Established Patient E/M Decision Tool

General & Administrative, Featured
No Comments
Loading Add to Favorites
Share
Tweet
[html]<small>This tool is for Established Patient Visits. An established patient has been seen by the provider or a member of his practice/group in the last 3 years; a new patient has not. There are three sections: History, Examination, and Medical Decision Making. For an established visit, the second highest (or median) scoring section determines the level. For New Patient visits, <a href="../../general/e-m-new/" target="_blank">please go here</a>.</small>[/html]
Section 1: History[html]<small>
A documented chief complaint is mandatory to bill above 99211. For the history section, the lowest level of the three subsections determines the billing level.</small>[/html]
History of Present Illness
[select name="estHPI" value="0 elements (99211)=100000|1-3 elements (99213)=300000|4 or more elements/3 chronic diseases (99215)=500000"][html]<small>
Elements: Location (example: left leg); Quality (example: aching, burning, radiating pain); Severity (example: 10 on a scale of 1 to 10); Duration (example: started three days ago); Timing (example: constant or comes and goes); Context (example: lifted large object at work); Modifying factors (example: better when heat is applied); and Associated signs and symptoms (example: numbness in toes).</small>[/html]
Review of Systems
[select name="estROS" value="0 elements (99212)=20000|1 element (99213)=30000|2-9 elements (99214)=40000|10 or more elements/negative (99215)=50000"][html]<small>
Elements: Constitutional symptoms (e.g., fever, weight loss); Eyes; Ears, Nose, Mouth, Throat; Cardiovascular; Respiratory; Gastrointestinal; Genitourinary; Musculoskeletal; Integumentary (skin and/or breast); Neurological; Psychiatric; Endocrine; Hematologic/Lymphatic; and Allergic/Immunologic</small>[/html]
Past, Family, and Social History
[select name="estPFSH" value="0 elements (99213)=3000|1 element (99214)=4000|2 or more elements (99215)=5000"][html]<small>
Elements: Past medical history, Family history, Social history</small>[/html]
Section 2: Examination
[select name="estExam" value="0 elements (99211)=1000000|1-5 element (99212)=2000000|6-11 elements (99213)=3000000|12+ elements (99214)=4000000|comprehensive (99215)=5000000"][html]<small>
Elements are bulleted under these organ systems: Constitutional; Cardiovascular; Ears, Nose, Mouth and Throat; Eyes; Genitourinary (Female); Genitourinary (Male); Hematologic/Lymphatic/Immunologic; Musculoskeletal; Neurological; Psychiatric; Respiratory; and Skin
<a href="https://docs.google.com/document/pub?id=1t6LUYdPzx7k5AFxKKO7nTCdQAOkzLgPxtC6ycLfmGZk" target="_blank">CMS Table of examination elements</a></small>[/html]
Section 3: Medical Decision Making[html]<small>
For the decision making section, the second highest (or median) level of the three subsections determines the billing level.
<a href="https://docs.google.com/document/pub?id=1UeoYOwyed6Vvg7r14q_Oy0M8IqDn81RnNRxBKfR6PRo" target="_blank">CMS Info on Decision Making Risk</a>
<a href="http://www.cms.gov/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf" target="_blank">Download the CMS E&M Guide</a></small>[/html]
Number of Diagnoses or Management Options
[select name="estDiagNum" value="Minimal (99212)=200|Limited (99213)=300|Multiple (99214)=400|Extensive (99215)=500"][html]<small>
Number of diagnoses or management options: 1 = Minimal, 2 = Limited, 3 = Multiple, 4 or more = Extensive</small>[/html]
Amount of Data Reviewed/Ordered
[select name="estData" value="0-1 (99212)=20|2 (99213)=30|3 (99214)=40|4+ (99215)=50"][html]<small>
number of diagnostic tests ordered or reviewed</small>[/html]
Risk of Complications, Morbidity, or Mortality
[select name="estRisk" value="Minimal (99212)=2|Low (99213)=3|Moderate (99214)=4|High (99215)=5"]
E/M level for Established Patient Visit: 9921[calc value="score=((estHPI)+(estROS)+(estPFSH)+(estExam)+(estDiagNum)+(estData)+(estRisk));score>5554544?'5':score>5554540?'4':score>5554534?'5':score>5554530?'4':score>5554524?'5':score>5554520?'4':score>5554454?'5':score>5554420?'4':score>5554354?'5':score>5554320?'4':score>5554254?'5':score>5554220?'4':score>5553544?'5':score>5553540?'4':score>5553534?'5':score>5553533?'4':score>5553530?'3':score>5553524?'5':score>5553523?'4':score>5553520?'3':score>5553454?'5':score>5553433?'4':score>5553430?'3':score>5553423?'4':score>5553420?'3':score>5553354?'5':score>5553353?'4':score>5553350?'3':score>5553343?'4':score>5553320?'3':score>5553254?'5':score>5553253?'4':score>5553250?'3':score>5553243?'4':score>5553220?'3':score>5545544?'5':score>5545540?'4':score>5545534?'5':score>5545530?'4':score>5545524?'5':score>5545520?'4':score>5545454?'5':score>5545420?'4':score>5545354?'5':score>5545320?'4':score>5545254?'5':score>5545220?'4':score>5544544?'5':score>5544540?'4':score>5544534?'5':score>5544530?'4':score>5544524?'5':score>5544520?'4':score>5544454?'5':score>5544420?'4':score>5544354?'5':score>5544320?'4':score>5544254?'5':score>5544220?'4':score>5543544?'5':score>5543540?'4':score>5543534?'5':score>5543533?'4':score>5543530?'3':score>5543524?'5':score>5543523?'4':score>5543520?'3':score>5543454?'5':score>5543433?'4':score>5543430?'3':score>5543423?'4':score>5543420?'3':score>5543354?'5':score>5543353?'4':score>5543350?'3':score>5543343?'4':score>5543320?'3':score>5543254?'5':score>5543253?'4':score>5543250?'3':score>5543243?'4':score>5543220?'3':score>5535544?'5':score>5535540?'4':score>5535534?'5':score>5535533?'4':score>5535530?'3':score>5535524?'5':score>5535523?'4':score>5535520?'3':score>5535454?'5':score>5535433?'4':score>5535430?'3':score>5535423?'4':score>5535420?'3':score>5535354?'5':score>5535353?'4':score>5535350?'3':score>5535343?'4':score>5535320?'3':score>5535254?'5':score>5535253?'4':score>5535250?'3':score>5535243?'4':score>5535220?'3':score>5534544?'5':score>5534540?'4':score>5534534?'5':score>5534533?'4':score>5534530?'3':score>5534524?'5':score>5534523?'4':score>5534520?'3':score>5534454?'5':score>5534433?'4':score>5534430?'3':score>5534423?'4':score>5534420?'3':score>5534354?'5':score>5534353?'4':score>5534350?'3':score>5534343?'4':score>5534320?'3':score>5534254?'5':score>5534253?'4':score>5534250?'3':score>5534243?'4':score>5534220?'3':score>5533544?'5':score>5533540?'4':score>5533534?'5':score>5533533?'4':score>5533530?'3':score>5533524?'5':score>5533523?'4':score>5533520?'3':score>5533454?'5':score>5533433?'4':score>5533430?'3':score>5533423?'4':score>5533420?'3':score>5533354?'5':score>5533353?'4':score>5533350?'3':score>5533343?'4':score>5533320?'3':score>5533254?'5':score>5533253?'4':score>5533250?'3':score>5533243?'4':score>5533220?'3':score>5525544?'5':score>5525540?'4':score>5525534?'5':score>5525533?'4':score>