000001105251020000Arial8000001842150400000000002005620006107000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006107000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006107000000000000000000000000000000000000000000000000200562000610700000000000000000000000100000000000000000000000000000010000000000000000000200562000610700000000000000000000000000000000000000000002005620006107120056200069732005620006107120056200069732005620006167APAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006167000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006167000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006167000000000000000000000000000000000000000000000000200562000616700010000000000000000000000000000000000000000000000008010000000000000000000200562000616700000000000000000000000000000000000000000002005620006108DRESSING:APAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006108000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006108000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006108000000000000000000000000000000000000000000000000200562000610800000100000000000000000000000000000000000000000000000010000000000000000000200562000610800000000000000000000000000000000000000000002005620006109shirt,APAC025525500000100100000000001105251020000Arial800000184215040000000000200562000610900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000610900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000610900000000000000000000000000000000000000000000000020056200061090000000000000000000000010000000000000000000000000000001000000000000000000020056200061090000000000000000000000000000000000000000000200562000610912005620006108320056200061091200562000610832005620006110underwear,APAD025525500000100100000000001105251020000Arial800000184215040000000000200562000611000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611000000000000000000000000000000000000000000000000020056200061100000000000000000000000010000000000000000000000000000001000000000000000000020056200061100000000000000000000000000000000000000000000200562000611012005620006108320056200061101200562000610832005620006111socks,APAE025525500000100100000000001105251020000Arial800000184215040000000000200562000611100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611100000000000000000000000000000000000000000000000020056200061110000000000000000000000010000000000000000000000000000001000000000000000000020056200061110000000000000000000000000000000000000000000200562000611112005620006108320056200061111200562000610832005620006112shoes,APAF025525500000100100000000001105251020000Arial800000184215040000000000200562000611200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611200000000000000000000000000000000000000000000000020056200061120000000000000000000000010000000000000000000000000000001000000000000000000020056200061120000000000000000000000000000000000000000000200562000611212005620006108320056200061121200562000610832005620006113dress,APAG025525500000100100000000001105251020000Arial800000184215040000000000200562000611300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611300000000000000000000000000000000000000000000000020056200061130000000000000000000000010000000000000000000000000000001000000000000000000020056200061130000000000000000000000000000000000000000000200562000611312005620006108320056200061131200562000610832005620006114set-upAPAH025525500000100100000000001105251020000Arial800000184215040000000000200562000611400000000000000000000000000000000000000000000000020056200061140000000000000000000000010000000000000000000000000000001000000000000000000020056200061140000000000000000000000000000000000000000000200562000611412005620006108320056200061141200562000610832005620006168AQAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006168000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006168000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006168000000000000000000000000000000000000000000000000200562000616800010000000000000000000000000000000000000000000000008010000000000000000000200562000616800000000000000000000000000000000000000000002005620006115independentlyAQAC025525500000100100000000001105251020000Arial800000184215040000000000200562000611500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611500000000000000000000000000000000000000000000000020056200061150000000000000000000000010000000000000000000000000000001000000000000000000020056200061150000000000000000000000000000000000000000000200562000611512005620006108320056200061151200562000610832005620006116with supervisionAQAD025525500000100100000000001105251020000Arial800000184215040000000000200562000611600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611600000000000000000000000000000000000000000000000020056200061160000000000000000000000010000000000000000000000000000001000000000000000000020056200061160000000000000000000000000000000000000000000200562000611612005620006108320056200061161200562000610832005620006117with limited assistanceAQAE025525500000100100000000001105251020000Arial800000184215040000000000200562000611700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611700000000000000000000000000000000000000000000000020056200061170000000000000000000000010000000000000000000000000000001000000000000000000020056200061170000000000000000000000000000000000000000000200562000611712005620006108320056200061171200562000610832005620006118with extensive assistanceAQAF025525500000100100000000001105251020000Arial800000184215040000000000200562000611800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611800000000000000000000000000000000000000000000000020056200061180000000000000000000000010000000000000000000000000000001000000000000000000020056200061180000000000000000000000000000000000000000000200562000611812005620006108320056200061181200562000610832005620006119totally