5525530?'3':score>5525524?'5':score>5525523?'4':score>5525522?'3':score>5525520?'2':score>5525454?'5':score>5525433?'4':score>5525430?'3':score>5525423?'4':score>5525422?'3':score>5525420?'2':score>5525354?'5':score>5525353?'4':score>5525350?'3':score>5525343?'4':score>5525322?'3':score>5525320?'2':score>5525254?'5':score>5525253?'4':score>5525252?'3':score>5525250?'2':score>5525243?'4':score>5525242?'3':score>5525240?'2':score>5525232?'3':score>5525220?'2':score>5524544?'5':score>5524540?'4':score>5524534?'5':score>5524533?'4':score>5524530?'3':score>5524524?'5':score>5524523?'4':score>5524522?'3':score>5524520?'2':score>5524454?'5':score>5524433?'4':score>5524430?'3':score>5524423?'4':score>5524422?'3':score>5524420?'2':score>5524354?'5':score>5524353?'4':score>5524350?'3':score>5524343?'4':score>5524322?'3':score>5524320?'2':score>5524254?'5':score>5524253?'4':score>5524252?'3':score>5524250?'2':score>5524243?'4':score>5524242?'3':score>5524240?'2':score>5524232?'3':score>5524220?'2':score>5523544?'5':score>5523540?'4':score>5523534?'5':score>5523533?'4':score>5523530?'3':score>5523524?'5':score>5523523?'4':score>5523522?'3':score>5523520?'2':score>5523454?'5':score>5523433?'4':score>5523430?'3':score>5523423?'4':score>5523422?'3':score>5523420?'2':score>5523354?'5':score>5523353?'4':score>5523350?'3':score>5523343?'4':score>5523322?'3':score>5523320?'2':score>5523254?'5':score>5523253?'4':score>5523252?'3':score>5523250?'2':score>5523243?'4':score>5523242?'3':score>5523240?'2':score>5523232?'3':score>5523220?'2':score>5355544?'5':score>5355540?'4':score>5355534?'5':score>5355533?'4':score>5355530?'3':score>5355524?'5':score>5355523?'4':score>5355520?'3':score>5355454?'5':score>5355433?'4':score>5355430?'3':score>5355423?'4':score>5355420?'3':score>5355354?'5':score>5355353?'4':score>5355350?'3':score>5355343?'4':score>5355320?'3':score>5355254?'5':score>5355253?'4':score>5355250?'3':score>5355243?'4':score>5355220?'3':score>5354544?'5':score>5354540?'4':score>5354534?'5':score>5354533?'4':score>5354530?'3':score>5354524?'5':score>5354523?'4':score>5354520?'3':score>5354454?'5':score>5354433?'4':score>5354430?'3':score>5354423?'4':score>5354420?'3':score>5354354?'5':score>5354353?'4':score>5354350?'3':score>5354343?'4':score>5354320?'3':score>5354254?'5':score>5354253?'4':score>5354250?'3':score>5354243?'4':score>5354220?'3':score>5353544?'5':score>5353540?'4':score>5353534?'5':score>5353533?'4':score>5353530?'3':score>5353524?'5':score>5353523?'4':score>5353520?'3':score>5353454?'5':score>5353433?'4':score>5353430?'3':score>5353423?'4':score>5353420?'3':score>5353354?'5':score>5353353?'4':score>5353350?'3':score>5353343?'4':score>5353320?'3':score>5353254?'5':score>5353253?'4':score>5353250?'3':score>5353243?'4':score>5353220?'3':score>5345544?'5':score>5345540?'4':score>5345534?'5':score>5345533?'4':score>5345530?'3':score>5345524?'5':score>5345523?'4':score>5345520?'3':score>5345454?'5':score>5345433?'4':score>5345430?'3':score>5345423?'4':score>5345420?'3':score>5345354?'5':score>5345353?'4':score>5345350?'3':score>5345343?'4':score>5345320?'3':score>5345254?'5':score>5345253?'4':score>5345250?'3':score>5345243?'4':score>5345220?'3':score>5344544?'5':score>5344540?'4':score>5344534?'5':score>5344533?'4':score>5344530?'3':score>5344524?'5':score>5344523?'4':score>5344520?'3':score>5344454?'5':score>5344433?'4':score>5344430?'3':score>5344423?'4':score>5344420?'3':score>5344354?'5':score>5344353?'4':score>5344350?'3':score>5344343?'4':score>5344320?'3':score>5344254?'5':score>5344253?'4':score>5344250?'3':score>5344243?'4':score>5344220?'3':score>5343544?'5':score>5343540?'4':score>5343534?'5':score>5343533?'4':score>5343530?'3':score>5343524?'5':score>5343523?'4':score>5343520?'3':score>5343454?'5':score>5343433?'4':score>5343430?'3':score>5343423?'4':score>5343420?'3':score>5343354?'5':score>5343353?'4':score>5343350?'3':score>5343343?'4':score>5343320?'3':score>5343254?'5':score>5343253?'4':score>5343250?'3':score>5343243?'4':score>5343220?'3':score>5335544?'5':score>5335540?'4':score>5335534?'5':score>5335533?'4':score>5335530?'3':score>5335524?'5':score>5335523?'4':score>5335520?'3':score>5335454?'5':score>5335433?'4':score>5335430?'3':score>5335423?'4':score>5335420?'3':score>5335354?'5':score>5335353?'4':score>5335350?'3':score>5335343?'4':score>5335320?'3':score>5335254?'5':score>5335253?'4':score>5335250?'3':score>5335243?'4':score>5335220?'3':score>5334544?'5':score>5334540?'4':score>5334534?'5':score>5334533?'4':score>5334530?'3':score>5334524?'5':score>5334523?'4':score>5334520?'3':score>5334454?'5':score>5334433?'4':score>5334430?'3':score>5334423?'4':score>5334420?'3':score>5334354?'5':score>5334353?'4':score>5334350?'3':score>5334343?'4':score>5334320?'3':score>5334254?'5':score>5334253?'4':score>5334250?'3':score>5334243?'4':score>5334220?'3':score>5333544?'5':score>5333540?'4':score>5333534?'5':score>5333533?'4':score>5333530?'3':score>5333524?'5':score>5333523?'4':score>5333520?'3':score>5333454?'5':score>5333433?'4':score>5333430?'3':score>5333423?'4':score>5333420?'3':score>5333354?'5':score>5333353?'4':score>5333350?'3':score>5333343?'4':score>5333320?'3':score>5333254?'5':score>5333253?'4':score>5333250?'3':score>5333243?'4':score>5333220?'3':score>5325544?'5':score>5325540?'4':score>5325534?'5':score>5325533?'4':score>5325530?'3':score>5325524?'5':score>5325523?'4':score>5325522?'3':score>5325520?'2':score>5325454?'5':score>5325433?'4':score>5325430?'3':score>5325423?'4':score>5325422?'3':score>5325420?'2':score>5325354?'5':score>5325353?'4':score>5325350?'3':score>5325343?'4':score>5325322?'3':score>5325320?'2':score>5325254?'5':score>5325253?'4':score>5325252?'3':score>5325250?'2':score>5325243?'4':score>5325242?'3':score>5325240?'2':score>5325232?'3':score>5325220?'2':score>5324544?'5':score>5324540?'4':score>5324534?'5':score>5324533?'4':score>5324530?'3':score>5324524?'5':score>5324523?'4':score>5324522?'3':score>5324520?'2':score>5324454?'5':score>5324433?'4':score>5324430?'3':score>5324423?'4':score>5324422?'3':score>5324420?'2':score>5324354?'5':score>5324353?'4':score>5324350?'3':score>5324343?'4':score>5324322?'3':score>5324320?'2':score>5324254?'5':score>5324253?'4':score>5324252?'3':score>5324250?'2':score>5324243?'4':score>5324242?'3':score>5324240?'2':score>5324232?'3':score>5324220?'2':score>5323544?'5':score>5323540?'4':score>5323534?'5':score>5323533?'4':score>5323530?'3':score>5323524?'5':score>5323523?'4':score>5323522?'3':score>5323520?'2':score>5323454?'5':score>5323433?'4':score>5323430?'3':score>5323423?'4':score>5323422?'3':score>5323420?'2':score>5323354?'5':score>5323353?'4':score>5323350?'3':score>5323343?'4':score>5323322?'3':score>5323320?'2':score>5323254?'5':score>5323253?'4':score>5323252?'3':score>5323250?'2':score>5323243?'4':score>5323242?'3':score>5323240?'2':score>5323232?'3':score>5323220?'2':score>5155544?'5':score>5155540?'4':score>5155534?'5':score>5155533?'4':score>5155530?'3':score>5155524?'5':score>5155523?'4':score>5155522?'3':score>5155520?'2':score>5155454?'5':score>5155433?'4':score>5155430?'3':score>5155423?'4':score>5155422?'3':score>5155420?'2':score>5155354?'5':score>5155353?'4':score>5155350?'3':score>5155343?'4':score>5155322?'3':score>5155320?'2':score>5155254?'5':score>5155253?'4':score>5155252?'3':score>5155250?'2':score>5155243?'4':score>5155242?'3':score>5155240?'2':score>5155232?'3':score>5155220?'2':score>5154544?'5':score>5154540?'4':score>5154534?'5':score>5154533?'4':score>5154530?'3':score>5154524?'5':score>5154523?'4':score>5154522?'3':score>5154520?'2':score>5154454?'5':score>5154433?'4':score>5154430?'3':score>5154423?'4':score>5154422?'3':score>5154420?'2':score>5154354?'5':score>5154353?'4':score>5154350?'3':score>5154343?'4':score>5154322?'3':score>5154320?'2':score>5154254?'5':score>5154253?'4':score>5154252?'3':score>5154250?'2':score>5154243?'4':score>5154242?'3':score>5154240?'2':score>5154232?'3':score>5154220?'2':score>5153544?'5':score>5153540?'4':score>5153534?'5':score>5153533?'4':score>5153530?'3':score>5153524?'5':score>5153523?'4':score>5153522?'3':score>5153520?'2':score>5153454?'5':score>5153433?'4':score>5153430?'3':score>5153423?'4':score>5153422?'3':score>5153420?'2':score>5153354?'5':score>5153353?'4':score>5153350?'3':score>5153343?'4':score>5153322?'3':score>5153320?'2':score>5153254?'5':score>5153253?'4':score>5153252?'3':score>5153250?'2':score>5153243?'4':score>5153242?'3':score>5153240?'2':score>5153232?'3':score>5153220?'2':score>5145544?'5':score>5145540?'4':score>5145534?'5':score>5145533?'4':score>5145530?'3':score>5145524?'5':score>5145523?'4':score>5145522?'3':score>5145520?'2':score>5145454?'5':score>5145433?'4':score>5145430?'3':score>5145423?'4':score>5145422?'3':score>5145420?'2':score>5145354?'5':score>5145353?'4':score>5145350?'3':score>5145343?'4':score>5145322?'3':score>5145320?'2':score>5145254?'5':score>5145253?'4':score>5145252?'3':score>5145250?'2':score>5145243?'4':score>5145242?'3':score>5145240?'2':score>5145232?'3':score>5145220?'2':score>5144544?'5':score>5144540?'4':score>5144534?'5':score>5144533?'4':score>5144530?'3':score>5144524?'5':score>5144523?'4':score>5144522?'3':score>5144520?'2':score>5144454?'5':score>5144433?'4':score>5144430?'3':score>5144423?'4':score>5144422?'3':score>5144420?'2':score>5144354?'5':score>5144353?'4':score>5144350?'3':score>5144343?'4':score>5144322?'3':score>5144320?'2':score>5144254?'5':score>5144253?'4':score>5144252?'3':score>5144250?'2':score>5144243?'4':score>5144242?'3':score>5144240?'2':score>5144232?'3':score>5144220?'2':score>5143544?'5':score>5143540?'4':score>5143534?'5':score>5143533?'4':score>5143530?'3':score>5143524?'5':score>5143523?'4':score>5143522?'3':score>5143520?'2':score>5143454?'5':score>5143433?'4':score>5143430?'3':score>5143423?'4':score>5143422?'3':score>5143420?'2':score>5143354?'5':score>5143353?'4':score>5143350?'3':score>5143343?'4':score>5143322?'3':score>5143320?'2':score>5143254?'5':score>5143253?'4':score>5143252?'3':score>5143250?'2':score>5143243?'4':score>5143242?'3':score>5143240?'2':score>5143232?'3':score>5143220?'2':score>5135544?'5':score>5135540?'4':score>5135534?'5':score>5135533?'4':score>5135530?'3':score>5135524?'5':score>5135523?'4':score>5135522?'3':score>5135520?'2':score>5135454?'5':score>5135433?'4':score>5135430?'3':score>5135423?'4':score>5135422?'3':score>5135420?'2':score>5135354?'5':score>5135353?'4':score>5135350?'3':score>5135343?'4':score>5135322?'3':score>5135320?'2':score>5135254?'5':score>5135253?'4':score>5135252?'3':score>5135250?'2':score>5135243?'4':score>5135242?'3':score>5135240?'2':score>5135232?'3':score>5135220?'2':score>5134544?'5':score>5134540?'4':score>5134534?'5':score>5134533?'4':score>5134530?'3':score>5134524?'5':score>5134523?'4':score>5134522?'3':score>5134520?'2':score>5134454?'5':score>5134433?'4':score>5134430?'3':score>5134423?'4':score>5134422?'3':score>5134420?'2':score>5134354?'5':score>5134353?'4':score>5134350?'3':score>5134343?'4':score>5134322?'3':score>5134320?'2':score>5134254?'5':score>5134253?'4':score>5134252?'3':score>5134250?'2':score>5134243?'4':score>5134242?'3':score>5134240?'2':score>5134232?'3':score>5134220?'2':score>5133544?'5':score>5133540?'4':score>5133534?'5':score>5133533?'4':score>5133530?'3':score>5133524?'5':score>5133523?'4':score>5133522?'3':score>5133520?'2':score>5133454?'5':score>5133433?'4':score>5133430?'3':score>5133423?'4':score>5133422?'3':score>5133420?'2':score>5133354?'5':score>5133353?'4':score>5133350?'3':score>5133343?'4':score>5133322?'3':score>5133320?'2':score>5133254?'5':score>5133253?'4':score>5133252?'3':score>5133250?'2':score>5133243?'4':score>5133242?'3':score>5133240?'2':score>5133232?'3':score>5133220?'2':score>5125544?'5':score>5125540?'4':score>5125534?'5':score>5125533?'4':score>5125530?'3':score>5125524?'5':score>5125523?'4':score>5125522?'3':score>5125520?'2':score>5125454?'5':score>5125433?'4':score>5125430?'3':score>5125423?'4':score>5125422?'3':score>5125420?'2':score>5125354?'5':score>5125353?'4':score>5125350?'3':score>5125343?'4':score>5125322?'3':score>5125320?'2':score>5125254?'5':score>5125253?'4':score>5125252?'3':score>5125250?'2':score>5125243?'4':score>5125242?'3':score>5125240?'2':score>5125232?'3':score>5125220?'2':score>5124544?'5':score>5124540?'4':score>5124534?'5':score>5124533?'4':score>5124530?'3':score>5124524?'5':score>5124523?'4':score>5124522?'3':score>5124520?'2':score>5124454?'5':score>5124433?'4':score>5124430?'3':score>5124423?'4':score>5124422?'3':score>5124420?'2':score>5124354?'5':score>5124353?'4':score>5124350?'3':score>5124343?'4':score>5124322?'3':score>5124320?'2':score>5124254?'5':score>5124253?'4':score>5124252?'3':score>5124250?'2':score>5124243?'4':score>5124242?'3':score>5124240?'2':score>5124232?'3':score>5124220?'2':score>5123544?'5':score>5123540?'4':score>5123534?'5':score>5123533?'4':score>5123530?'3':score>5123524?'5':score>5123523?'4':score>5123522?'3':score>5123520?'2':score>5123454?'5':score>5123433?'4':score>5123430?'3':score>5123423?'4':score>5123422?'3':score>5123420?'2':score>5123354?'5':score>5123353?'4':score>5123350?'3':score>5123343?'4':score>5123322?'3':score>5123320?'2':score>5123254?'5':score>5123253?'4':score>5123252?'3':score>5123250?'2':score>5123243?'4':score>5123242?'3':score>5123240?'2':score>5123232?'3':score>5123220?'2':score>4555544?'5':score>4555540?'4':score>4555534?'5':score>4555530?'4':score>4555524?'5':score>4555520?'4':score>4555454?'5':score>4555420?'4':score>4555354?'5':score>4555320?'4':score>4555254?'5':score>4553