dependentAQAG025525500000100100000000001105251020000Arial800000184215040000000000200562000611900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000611900000000000000000000000000000000000000000000000020056200061190000000000000000000000010000000000000000000000000000001000000000000000000020056200061190000000000000000000000000000000000000000000200562000611912005620006108320056200061191200562000610832005620006171ARAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006171000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006171000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006171000000000000000000000000000000000000000000000000200562000617100010000000000000000000000000000000000000000000000008010000000000000000000200562000617100000000000000000000000000000000000000000002005620006126BATHING:ARAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006126000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006126000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006126000000000000000000000000000000000000000000000000200562000612600000100000000000000000000000000000000000000000000000010000000000000000000200562000612600000000000000000000000000000000000000000002005620006127face,ARAC025525500000100100000000001105251020000Arial800000184215040000000000200562000612700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000612700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000612700000000000000000000000000000000000000000000000020056200061270000000000000000000000010000000000000000000000000000001000000000000000000020056200061270000000000000000000000000000000000000000000200562000612712005620006126320056200061271200562000612632005620006128upper body,ARAD025525500000100100000000001105251020000Arial800000184215040000000000200562000612800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000612800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000612800000000000000000000000000000000000000000000000020056200061280000000000000000000000010000000000000000000000000000001000000000000000000020056200061280000000000000000000000000000000000000000000200562000612812005620006126320056200061281200562000612632005620006129lower body,ARAE025525500000100100000000001105251020000Arial800000184215040000000000200562000612900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000612900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000612900000000000000000000000000000000000000000000000020056200061290000000000000000000000010000000000000000000000000000001000000000000000000020056200061290000000000000000000000000000000000000000000200562000612912005620006126320056200061291200562000612632005620006130peri area,ARAF025525500000100100000000001105251020000Arial800000184215040000000000200562000613000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613000000000000000000000000000000000000000000000000020056200061300000000000000000000000010000000000000000000000000000001000000000000000000020056200061300000000000000000000000000000000000000000000200562000613012005620006126320056200061301200562000612632005620006131set-upARAG025525500000100100000000001105251020000Arial800000184215040000000000200562000613100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613100000000000000000000000000000000000000000000000020056200061310000000000000000000000010000000000000000000000000000001000000000000000000020056200061310000000000000000000000000000000000000000000200562000613112005620006126320056200061311200562000612632005620006132list any assistive devices:ARAH025525500000100100000000001105251020000Arial80000018421504000000000020056200061320000000000000000000000000000000000000000000000002005620006132014//5sAGkAcwB0ACAAYQBuAHkAIABhAHMAcwBpAHMAdABpAHYAZQAgAGQAZQB2AGkAYwBlAHMAOgA=0000000000000000000010000000000000000000000000000001000000000000000000020056200061320000000000000000000000000000000000000000000200562000613212005620006126320056200061321200562000612632005620006172ASAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006172000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006172000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006172000000000000000000000000000000000000000000000000200562000617200010000000000000000000000000000000000000000000000008010000000000000000000200562000617200000000000000000000000000000000000000000002005620006133independentlyASAC025525500000100100000000001105251020000Arial800000184215040000000000200562000613300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613300000000000000000000000000000000000000000000000020056200061330000000000000000000000010000000000000000000000000000001000000000000000000020056200061330000000000000000000000000000000000000000000200562000613312005620006126320056200061331200562000612632005620006134with supervisionASAD025525500000100100000000001105251020000Arial800000184215040000000000200562000613400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613400000000000000000000000000000000000000000000000020056200061340000000000000000000000010000000000000000000000000000001000000000000000000020056200061340000000000000000000000000000000000000000000200562000613412005620006126320056200061341200562000612632005620006135with limited assistanceASAE025525500000100100000000001105251020000Arial800000184215040000000000200562000613500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613500000000000000000000000000000000000000000000000020056200061350000000000000000000000010000000000000000000000000000001000000000000000000020056200061350000000000000000000000000000000000000000000200562000613512005620006126320056200061351200562000612632005620006136with extensive assistanceASAF025525500000100100000000001105251020000Arial800000184215040000000000200562000613600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613600000000000000000000000000000000000000000000000020056200061360000000000000000000000010000000000000000000000000000001000000000000000000020056200061360000000000000000000000000000000000000000000200562000613612005620006126320056200061361200562000612632005620006137totally