533?'4':score>4553530?'3':score>4553523?'4':score>4553520?'3':score>4553433?'4':score>4553430?'3':score>4553423?'4':score>4553420?'3':score>4553353?'4':score>4553350?'3':score>4553343?'4':score>4553320?'3':score>4553253?'4':score>4553250?'3':score>4553243?'4':score>4553220?'3':score>4543533?'4':score>4543530?'3':score>4543523?'4':score>4543520?'3':score>4543433?'4':score>4543430?'3':score>4543423?'4':score>4543420?'3':score>4543353?'4':score>4543350?'3':score>4543343?'4':score>4543320?'3':score>4543253?'4':score>4543250?'3':score>4543243?'4':score>4543220?'3':score>4535533?'4':score>4535530?'3':score>4535523?'4':score>4535520?'3':score>4535433?'4':score>4535430?'3':score>4535423?'4':score>4535420?'3':score>4535353?'4':score>4535350?'3':score>4535343?'4':score>4535320?'3':score>4535253?'4':score>4535250?'3':score>4535243?'4':score>4535220?'3':score>4534533?'4':score>4534530?'3':score>4534523?'4':score>4534520?'3':score>4534433?'4':score>4534430?'3':score>4534423?'4':score>4534420?'3':score>4534353?'4':score>4534350?'3':score>4534343?'4':score>4534320?'3':score>4534253?'4':score>4534250?'3':score>4534243?'4':score>4534220?'3':score>4533533?'4':score>4533530?'3':score>4533523?'4':score>4533520?'3':score>4533433?'4':score>4533430?'3':score>4533423?'4':score>4533420?'3':score>4533353?'4':score>4533350?'3':score>4533343?'4':score>4533320?'3':score>4533253?'4':score>4533250?'3':score>4533243?'4':score>4533220?'3':score>4525533?'4':score>4525530?'3':score>4525523?'4':score>4525522?'3':score>4525520?'2':score>4525433?'4':score>4525430?'3':score>4525423?'4':score>4525422?'3':score>4525420?'2':score>4525353?'4':score>4525350?'3':score>4525343?'4':score>4525322?'3':score>4525320?'2':score>4525253?'4':score>4525252?'3':score>4525250?'2':score>4525243?'4':score>4525242?'3':score>4525240?'2':score>4525232?'3':score>4525220?'2':score>4524533?'4':score>4524530?'3':score>4524523?'4':score>4524522?'3':score>4524520?'2':score>4524433?'4':score>4524430?'3':score>4524423?'4':score>4524422?'3':score>4524420?'2':score>4524353?'4':score>4524350?'3':score>4524343?'4':score>4524322?'3':score>4524320?'2':score>4524253?'4':score>4524252?'3':score>4524250?'2':score>4524243?'4':score>4524242?'3':score>4524240?'2':score>4524232?'3':score>4524220?'2':score>4523533?'4':score>4523530?'3':score>4523523?'4':score>4523522?'3':score>4523520?'2':score>4523433?'4':score>4523430?'3':score>4523423?'4':score>4523422?'3':score>4523420?'2':score>4523353?'4':score>4523350?'3':score>4523343?'4':score>4523322?'3':score>4523320?'2':score>4523253?'4':score>4523252?'3':score>4523250?'2':score>4523243?'4':score>4523242?'3':score>4523240?'2':score>4523232?'3':score>4523220?'2':score>4355533?'4':score>4355530?'3':score>4355523?'4':score>4355520?'3':score>4355433?'4':score>4355430?'3':score>4355423?'4':score>4355420?'3':score>4355353?'4':score>4355350?'3':score>4355343?'4':score>4355320?'3':score>4355253?'4':score>4355250?'3':score>4355243?'4':score>4355220?'3':score>4354533?'4':score>4354530?'3':score>4354523?'4':score>4354520?'3':score>4354433?'4':score>4354430?'3':score>4354423?'4':score>4354420?'3':score>4354353?'4':score>4354350?'3':score>4354343?'4':score>4354320?'3':score>4354253?'4':score>4354250?'3':score>4354243?'4':score>4354220?'3':score>4353533?'4':score>4353530?'3':score>4353523?'4':score>4353520?'3':score>4353433?'4':''"][calc value="score=((estHPI)+(estROS)+(estPFSH)+(estExam)+(estDiagNum)+(estData)+(estRisk));score>4353433?'':score>4353430?'3':score>4353423?'4':score>4353420?'3':score>4353353?'4':score>4353350?'3':score>4353343?'4':score>4353320?'3':score>4353253?'4':score>4353250?'3':score>4353243?'4':score>4353220?'3':score>4345533?'4':score>4345530?'3':score>4345523?'4':score>4345520?'3':score>4345433?'4':score>4345430?'3':score>4345423?'4':score>4345420?'3':score>4345353?'4':score>4345350?'3':score>4345343?'4':score>4345320?'3':score>4345253?'4':score>4345250?'3':score>4345243?'4':score>4345220?'3':score>4344533?'4':score>4344530?'3':score>4344523?'4':score>4344520?'3':score>4344433?'4':score>4344430?'3':score>4344423?'4':score>4344420?'3':score>4344353?'4':score>4344350?'3':score>4344343?'4':score>4344320?'3':score>4344253?'4':score>4344250?'3':score>4344243?'4':score>4344220?'3':score>4343533?'4':score>4343530?'3':score>4343523?'4':score>4343520?'3':score>4343433?'4':score>4343430?'3':score>4343423?'4':score>4343420?'3':score>4343353?'4':score>4343350?'3':score>4343343?'4':score>4343320?'3':score>4343253?'4':score>4343250?'3':score>4343243?'4':score>4343220?'3':score>4335533?'4':score>4335530?'3':score>4335523?'4':score>4335520?'3':score>4335433?'4':score>4335430?'3':score>4335423?'4':score>4335420?'3':score>4335353?'4':score>4335350?'3':score>4335343?'4':score>4335320?'3':score>4335253?'4':score>4335250?'3':score>4335243?'4':score>4335220?'3':score>4334533?'4':score>4334530?'3':score>4334523?'4':score>4334520?'3':score>4334433?'4':score>4334430?'3':score>4334423?'4':score>4334420?'3':score>4334353?'4':score>4334350?'3':score>4334343?'4':score>4334320?'3':score>4334253?'4':score>4334250?'3':score>4334243?'4':score>4334220?'3':score>4333533?'4':score>4333530?'3':score>4333523?'4':score>4333520?'3':score>4333433?'4':score>4333430?'3':score>4333423?'4':score>4333420?'3':score>4333353?'4':score>4333350?'3':score>4333343?'4':score>4333320?'3':score>4333253?'4':score>4333250?'3':score>4333243?'4':score>4333220?'3':score>4325533?'4':score>4325530?'3':score>4325523?'4':score>4325522?'3':score>4325520?'2':score>4325433?'4':score>4325430?'3':score>4325423?'4':score>4325422?'3':score>4325420?'2':score>4325353?'4':score>4325350?'3':score>4325343?'4':score>4325322?'3':score>4325320?'2':score>4325253?'4':score>4325252?'3':score>4325250?'2':score>4325243?'4':score>4325242?'3':score>4325240?'2':score>4325232?'3':score>4325220?'2':score>4324533?'4':score>4324530?'3':score>4324523?'4':score>4324522?'3':score>4324520?'2':score>4324433?'4':score>4324430?'3':score>4324423?'4':score>4324422?'3':score>4324420?'2':score>4324353?'4':score>4324350?'3':score>4324343?'4':score>4324322?'3':score>4324320?'2':score>4324253?'4':score>4324252?'3':score>4324250?'2':score>4324243?'4':score>4324242?'3':score>4324240?'2':score>4324232?'3':score>4324220?'2':score>4323533?'4':score>4323530?'3':score>4323523?'4':score>4323522?'3':score>4323520?'2':score>4323433?'4':score>4323430?'3':score>4323423?'4':score>4323422?'3':score>4323420?'2':score>4323353?'4':score>4323350?'3':score>4323343?'4':score>4323322?'3':score>4323320?'2':score>4323253?'4':score>4323252?'3':score>4323250?'2':score>4323243?'4':score>4323242?'3':score>4323240?'2':score>4323232?'3':score>4323220?'2':score>4155533?'4':score>4155530?'3':score>4155523?'4':score>4155522?'3':score>4155520?'2':score>4155433?'4':score>4155430?'3':score>4155423?'4':score>4155422?'3':score>4155