dependentASAG025525500000100100000000001105251020000Arial800000184215040000000000200562000613700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613700000000000000000000000000000000000000000000000020056200061370000000000000000000000010000000000000000000000000000001000000000000000000020056200061370000000000000000000000000000000000000000000200562000613712005620006126320056200061371200562000612632005620006169ATAA12812864255255255000000000000000002550001Arial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rial80000018421504000000000020056200061200000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061200000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061200000000000000000000000000000000000000000000000002005620006120014//5BAEQAQQBQAFQASQBWAEUAIABFAFEAVQBJAFAATQBFAE4AVAAgAFUAUwBFAEQAOgA=00100000000000000000000000000000000000000000000000010000000000000000000200562000612000000000000000000000000000000000000000000002005620006121SPLINTS OR BRACES:ATAC21220820000010100000000000001105251020000Arial80000018421504000000000020056200061210000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061210000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061210000000000000000000000000000000000000000000000002005620006121014//5TAFAATABJAE4AVABTACAATwBSACAAQgBSAEEAQwBFAFMAOgA=00100000000000000000000000000000000000000000000000010000000000000000000200562000612100000000000000000000000000000000000000000002005620006122SAFETY DEVICES:ATAD21220820000010100000000000001105251020000Arial80000018421504000000000020056200061220000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061220000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061220000000000000000000000000000000000000000000000002005620006122014//5TAEEARgBFAFQAWQAgAEQARQBWAEkAQwBFAFMAOgA=00100000000000000000000000000000000000000000000000010000000000000000000200562000612200000000000000000000000000000000000000000002005620006170AUAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006170000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006170000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006170000000000000000000000000000000000000000000000000200562000617000010000000000000000000000000000000000000000000000008010000000000000000000200562000617000000000000000000000000000000000000000000002005620006123WEIGHT-BEARING:AUAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006123000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006123000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006123000000000000000000000000000000000000000000000000200562000612300000100000000000000000000000000000000000000000000000010000000000000000000200562000612300000000000000000000000000000000000000000002005620006124yesAUAC025525500000100100000000001105251020000Arial800000184215040000000000200562000612400000000000000000000000000000000000000000000000020056200061240000000000000000000000010000000000000000000000000000001000000000000000000020056200061240000000000000000000000000000000000000000000200562000612412005620006123320056200061241200562000612332005620006125noAUAD025525500000100100000000001105251020000Arial800000184215040000000000200562000612500000000000000000000000000000000000000000000000020056200061250000000000000000000000010000000000000000000000000000001000000000000000000020056200061250000000000000000000000000000000000000000000200562000612512005620006123320056200061251200562000612332005620006173AVAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006173000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006173000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006173000000000000000000000000000000000000000000000000200562000617300010000000000000000000000000000000000000000000000008010000000000000000000200562000617300000000000000000000000000000000000000000002005620006138RECOMMENDATIONS:AVAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006138000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006138000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006138000000000000000000000000000000000000000000000000200562000613800000100000000000000000000000000000000000000000000000010000000000000000000200562000613800000000000000000000000000000000000000000002005620006139padding between knees/ankles,AVAC025525500000100100000000001105251020000Arial800000184215040000000000200562000613900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000613900000000000000000000000000000000000000000000000020056200061390000000000000000000000010000000000000000000000000000001000000000000000000020056200061390000000000000000000000000000000000000000000200562000613912005620006138320056200061391200562000613832005620006140reposition at least q 2 hours,cmVwb3NpdGlvbiBhdCBsZWFzdCBldmVyeSAyIGhvdXJzLA==AVAD025525500000100100000000001105251020000Arial800000184215040000000000200562000614000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000614000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000614000000000000000000000000000000000000000000000000020056200061400000000000000000000000010000000000000000000000000000001000000000000000000020056200061400000000000000000000000000000000000000000000200562000614012005620006138320056200061401200562000613832005620006141passive ROM to: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 assisted ROM to:YWN0aXZlIGFzc2lzdGVkIHJhbmdlIG9mIG1vdGlvbiB0bzo=AVAF025525500000100100000000001105251020000Arial800000184215040000000000200562000614200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000614200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000614200000000000000000000000000000000000000000000000020056200061420000000000000000000000010000000000000000000000000000001000000000000000000020056200061420000000000000000000000000000000000000000000200562000614212005620006138320056200061421200562000613832005620006143supervised active ROM to:c3VwZXJ2aXNlZCBhY3RpdmUgcmFuZ2Ugb2YgbW90aW9uIHRvOg==AVAG025525500000100100000000001105251020000Arial800000184215040000000000200562000614300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000614300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000614300000000000000000000000000000000000000000000000020056200061430000000000000000000000010000000000000000000000000000001000000000000000000020056200061430000000000000000000000000000000000000000000200562000614312005620006138320056200061431200562000613832005620006144PT or OT screen/evalAVAH025525500000100100000000001105251020000Arial800000184215040000000000200562000614400000000000000000000000000000000000000000000000020056200061440000000000000000000000010000000000000000000000000000001000000000000000000020056200061440000000000000000000000000000000000000000000200562000614412005620006138320056200061441200562000613832005620006145lateral support to side:AVAI025525500000100100000000001105251020000Arial800000184215040000000000200562000614500000000000000000000000000000000000000000000000020056200061450000000000000000000000010000000000000000000000000000001000000000000000000020056200061450000000000000000000000000000000000000000000200562000614512005620006138320056200061451200562000613832005620006146anti-contracture devices to:AVAJ025525500000100100000000001105251020000Arial800000184215040000000000200562000614600000000000000000000000000000000000000000000000020056200061460000000000000000000000010000000000000000000000000000001000000000000000000020056200061460000000000000000000000000000000000000000000200562000614612005620006138320056200061461200562000613832005620006147adaptive feeding devices:AVAK025525500000100100000000001105251020000Arial80000018421504000000000020056200061470000000000000000000000000000000000000000000000002005620006147014//5hAGQAYQBwAHQAaQB2AGUAIABmAGUAZQBkAGkAbgBnACAAZABlAHYAaQBjAGUAcwA6AA==00000000000000000000100000000000000000000000000000010000000000000000000200562000614700000000000000000000000000000000000000000002005620006147120056200061383200562000614712005620006138320056200064AWAA12812864255255255000000000000000002550001Arial1400501018421504000000000020056200064000000000000000000000000000000000000000000000000200562000640001000000000000000000000000000000000000000000000000001000000000000000000020056200064000000000000000000000000000000000000000000020056200065FUNCTIONAL REHAB POTENTIAL:RlVOQ1RJT05BTCBSRUhBQklMSVRBVElPTiBQT1RFTlRJQUw6IA==AWAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000650000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065000000000000000000000000000000000000000000000000200562000650000010000000000000000000000000000000000000000000000001000000000000000000020056200065000000000000000000000000000000000000000000020056200066res believes > indep ADLs:cmVzaWRlbnQgYmVsaWV2ZXMgKHMpaGUgaXMgY2FwYWJsZSBvZiBpbmNyZWFzZWQgaW5kZXBlbmRl 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 to determineAWAF22122120000000000100000000001105251020010Arial800011141944320000000000200562000690000000000000000000000000000000000000000000000002005620006900000000000000000000000100000000000000000000000000000010000000000000000000200562000690000000000000000000000000000000000000000000200562000691200562000663200562000691200562000663200562000611staff believe > indep ADLsZGlyZWN0IGNhcmUgc3RhZmYgYmVsaWV2ZSByZXNpZGVudCBpcyBjYXBhYmxlIG9mIGluY3JlYXNl ZCBpbmRlcGVuZGVuY2UgaW4gYXQgbGVhc3Qgc29tZSBBRExzOiA=AWAG025525500000100100001020001105251020010Arial80001137974574000000000020056200061100000000000000000000000000000000000000000000000020056200061100000000000100000000000100000000000000000000000000000010000000000000000000200562000611000000000000000000000000000000000000000000020056200061112005620006532005620006111200562000653200562000612noAWAH22122120000000000100000000001105251020010Arial8000111419443200000000002005620006120000000000000000000000000000000000000000000000002005620006120000000000000000000000010000000000000000000000000000001000000000000000000020056200061200000000000000000000000000000000000000000002005620006121200562000611320056200061212005620006113200562000613yesAWAI22122120000000000100000000001105251020010Arial80001114194432000000000020056200061300000000000000000000000000000000000000000000000020056200061300000000000000000000000100000000000000000000000000000010000000000000000000200562000613000000000000000000000000000000000000000000020056200061312005620006113200562000613120056200061132005620006182AXAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006182000000000000000000000000000000000000000000000000200562000618200010000000000000000000000000000000000000000000000000010000000000000000000200562000618200000000000000000000000000000000000000000002005620006183RESIDENT PARTICIPATION:AXAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006183000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006183000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006183000000000000000000000000000000000000000000000000200562000618300000100000000000000000000000000000000000000000000000010000000000000000000200562000618300000000000000000000000000000000000000000002005620006184cooperativeAXAC025525500000100100000000001105251020000Arial800000184215040000000000200562000618400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618400000000000000000000000000000000000000000000000020056200061840000000000000000000000010000000000000000000000000000001000000000000000000020056200061840000000000000000000000000000000000000000000200562000618412005620006183320056200061841200562000618332005620006185resistiveAXAD025525500000100100000000001105251020000Arial800000184215040000000000200562000618500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618500000000000000000000000000000000000000000000000020056200061850000000000000000000000010000000000000000000000000000001000000000000000000020056200061850000000000000000000000000000000000000000000200562000618512005620006183320056200061851200562000618332005620006186daily participationAXAE025525500000100100000000001105251020000Arial800000184215040000000000200562000618600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618600000000000000000000000000000000000000000000000020056200061860000000000000000000000010000000000000000000000000000001000000000000000000020056200061860000000000000000000000000000000000000000000200562000618612005620006183320056200061861200562000618332005620006187motivatedAXAF025525500000100100000000001105251020000Arial800000184215040000000000200562000618700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618700000000000000000000000000000000000000000000000020056200061870000000000000000000000010000000000000000000000000000001000000000000000000020056200061870000000000000000000000000000000000000000000200562000618712005620006183320056200061871200562000618332005620006188knows