420?'2':score>4155353?'4':score>4155350?'3':score>4155343?'4':score>4155322?'3':score>4155320?'2':score>4155253?'4':score>4155252?'3':score>4155250?'2':score>4155243?'4':score>4155242?'3':score>4155240?'2':score>4155232?'3':score>4155220?'2':score>4154533?'4':score>4154530?'3':score>4154523?'4':score>4154522?'3':score>4154520?'2':score>4154433?'4':score>4154430?'3':score>4154423?'4':score>4154422?'3':score>4154420?'2':score>4154353?'4':score>4154350?'3':score>4154343?'4':score>4154322?'3':score>4154320?'2':score>4154253?'4':score>4154252?'3':score>4154250?'2':score>4154243?'4':score>4154242?'3':score>4154240?'2':score>4154232?'3':score>4154220?'2':score>4153533?'4':score>4153530?'3':score>4153523?'4':score>4153522?'3':score>4153520?'2':score>4153433?'4':score>4153430?'3':score>4153423?'4':score>4153422?'3':score>4153420?'2':score>4153353?'4':score>4153350?'3':score>4153343?'4':score>4153322?'3':score>4153320?'2':score>4153253?'4':score>4153252?'3':score>4153250?'2':score>4153243?'4':score>4153242?'3':score>4153240?'2':score>4153232?'3':score>4153220?'2':score>4145533?'4':score>4145530?'3':score>4145523?'4':score>4145522?'3':score>4145520?'2':score>4145433?'4':score>4145430?'3':score>4145423?'4':score>4145422?'3':score>4145420?'2':score>4145353?'4':score>4145350?'3':score>4145343?'4':score>4145322?'3':score>4145320?'2':score>4145253?'4':score>4145252?'3':score>4145250?'2':score>4145243?'4':score>4145242?'3':score>4145240?'2':score>4145232?'3':score>4145220?'2':score>4144533?'4':score>4144530?'3':score>4144523?'4':score>4144522?'3':score>4144520?'2':score>4144433?'4':score>4144430?'3':score>4144423?'4':score>4144422?'3':score>4144420?'2':score>4144353?'4':score>4144350?'3':score>4144343?'4':score>4144322?'3':score>4144320?'2':score>4144253?'4':score>4144252?'3':score>4144250?'2':score>4144243?'4':score>4144242?'3':score>4144240?'2':score>4144232?'3':score>4144220?'2':score>4143533?'4':score>4143530?'3':score>4143523?'4':score>4143522?'3':score>4143520?'2':score>4143433?'4':score>4143430?'3':score>4143423?'4':score>4143422?'3':score>4143420?'2':score>4143353?'4':score>4143350?'3':score>4143343?'4':score>4143322?'3':score>4143320?'2':score>4143253?'4':score>4143252?'3':score>4143250?'2':score>4143243?'4':score>4143242?'3':score>4143240?'2':score>4143232?'3':score>4143220?'2':score>4135533?'4':score>4135530?'3':score>4135523?'4':score>4135522?'3':score>4135520?'2':score>4135433?'4':score>4135430?'3':score>4135423?'4':score>4135422?'3':score>4135420?'2':score>4135353?'4':score>4135350?'3':score>4135343?'4':score>4135322?'3':score>4135320?'2':score>4135253?'4':score>4135252?'3':score>4135250?'2':score>4135243?'4':score>4135242?'3':score>4135240?'2':score>4135232?'3':score>4135220?'2':score>4134533?'4':score>4134530?'3':score>4134523?'4':score>4134522?'3':score>4134520?'2':score>4134433?'4':score>4134430?'3':score>4134423?'4':score>4134422?'3':score>4134420?'2':score>4134353?'4':score>4134350?'3':score>4134343?'4':score>4134322?'3':score>4134320?'2':score>4134253?'4':score>4134252?'3':score>4134250?'2':score>4134243?'4':score>4134242?'3':score>4134240?'2':score>4134232?'3':score>4134220?'2':score>4133533?'4':score>4133530?'3':score>4133523?'4':score>4133522?'3':score>4133520?'2':score>4133433?'4':score>4133430?'3':score>4133423?'4':score>4133422?'3':score>4133420?'2':score>4133353?'4':score>4133350?'3':score>4133343?'4':score>4133322?'3':score>4133320?'2':score>4133253?'4':score>4133252?'3':score>4133250?'2':score>4133243?'4':score>4133242?'3':score>4133240?'2':score>4133232?'3':score>4133220?'2':score>4125533?'4':score>4125530?'3':score>4125523?'4':score>4125522?'3':score>4125520?'2':score>4125433?'4':score>4125430?'3':score>4125423?'4':score>4125422?'3':score>4125420?'2':score>4125353?'4':score>4125350?'3':score>4125343?'4':score>4125322?'3':score>4125320?'2':score>4125253?'4':score>4125252?'3':score>4125250?'2':score>4125243?'4':score>4125242?'3':score>4125240?'2':score>4125232?'3':score>4125220?'2':score>4124533?'4':score>4124530?'3':score>4124523?'4':score>4124522?'3':score>4124520?'2':score>4124433?'4':score>4124430?'3':score>4124423?'4':score>4124422?'3':score>4124420?'2':score>4124353?'4':score>4124350?'3':score>4124343?'4':score>4124322?'3':score>4124320?'2':score>4124253?'4':score>4124252?'3':score>4124250?'2':score>4124243?'4':score>4124242?'3':score>4124240?'2':score>4124232?'3':score>4124220?'2':score>4123533?'4':score>4123530?'3':score>4123523?'4':score>4123522?'3':score>4123520?'2':score>4123433?'4':score>4123430?'3':score>4123423?'4':score>4123422?'3':score>4123420?'2':score>4123353?'4':score>4123350?'3':score>4123343?'4':score>4123322?'3':score>4123320?'2':score>4123253?'4':score>4123252?'3':score>4123250?'2':score>4123243?'4':score>4123242?'3':score>4123240?'2':score>4123232?'3':score>4123220?'2':score>3555544?'5':score>3555540?'4':score>3555534?'5':score>3555533?'4':score>3555530?'3':score>3555524?'5':score>3555523?'4':score>3555520?'3':score>3555454?'5':score>3555433?'4':score>3555430?'3':score>3555423?'4':score>3555420?'3':score>3555354?'5':score>3555353?'4':score>3555350?'3':score>3555343?'4':score>3555320?'3':score>3555254?'5':score>3555253?'4':score>3555250?'3':score>3555243?'4':score>3555220?'3':score>3554533?'4':score>3554530?'3':score>3554523?'4':score>3554520?'3':score>3554433?'4':score>3554430?'3':score>3554423?'4':score>3554420?'3':score>3554353?'4':score>3554350?'3':score>3554343?'4':score>3554320?'3':score>3554253?'4':score>3554250?'3':score>3554243?'4':score>3553220?'3':score>3545533?'4':score>3545530?'3':score>3545523?'4':score>3545520?'3':score>3545433?'4':score>3545430?'3':score>3545423?'4':score>3545420?'3':score>3545353?'4':score>3545350?'3':score>3545343?'4':score>3545320?'3':score>3545253?'4':score>3545250?'3':score>3545243?'4':score>3545220?'3':score>3544533?'4':score>3544530?'3':score>3544523?'4':score>3544520?'3':score>3544433?'4':score>3544430?'3':score>3544423?'4':score>3544420?'3':score>3544353?'4':score>3544350?'3':score>3544343?'4':score>3544320?'3':score>3544253?'4':score>3544250?'3':score>3544243?'4':score>3525522?'3':score>3525520?'2':score>3525422?'3':score>3525420?'2':score>3525322?'3':score>3525320?'2':score>3525252?'3':score>3525250?'2':score>3525242?'3':score>3525240?'2':score>3525232?'3':score>3525220?'2':score>3524522?'3':score>3524520?'2':score>3524422?'3':score>3524420?'2':score>3524322?'3':score>3524320?'2':score>3524252?'3':score>3524250?'2':score>3524242?'3':score>3524240?'2':score>3524232?'3':score>3524220?'2':score>3523522?'3':score>3523520?'2':score>3523422?'3':score>3523420?'2':score>3523322?'3':score>3523320?'2':score>3523252?'3':score>3523250?'2':score>3523242?'3':score>3523240?'2':score>3523232?'3':score>3523220?'2':score>3325522?'3':score>3325520?'2':score>3325422?'3':score>3325420?'2':score>3325