goalsAXAG025525500000100100000000001105251020000Arial800000184215040000000000200562000618800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618800000000000000000000000000000000000000000000000020056200061880000000000000000000000010000000000000000000000000000001000000000000000000020056200061880000000000000000000000000000000000000000000200562000618812005620006183320056200061881200562000618332005620006189can follow directionsAXAH025525500000100100000000001105251020000Arial800000184215040000000000200562000618900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000618900000000000000000000000000000000000000000000000020056200061890000000000000000000000010000000000000000000000000000001000000000000000000020056200061890000000000000000000000000000000000000000000200562000618912005620006183320056200061891200562000618332005620006190other: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 RESPONSE:AYAB21220820000010100000000000001105251020000Arial8000001842150400000000002005620006192000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006192000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006192000000000000000000000000000000000000000000000000200562000619200000100000000000000000000000000000000000000000000000010000000000000000000200562000619200000000000000000000000000000000000000000002005620006193assistance requiredAYAC025525500000100100000000001105251020000Arial800000184215040000000000200562000619300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619300000000000000000000000000000000000000000000000020056200061930000000000000000000000010000000000000000000000000000001000000000000000000020056200061930000000000000000000000000000000000000000000200562000619312005620006192320056200061931200562000619232005620006194devices usedAYAD025525500000100100000000001105251020000Arial800000184215040000000000200562000619400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619400000000000000000000000000000000000000000000000020056200061940000000000000000000000010000000000000000000000000000001000000000000000000020056200061940000000000000000000000000000000000000000000200562000619412005620006192320056200061941200562000619232005620006195distanceAYAE025525500000100100000000001105251020000Arial800000184215040000000000200562000619500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619500000000000000000000000000000000000000000000000020056200061950000000000000000000000010000000000000000000000000000001000000000000000000020056200061950000000000000000000000000000000000000000000200562000619512005620006192320056200061951200562000619232005620006196verbal cueing to complete taskAYAF025525500000100100000000001105251020000Arial800000184215040000000000200562000619600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000619600000000000000000000000000000000000000000000000020056200061960000000000000000000000010000000000000000000000000000001000000000000000000020056200061960000000000000000000000000000000000000000000200562000619612005620006192320056200061961200562000619232005620006174AZAA12812864255255255000000000000000002550001Arial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 RESIDENT NEEDS PROGRAM:AZAC21220820000010100000000000001105251020000Arial80000018421504000000000020056200061500000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061500000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061500000000000000000000000000000000000000000000000002005620006150014//5SAEUAQQBTAE8ATgAgAFIARQBTAEkARABFAE4AVAAgAE4ARQBFAEQAUwAgAFAAUgBPAEcAUgBB AE0AOgA=00100000000000000000000000000000000000000000000000010000000000000000000200562000615000000000000000000000000000000000000000000002005620006151HOW PROGRAM MEETS NEEDS:AZAD21220820000010100000000000001105251020000Arial80000018421504000000000020056200061510000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061510000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061510000000000000000000000000000000000000000000000002005620006151014//5IAE8AVwAgAFAAUgBPAEcAUgBBAE0AIABNAEUARQBUAFMAIABOAEUARQBEAFMAOgA=00100000000000000000000000000000000000000000000000010000000000000000000200562000615100000000000000000000000000000000000000000002005620006179RESIDENT PROGRESS:AZAE21220820000010100000000000001105251020000Arial80000018421504000000000020056200061790000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061790000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061790000000000000000000000000000000000000000000000002005620006179014//5BAGQAZAByAGUAcwBzACAAcAByAG8AZwByAGUAcwBzACwAIABtAGEAaQBuAHQAZQBuAGEAbgBj AGUALAAgAG8AcgAgAHIAZQBnAHIAZQBzAHMAaQBvAG4AOgA=00100000000000000000000000000000000000000000000000010000000000000000000200562000617900000000000000000000000000000000000000000002005620006175BAAA12812864255255255000000000000000002550001Arial140050101842150400000000002005620006175000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006175000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006175000000000000000000000000000000000000000000000000200562000617500010000000000000000000000000000000000000000000000008010000000000000000000200562000617500000000000000000000000000000000000000000002005620006153GOALS/OBJECTIVES: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 REVIEWED:BAAC21220820000010100000000000001105251020000Arial80000018421504000000000020056200061540000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061540000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200061540000000000000000000000000000000000000000000000002005620006154014//5HAE8AQQBMAFMAIABSAEUAVgBJAEUAVwBFAEQAOgA=00100000000000000000000000000000000000000000000000010000000000000000000200562000615400000000000000000000000000000000000000000002005620006155GOALS REVISED: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^ Preview Restorative NotesBBAB22422417500000000000000000001105251021000Arial8000001842150400000000002005620006156000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006156000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006156000000000000000000000000000000000000000000000000200562000615600010000000000000000000000000000000000000000000000006554501000000000000000000020056200061560000000000000000000000000000000000000000000200562000615641901100000200000020056200061561202005620006Restorative Nursing32027300000000000000000000000000000000000000000001000000000000011000000000000000000000000100001000000000020056200061000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000650000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200064700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000648000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006490000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000651000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006520000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000654000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006550000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000657000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006580000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200065900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000660000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006610000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000663000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006640000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000666000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006670000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200066800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000669000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006700000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200067100000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000672000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006730000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200067400000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000675000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006760000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200067700000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000678000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006790000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200068000000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000681000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006820000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200068300000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000684000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006850000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200068600000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000687000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006880000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200068900000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000690000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006910000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200069200000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000693000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006940000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200069500000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000696000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006970000000000000000000000000000000200000000000001101110000000000000000000000000000000020056200069800000000000000000000000000000002000000000000011011100000000000000000000000000000000200562000699000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006100000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006101000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006102000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006103000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006104000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006105000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006106000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006107000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006108000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006109000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006110000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006111000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006112000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006113000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006115000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006116000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006117000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006118000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006119000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006120000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006121000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006122000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006123000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006126000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006127000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006128000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006129000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006130000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006131000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006133000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006134000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006135000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006136000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006137000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006138000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006139000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006140000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006141000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006142000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006143000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006150000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006151000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006152000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006153000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006154000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006155000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006156000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006157000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006158000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006159000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006160000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006161000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006162000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006163000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006164000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006165000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006166000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006167000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006168000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006169000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006170000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006171000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006172000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006173000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006174000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006175000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006179000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006183000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006184000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006185000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006186000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006187000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006188000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006189000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006190000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006192000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006193000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006194000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006195000000000000000000000000000000020000000000000110111000000000000000000000000000000002005620006196000000000000000000000000000000020000000000000110111000000000000000000000000000000004834720056200062005620006090148348200562000620002201070-1148349200562000620002201000-1148350200562000620002201080-1148351200562000620002201020-1148352200562000620002201090-1148353200562000620002201100-1148354200562000620002201040-1148355200562000620002201050-1148356200562000620002201010-1148357200562000620002201030-1148358200562000620002201060-11200562000611200562000661200562000653200562000671200562000663200562000681200562000663200562000691200562000663200562000611120056200065320056200061212005620006113200562000613120056200061132005620006211200562000620320056200062212005620006203200562000623120056200062032005620006241200562000620320056200062512005620006203200562000628120056200062732005620006291200562000627320056200063012005620006273200562000631120056200062732005620006321200562000627320056200063312005620006273200562000636120056200063532005620006371200562000635320056200063812005620006353200562000639120056200063532005620006421200562000641320056200064312005620006413200562000644120056200064132005620006451200562000641320056200064812005620006473200562000649120056200064732005620006501200562000647320056200065112005620006473200562000653120056200065232005620006541200562000652320056200065612005620006553200562000657120056200065532005620006581200562000655320056200065912005620006553200562000660120056200065532005620006611200562000655320056200066212005620006553200562000663120056200065532005620006641200562000655320056200066512005620006553200562000671120056200065532005620006721200562000655320056200067412005620006733200562000675120056200067332005620006761200562000673320056200067712005620006733200562000678120056200067332005620006801200562000679320056200068112005620006793200562000682120056200067932005620006831200562000679320056200068412005620006793200562000686120056200068532005620006871200562000685320056200068812005620006853200562000689120056200068532005620006901200562000685320056200069212005620006913200562000693120056200069132005620006941200562000691320056200069512005620006913200562000696120056200069132005620006981200562000697320056200069912005620006973200562000610012005620006973200562000610112005620006973200562000610212005620006973200562000610312005620006973200562000610412005620006973200562000610512005620006973200562000610612005620006973200562000610712005620006973200562000610912005620006108320056200061101200562000610832005620006111120056200061083200562000611212005620006108320056200061131200562000610832005620006114120056200061083200562000611512005620006108320056200061161200562000610832005620006117120056200061083200562000611812005620006108320056200061191200562000610832005620006124120056200061233200562000612512005620006123320056200061271200562000612632005620006128120056200061263200562000612912005620006126320056200061301200562000612632005620006131120056200061263200562000613212005620006126320056200061331200562000612632005620006134120056200061263200562000613512005620006126320056200061361200562000612632005620006137120056200061263200562000613912005620006138320056200061401200562000613832005620006141120056200061383200562000614212005620006138320056200061431200562000613832005620006144120056200061383200562000614512005620006138320056200061461200562000613832005620006147120056200061383200562000618412005620006183320056200061851200562000618332005620006186120056200061833200562000618712005620006183320056200061881200562000618332005620006189120056200061833200562000619012005620006183320056200061931200562000619232005620006194120056200061923200562000619512005620006192320056200061961200562000619232005620006

20056Nursing15318610301Arial10100