322?'3':score>3325320?'2':score>3325252?'3':score>3325250?'2':score>3325242?'3':score>3325240?'2':score>3325232?'3':score>3325220?'2':score>3324522?'3':score>3324520?'2':score>3324422?'3':score>3324420?'2':score>3324322?'3':score>3324320?'2':score>3324252?'3':score>3324250?'2':score>3324242?'3':score>3324240?'2':score>3324232?'3':score>3324220?'2':score>3323522?'3':score>3323520?'2':score>3323422?'3':score>3323420?'2':score>3323322?'3':score>3323320?'2':score>3323252?'3':score>3323250?'2':score>3323242?'3':score>3323240?'2':score>3323232?'3':score>3323220?'2':score>3155522?'3':score>3155520?'2':score>3155422?'3':score>3155420?'2':score>3155322?'3':score>3155320?'2':score>3155252?'3':score>3155250?'2':score>3155242?'3':score>3155240?'2':score>3155232?'3':score>3155220?'2':score>3154522?'3':score>3154520?'2':score>3154422?'3':score>3154420?'2':score>3154322?'3':score>3154320?'2':score>3154252?'3':score>3154250?'2':score>3154242?'3':score>3154240?'2':score>3154232?'3':score>3154220?'2':score>3153522?'3':score>3153520?'2':score>3153422?'3':score>3153420?'2':score>3153322?'3':score>3153320?'2':score>3153252?'3':score>3153250?'2':score>3153242?'3':score>3153240?'2':score>3153232?'3':score>3153220?'2':score>3145522?'3':score>3145520?'2':score>3145422?'3':score>3145420?'2':score>3145322?'3':score>3145320?'2':score>3145252?'3':score>3145250?'2':score>3145242?'3':score>3145240?'2':score>3145232?'3':score>3145220?'2':score>3144522?'3':score>3144520?'2':score>3144422?'3':score>3144420?'2':score>3144322?'3':score>3144320?'2':score>3144252?'3':score>3144250?'2':score>3144242?'3':score>3144240?'2':score>3144232?'3':score>3144220?'2':score>3143522?'3':score>3143520?'2':score>3143422?'3':score>3143420?'2':score>3143322?'3':score>3143320?'2':score>3143252?'3':score>3143250?'2':score>3143242?'3':score>3143240?'2':score>3143232?'3':score>3143220?'2':score>3135522?'3':score>3135520?'2':score>3135422?'3':score>3135420?'2':score>3135322?'3':score>3135320?'2':score>3135252?'3':score>3135250?'2':score>3135242?'3':score>3135240?'2':score>3135232?'3':score>3135220?'2':score>3134522?'3':score>3134520?'2':score>3134422?'3':score>3134420?'2':score>3134322?'3':score>3134320?'2':score>3134252?'3':score>3134250?'2':score>3134242?'3':score>3134240?'2':score>3134232?'3':score>3134220?'2':score>3133522?'3':score>3133520?'2':score>3133422?'3':score>3133420?'2':score>3133322?'3':score>3133320?'2':score>3133252?'3':score>3133250?'2':score>3133242?'3':score>3133240?'2':score>3133232?'3':score>3133220?'2':score>3125522?'3':score>3125520?'2':score>3125422?'3':score>3125420?'2':score>3125322?'3':score>3125320?'2':score>3125252?'3':score>3125250?'2':score>3125242?'3':score>3125240?'2':score>3125232?'3':score>3125220?'2':score>3124522?'3':score>3124520?'2':score>3124422?'3':score>3124420?'2':score>3124322?'3':score>3124320?'2':score>3124252?'3':score>3124250?'2':score>3124242?'3':score>3124240?'2':score>3124232?'3':score>3124220?'2':score>3123522?'3':score>3123520?'2':score>3123422?'3':score>3123420?'2':score>3123322?'3':score>3123320?'2':score>3123252?'3':score>3123250?'2':score>3123242?'3':score>3123240?'2':score>3123232?'3':score>3123220?'2':score>2555544?'5':score>2555540?'4':score>2555534?'5':score>2555533?'4':score>2555530?'3':score>2555524?'5':score>2555523?'4':score>2555522?'3':score>2555520?'2':score>2555454?'5':score>2555433?'4':score>2555430?'3':score>2555423?'4':score>2555422?'3':score>2555420?'2':score>2555354?'5':score>2555353?'4':score>2555350?'3':score>2555343?'4':score>2555322?'3':score>2555320?'2':score>2555254?'5':score>2555253?'4':score>2555252?'3':score>2555250?'2':score>2555243?'4':score>2555242?'3':score>2555240?'2':score>2555232?'3':score>2555220?'2':score>2554533?'4':score>2554530?'3':score>2554523?'4':score>2554522?'3':score>2554520?'2':score>2554433?'4':score>2554430?'3':score>2554423?'4':score>2554422?'3':score>2554420?'2':score>2554353?'4':score>2554350?'3':score>2554343?'4':score>2554322?'3':score>2554320?'2':score>2554253?'4':score>2554252?'3':score>2554250?'2':score>2554243?'4':score>2554242?'3':score>2554240?'2':score>2554232?'3':score>2554220?'2':score>2553522?'3':score>2553520?'2':score>2553422?'3':score>2553420?'2':score>2553322?'3':score>2553320?'2':score>2553252?'3':score>2553250?'2':score>2553242?'3':score>2553240?'2':score>2553232?'3':score>2553220?'2':score>2545533?'4':score>2545530?'3':score>2545523?'4':score>2545522?'3':score>2545520?'2':score>2545433?'4':score>2545430?'3':score>2545423?'4':score>2545422?'3':score>2545420?'2':score>2545353?'4':score>2545350?'3':score>2545343?'4':score>2545322?'3':score>2545320?'2':score>2545253?'4':score>2545252?'3':score>2545250?'2':score>2545243?'4':score>2545242?'3':score>2545240?'2':score>2545232?'3':score>2545220?'2':score>2544533?'4':score>2544530?'3':score>2544523?'4':score>2544522?'3':score>2544520?'2':score>2544433?'4':score>2544430?'3':score>2544423?'4':score>2544422?'3':score>2544420?'2':score>2544353?'4':score>2544350?'3':score>2544343?'4':score>2544322?'3':score>2544320?'2':score>2544253?'4':score>2544252?'3':score>2544250?'2':score>2544243?'4':score>2544242?'3':score>2544240?'2':score>2544232?'3':score>2544220?'2':score>2543522?'3':score>2543520?'2':score>2543422?'3':score>2543420?'2':score>2543322?'3':score>2543320?'2':score>2543252?'3':score>2543250?'2':score>2543242?'3':score>2543240?'2':score>2543232?'3':score>2543220?'2':score>2535522?'3':score>2535520?'2':score>2535422?'3':score>2535420?'2':score>2535322?'3':score>2535320?'2':score>2535252?'3':score>2535250?'2':score>2535242?'3':score>2535240?'2':score>2535232?'3':score>2535220?'2':score>2534522?'3':score>2534520?'2':score>2534422?'3':score>2534420?'2':score>2534322?'3':score>2534320?'2':score>2534252?'3':score>2534250?'2':score>2534242?'3':score>2534240?'2':score>2534232?'3':score>2534220?'2':score>2533522?'3':score>2533520?'2':score>2533422?'3':score>2533420?'2':score>2533322?'3':score>2533320?'2':score>2533252?'3':score>2533250?'2':score>2533242?'3':score>2533240?'2':score>2533232?'3':score>2523220?'2':score>2355522?'3':score>2355520?'2':score>2355422?'3':score>2355420?'2':score>2355322?'3':score>2355320?'2':score>2355252?'3':score>2355250?'2':score>2355242?'3':score>2355240?'2':score>2355232?'3':score>2355220?'2':score>2354522?'3':score>2354520?'2':score>2354422?'3':score>2354420?'2':score>2354322?'3':score>2354320?'2':score>2354252?'3':score>2354250?'2':score>2354242?'3':score>2354240?'2':score>2354232?'3':score>2354220?'2':score>2353522?'3':score>2353520?'2':score>2353422?'3':score>2353420?'2':score>2353322?'3':score>2353320?'2':score>2353252?'3':score>2353250?'2':score>2353242?'3':score>2353240?'2':score>2353232?'3':score>2353220?'2':score>2345522?'3':score>2345520?'2':score>2345422?'3':score>2345420?'2':score>2345322?'3':score>2345320?'2':score>2345252?'3':score>2345250?'2':score>2345242?'3':score>2345240?'2':score>2345232?'3':score>2345220?'2':score>2344522?'3':score>2344520?'2':score>2344422?'3':score>2344420?'2':score>2344322?'3':score>2344320?'2':score>2344252?'3':score>2344250?'2':score>2344242?'3':score>2344240?'2':score>2344232?'3':score>2344220?'2':score>2343522?'3':score>2343520?'2':score>2343422?'3':score>2343420?'2':score>2343322?'3':score>2343320?'2':score>2343252?'3':score>2343250?'2':score>2343242?'3':score>2343240?'2':score>2343232?'3':score>2343220?'2':score>2335522?'3':score>2335520?'2':score>2335422?'3':score>2335420?'2':score>2335322?'3':score>2335320?'2':score>2335252?'3':score>2335250?'2':score>2335242?'3':score>2335240?'2':score>2335232?'3':score>2335220?'2':score>2334522?'3':score>2334520?'2':score>2334422?'3':score>2334420?'2':score>2334322?'3':score>2334320?'2':score>2334252?'3':score>2334250?'2':score>2334242?'3':score>2334240?'2':score>2334232?'3':score>2334220?'2':score>2333522?'3':score>2333520?'2':score>2333422?'3':score>2333420?'2':score>2333322?'3':score>2333320?'2':score>2333252?'3':score>2333250?'2':score>2333242?'3':score>2333240?'2':score>2333232?'3':score>2123220?'2':score>1555544?'5':score>1555540?'4':score>1555534?'5':score>1555533?'4':score>1555530?'3':score>1555524?'5':score>1555523?'4':score>1555522?'3':score>1555520?'2':score>1555454?'5':score>1555433?'4':score>1555430?'3':score>1555423?'4':score>1555422?'3':score>1555420?'2':score>1555354?'5':score>1555353?'4':score>1555350?'3':score>1555343?'4':score>1555322?'3':score>1555320?'2':score>1555254?'5':score>1555253?'4':score>1555252?'3':score>1555250?'2':score>1555243?'4':score>1555242?'3':score>1555240?'2':score>1555232?'3':score>1555220?'2':score>1554533?'4':score>1554530?'3':score>1554523?'4':score>1554522?'3':score>1554520?'2':score>1554433?'4':score>1554430?'3':score>1554423?'4':score>1554422?'3':score>1554420?'2':score>1554353?'4':score>1554350?'3':score>1554343?'4':score>1554322?'3':score>1554320?'2':score>1554253?'4':score>1554252?'3':score>1554250?'2':score>1554243?'4':score>1554242?'3':score>1554240?'2':score>1554232?'3':score>1554220?'2':score>1553522?'3':score>1553520?'2':score>1553422?'3':score>1553420?'2':score>1553322?'3':score>1553320?'2':score>1553252?'3':score>1553250?'2':score>1553242?'3':score>1553240?'2':score>1553232?'3':score>1553220?'2':score>1545533?'4':score>1545530?'3':score>1545523?'4':score>1545522?'3':score>1545520?'2':score>1545433?'4':score>1545430?'3':score>1545423?'4':score>1545422?'3':score>1545420?'2':score>1545353?'4':score>1545350?'3':score>1545343?'4':score>1545322?'3':score>1545320?'2':score>1545253?'4':score>1545252?'3':score>1545250?'2':score>1545243?'4':score>1545242?'3':score>1545240?'2':score>1545232?'3':score>1545220?'2':score>1544533?'4':score>1544530?'3':score>1544523?'4':score>1544522?'3':score>1544520?'2':score>1544433?'4':score>1544430?'3':score>1544423?'4':score>1544422?'3':score>1544420?'2':score>1544353?'4':score>1544350?'3':score>1544343?'4':score>1544322?'3':score>1544320?'2':score>1544253?'4':score>1544252?'3':score>1544250?'2':score>1544243?'4':score>1544242?'3':score>1544240?'2':score>1544232?'3':score>1544220?'2':score>1543522?'3':score>1543520?'2':score>1543422?'3':score>1543420?'2':score>1543322?'3':score>1543320?'2':score>1543252?'3':score>1543250?'2':score>1543242?'3':score>1543240?'2':score>1543232?'3':score>1543220?'2':score>1535522?'3':score>1535520?'2':score>1535422?'3':score>1535420?'2':score>1535322?'3':score>1535320?'2':score>1535252?'3':score>1535250?'2':score>1535242?'3':score>1535240?'2':score>1535232?'3':score>1535220?'2':score>1534522?'3':score>1534520?'2':score>1534422?'3':score>1534420?'2':score>1534322?'3':score>1534320?'2':score>1534252?'3':score>1534250?'2':score>1534242?'3':score>1534240?'2':score>1534232?'3':score>1534220?'2':score>1533522?'3':score>1533520?'2':score>1533422?'3':score>1533420?'2':score>1533322?'3':score>1533320?'2':score>1533252?'3':score>1533250?'2':score>1533242?'3':score>1533240?'2':score>1533232?'3':score>1523220?'2':score>1355522?'3':score>1355520?'2':score>1355422?'3':score>1355420?'2':score>1355322?'3':score>1355320?'2':score>1355252?'3':score>1355250?'2':score>1355242?'3':score>1355240?'2':score>1355232?'3':score>1355220?'2':score>1354522?'3':score>1354520?'2':score>1354422?'3':score>1354420?'2':score>1354322?'3':score>1354320?'2':score>1354252?'3':score>1354250?'2':score>1354242?'3':score>1354240?'2':score>1354232?'3':score>1354220?'2':score>1353522?'3':score>1353520?'2':score>1353422?'3':score>1353420?'2':score>1353322?'3':score>1353320?'2':score>1353252?'3':score>1353250?'2':score>1353242?'3':score>1353240?'2':score>1353232?'3':score>1353220?'2':score>1345522?'3':score>1345520?'2':score>1345422?'3':score>1345420?'2':score>1345322?'3':score>1345320?'2':score>1345252?'3':score>1345250?'2':score>1345242?'3':score>1345240?'2':score>1345232?'3':score>1345220?'2':score>1344522?'3':score>1344520?'2':score>1344422?'3':score>1344420?'2':score>1344322?'3':score>1344320?'2':score>1344252?'3':score>1344250?'2':score>1344242?'3':score>1344240?'2':score>1344232?'3':score>1344220?'2':score>1343522?'3':score>1343520?'2':score>1343422?'3':score>1343420?'2':score>1343322?'3':score>1343320?'2':score>1343252?'3':score>1343250?'2':score>1343242?'3':score>1343240?'2':score>1343232?'3':score>1343220?'2':score>1335522?'3':score>1335520?'2':score>1335422?'3':score>1335420?'2':score>1335322?'3':score>1335320?'2':score>1335252?'3':score>1335250?'2':score>1335242?'3':score>1335240?'2':score>1335232?'3':score>1335220?'2':score>1334522?'3':score>1334520?'2':score>1334422?'3':score>1334420?'2':score>1334322?'3':score>1334320?'2':score>1334252?'3':score>1334250?'2':score>1334242?'3':score>1334240?'2':score>1334232?'3':score>1334220?'2':score>1333522?'3':score>1333520?'2':score>1333422?'3':score>1333420?'2':score>1333322?'3':score>1333320?'2':score>1333252?'3':score>1333250?'2':score>1333242?'3':score>1333240?'2':score>1333232?'3':score>1323220?'2':'1'" memo="x"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.aafp.org/fpm/2011/0900/p33.html" target="_blank">More on coding can be found at Family Practice Management - Hill (2011) Fam Pract Manag 18:33-38</a>[/html][/conditional]
This tool is for Established Patient Visits. An established patient has been seen by the provider or a member of his practice/group in the last 3 years; a new patient has not. There are three sections: History, Examination, and Medical Decision Making. For an established visit, the second highest (or median) scoring section determines the level. For New Patient visits, please go here.
Section 1: History
A documented chief complaint is mandatory to bill above 99211. For the history section, the lowest level of the three subsections determines the billing level.