G09000102005620006770G09000202005620006870G09000302005620006970G090004020056200061270G090005020056200061370G09000602005620006570G09000702005620006670G090008020056200061170G0900A0102005620006770G0900A0202005620006870G0900A0302005620006970G0900A00102005620006770G0900A10102005620006870G0900A90102005620006970G0900B01020056200061270G0900B02020056200061370G0900B001020056200061270G0900B1010200562000613704190Restorative Nursing Assessment000.50.50.50.5118.5100000000000000000000001000000000000235959201808080041902Report Label105368709111Arial00121000.253.030999898910520.4900000095367432.6349999904632600000000000000000000000000000000000000000000000000000000UmVzdG9yYXRpdmUgTnVyc2luZyBBc3Nlc3NtZW500000000000000Arial001011677721500000000000000000025500000000000000041901050167772150Arial00100109.06200027465820.51.417000055313117.5000000000000000000000000000000000000000000000000000000000000000000000Arial0010116777215000000000000000001255000000000000000419011Report Label305368709110Arial00100008.895999908447270.5619999766349791.509999990463267.375001000000011001011000000100000000000000000000100000000000000000000000Arial00101167772150000000100020000028730982500255000000000000000419015599950167772151Arial00100100.2290000021457670.50.7919999957084667.5000000000000000000000000000000000000000000000000000000000000000000000Arial0010116777215000000000000000001255000000000000010419015600050167772151Arial00100100.2290000021457670.51.021000027656567.5000000000000000000000000000000000000000000000000000000000000000000000Arial00101167772150000000000000000012550000000000000104190156001105368709111Arial-2147483640091000.1979999989271160.5310000181198120.8539999723434450.4059999883174900000000000000000000000000000000000000000000000000000000TmFtZTo=0000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156002Full Name2121167772151Arial-21474836400102000.1879999935626981.021000027656560.8330000042915340.634999990463257000000000000000000000000000000000000000000000000000000000000000000000Arial-21474836400101167772150000000000000000012550000000000000004190156003Room305368709110Arial-21474836400102000.1979999989271164.270999908447270.8439999818801880.6150000095367430010000000010000000000000000001001001000000000101000000000000000000000Arial-214748364001011677721500000000000000028626124801170000000000000004190156004105368709111Arial-2147483640091000.1979999989271164.927000045776370.8539999723434450.61500000953674300000000000000000000000000000000000000000000000000000000QmlydGhkYXRlOg==0000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156005Date Of Birth2107167772151Arial-21474836400102000.1879999935626985.6250.8330000042915340.811999976634979000000000000000000000000000000000000000000000000000000000000000000000Arial-21474836400101167772150000000000000000012550000000000000004190156006105368709111Arial-2147483640091000.1979999989271166.53100013732910.8539999723434450.30199998617172200000000000000000000000000000000000000000000000000000000QWdlOg==0000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156007Age2108167772151Arial-21474836400102000.1879999935626986.864999771118160.8330000042915340.259999990463257000000000000000000000000000000000000000000000000000000000000000000000Arial-21474836400101167772150000000000000000012550000000000000004190156008105368709111Arial-2147483640091000.1979999989271167.427000045776370.8539999723434450.2809999883174900000000000000000000000000000000000000000000000000000000U2V4Og==0000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156009Sex2123167772151Arial-21474836400102000.1879999935626987.729000091552730.8439999818801880.25000000000000000000000000000000000000000000000000000000000000000000000Arial-21474836400101167772150000000000000000012550000000000000004190156010105368709111Arial-2147483640091000.1979999989271163.822999954223630.8539999723434450.41699999570846600000000000000000000000000000000000000000000000000000000Um9vbTo=0000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156011Record Number2115167772150Arial-21474836400102000.1770000010728840.9269999861717221.072999954223630.781000018119812000000000000000000000000000000000000000000000000000000000000000000000Arial-21474836400101167772150000000000000000012550000000000000004190156012105368709111Arial-2147483640091000.1979999989271160.5310000181198121.093999981880190.3440000116825100000000000000000000000000000000000000000000000000000000TVJOOg==0000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156013Provider305368709110Arial-2147483640092000.2290000021457674.072999954223631.082999944686891.687999963760380010000000010000000000000000001001001000000000100000000000000000000000Arial-214748364001011677721500000000000000028626124801170000000100000004190156014105368709111Arial-2147483640091000.1979999989271163.405999898910521.093999981880190.64600002765655500000000000000000000000000000000000000000000000000000000UGh5c2ljaWFuOg==0000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156015Report Label105368709111Arial-2147483640091000.1979999989271161.751.093999981880190.71899998188018800000000000000000000000000000000000000000000000000000000QWRtaXQgRGF0ZTo=0000000000000Arial00101167772150000000000000000002550000000000000004190156016Report Label305368709110Arial-21474836400102000.1979999989271162.562000036239621.072999954223630.750010000000010000000000000000001001001000000000101000000000000000000000MS Sans Serif-214748364001011677721500000000000000028626124801170000000000000004190156017105368709111Arial-2147483640091000.1979999989271165.811999797821041.093999981880190.79199999570846600000000000000000000000000000000000000000000000000000000Q29kZSBTdGF0dXM60000000000000Arial-21474836400101167772150000000000000000002550000000000000004190156018Code Status305368709110Arial Black0091000.2290000021457676.6251.082999944686891.353999972343440010000000010000000000000000001001001000000000100000000000000000000000Arial-21474836400101167772150000000000000002862612480117000000010000000419011120056200060-10004190156003120012200031-10004190156003220012200371-10004190156003320012200051-10004190156003420012200231-10004190156013120012200081-10004190156016120012200284-110041901560162200122002828-11004190156016320012200072-12004190156016420012200074-120041901560165200122002410-130041901560166200122002421-13004190156018120016200053-1000419015599913.299999952316281419015599921.100000023841861419015599931.600000023841861419015599940.8999999761581421419015599950.6000000238418581419015599960.2300000041723252419015600011.220000028610231419015600021.65999996662141419015600032.410000085830691419015600042.210000038146971419015600050.2300000041723252