History of Present Illness

Elements: Location (example: left leg); Quality (example: aching, burning, radiating pain); Severity (example: 10 on a scale of 1 to 10); Duration (example: started three days ago); Timing (example: constant or comes and goes); Context (example: lifted large object at work); Modifying factors (example: better when heat is applied); and Associated signs and symptoms (example: numbness in toes).

Review of Systems

Elements: Constitutional symptoms (e.g., fever, weight loss); Eyes; Ears, Nose, Mouth, Throat; Cardiovascular; Respiratory; Gastrointestinal; Genitourinary; Musculoskeletal; Integumentary (skin and/or breast); Neurological; Psychiatric; Endocrine; Hematologic/Lymphatic; and Allergic/Immunologic

Past, Family, and Social History

Elements: Past medical history, Family history, Social history

Section 2: Examination

Elements are bulleted under these organ systems: Constitutional; Cardiovascular; Ears, Nose, Mouth and Throat; Eyes; Genitourinary (Female); Genitourinary (Male); Hematologic/Lymphatic/Immunologic; Musculoskeletal; Neurological; Psychiatric; Respiratory; and Skin
CMS Table of examination elements

Section 3: Medical Decision Making
For the decision making section, the second highest (or median) level of the three subsections determines the billing level.
CMS Info on Decision Making Risk
Download the CMS E&M Guide

Number of Diagnoses or Management Options

Number of diagnoses or management options: 1 = Minimal, 2 = Limited, 3 = Multiple, 4 or more = Extensive

Amount of Data Reviewed/Ordered

number of diagnostic tests ordered or reviewed

Risk of Complications, Morbidity, or Mortality

E/M level for Established Patient Visit: 9921score=((estHPI)+(estROS)+(estPFSH)+(estExam)+(estDiagNum)+(estData)+(estRisk));score>5554544?'5':score>5554540?'4':score>5554534?'5':score>5554530?'4':score>5554524?'5':score>5554520?'4':score>5554454?'5':score>5554420?'4':score>5554354?'5':score>5554320?'4':score>5554254?'5':score>5554220?'4':score>5553544?'5':score>5553540?'4':score>5553534?'5':score>5553533?'4':score>5553530?'3':score>5553524?'5':score>5553523?'4':score>5553520?'3':score>5553454?'5':score>5553433?'4':score>5553430?'3':score>5553423?'4':score>5553420?'3':score>5553354?'5':score>5553353?'4':score>5553350?'3':score>5553343?'4':score>5553320?'3':score>5553254?'5':score>5553253?'4':score>5553250?'3':score>5553243?'4':score>5553220?'3':score>5545544?'5':score>5545540?'4':score>5545534?'5':score>5545530?'4':score>5545524?'5':score>5545520?'4':score>5545454?'5':score>5545420?'4':score>5545354?'5':score>5545320?'4':score>5545254?'5':score>5545220?'4':score>5544544?'5':score>5544540?'4':score>5544534?'5':score>5544530?'4':score>5544524?'5':score>5544520?'4':score>5544454?'5':score>5544420?'4':score>5544354?'5':score>5544320?'4':score>5544254?'5':score>5544220?'4':score>5543544?'5':score>5543540?'4':score>5543534?'5':score>5543533?'4':score>5543530?'3':score>5543524?'5':score>5543523?'4':score>5543520?'3':score>5543454?'5':score>5543433?'4':score>5543430?'3':score>5543423?'4':score>5543420?'3':score>5543354?'5':score>5543353?'4':score>5543350?'3':score>5543343?'4':score>5543320?'3':score>5543254?'5':score>5543253?'4':score>5543250?'3':score>5543243?'4':score>5543220?'3':score>5535544?'5':score>5535540?'4':score>5535534?'5':score>5535533?'4':score>5535530?'3':score>5535524?'5':score>5535523?'4':score>5535520?'3':score>5535454?'5':score>5535433?'4':score>5535430?'3':score>5535423?'4':score>5535420?'3':score>5535354?'5':score>5535353?'4':score>5535350?'3':score>5535343?'4':score>5535320?'3':score>5535254?'5':score>5535253?'4':score>5535250?'3':score>5535243?'4':score>5535220?'3':score>5534544?'5':score>5534540?'4':score>5534534?'5':score>5534533?'4':score>5534530?'3':score>5534524?'5':score>5534523?'4':score>5534520?'3':score>5534454?'5':score>5534433?'4':score>5534430?'3':score>5534423?'4':score>5534420?'3':score>5534354?'5':score>5534353?'4':score>5534350?'3':score>5534343?'4':score>5534320?'3':score>5534254?'5':score>5534253?'4':score>5534250?'3':score>5534243?'4':score>5534220?'3':score>5533544?'5':score>5533540?'4':score>5533534?'5':score>5533533?'4':score>5533530?'3':score>5533524?'5':score>5533523?'4':score>5533520?'3':score>5533454?'5':score>5533433?'4':score>5533430?'3':score>5533423?'4':score>5533420?'3':score>5533354?'5':score>5533353?'4':score>5533350?'3':score>5533343?'4':score>5533320?'3':score>5533254?'5':score>5533253?'4':score>5533250?'3':score>5533243?'4':score>5533220?'3':score>5525544?'5':score>5525540?'4':score>5525534?'5':score>5525533?'4':score>5525530?'3':score>5525524?'5':score>5525523?'4':score>5525522?'3':score>5525520?'2':score>5525454?'5':score>5525433?'4':score>5525430?'3':score>5525423?'4':score>5525422?'3':score>5525420?'2':score>5525354?'5':score>5525353?'4':score>5525350?'3':score>5525343?'4':score>5525322?'3':score>5525320?'2':score>5525254?'5':score>5525253?'4':score>5525252?'3':score>5525250?'2':score>5525243?'4':score>5525242?'3':score>5525240?'2':score>5525232?'3':score>5525220?'2':score>5524544?'5':score>5524540?'4':score>5524534?'5':score>5524533?'4':score>5524530?'3':score>5524524?'5':score>5524523?'4':score>5524522?'3':score>5524520?'2':score>5524454?'5':score>5524433?'4':score>5524430?'3':score>5524423?'4':score>5524422?'3':score>5524420?'2':score>5524354?'5':score>5524353?'4':score>5524350?'3':score>5524343?'4':score>5524322?'3':score>5524320?'2':score>5524254?'5':score>5524253?'4':score>5524252?'3':score>5524250?'2':score>5524243?'4':score>5524242?'3':score>5524240?'2':score>5524232?'3':score>5524220?'2':score>5523544?'5':score>5523540?'4':score>5523534?'5':score>5523533?'4':score>5523530?'3':score>5523524?'5':score>5523523?'4':score>5523522?'3':score>5523520?'2':score>5523454?'5':score>5523433?'4':score>5523430?'3':score>5523423?'4':score>5523422?'3':score>5523420?'2':score>5523354?'5':score>5523353?'4':score>5523350?'3':score>5523343?'4':score>5523322?'3':score>5523320?'2':score>5523254?'5':score>5523253?'4':score>5523252?'3':score>5523250?'2':score>5523243?'4':score>5523242?'3':score>5523240?'2':score>5523232?'3':score>5523220?'2':score>5355544?'5':score>5355540?'4':score>5355534?'5':score>5355533?'4':score>5355530?'3':score>5355524?'5':score>5355523?'4':score>5355520?'3':score>5355454?'5':score>5355433?'4':score>5355430?'3':score>5355423?'4':score>5355420?'3':score>5355354?'5':score>5355353?'4':score>5355350?'3':score>5355343?'4':score>5355320?'3':score>5355254?'5':score>5355253?'4':score>5355250?'3':score>5355243?'4':score>5355220?'3':score>5354544?'5':score>5354540?'4':score>5354534?'5':score>5354533?'4':score>5354530?'3':score>5354524?'5':score>5354523?'4':score>5354520?'3':score>5354454?'5':score>5354433?'4':score>5354430?'3':score>5354423?'4':score>5354420?'3':score>5354354?'5':score>5354353?'4':score>5354350?'3':score>5354343?'4':score>5354320?'3':score>5354254?'5':score>5354253?'4':score>5354250?'3':score>5354243?'4':score>5354220?'3':score>5353544?'5':score>5353540?'4':score>5353534?'5':score>5353533?'4':score>5353530?'3':score>5353524?'5':score>5353523?'4':score>5353520?'3':score>5353454?'5':score>5353433?'4':score>5353430?'3':score>5353423?'4':score>5353420?'3':score>5353354?'5':score>5353353?'4':score>5353350?'3':score>5353343?'4':score>5353320?'3':score>5353254?'5':score>5353253?'4':score>5353250?'3':score>5353243?'4':score>5353220?'3':score>5345544?'5':score>5345540?'4':score>5345534?'5':score>5345533?'4':score>5345530?'3':score>5345524?'5':score>5345523?'4':score>5345520?'3':score>5345454?'5':score>5345433?'4':score>5345430?'3':score>5345423?'4':score>5345420?'3':score>5345354?'5':score>5345353?'4':score>5345350?'3':score>5345343?'4':score>5345320?'3':score>5345254?'5':score>5345253?'4':score>5345250?'3':score>5345243?'4':score>5345220?'3':score>5344544?'5':score>5344540?'4':score>5344534?'5':score>5344533?'4':score>5344530?'3':score>5344524?'5':score>5344523?'4':score>5344520?'3':score>5344454?'5':score>5344433?'4':score>5344430?'3':score>5344423?'4':score>5344420?'3':score>5344354?'5':score>5344353?'4':score>5344350?'3':score>5344343?'4':score>5344320?'3':score>5344254?'5':score>5344253?'4':score>5344250?'3':score>5344243?'4':score>5344220?'3':score>5343544?'5':score>5343540?'4':score>5343534?'5':score>5343533?'4':score>5343530?'3':score>5343524?'5':score>5343523?'4':score>5343520?'3':score>5343454?'5':score>5343433?'4':score>5343430?'3':score>5343423?'4':score>5343420?'3':score>5343354?'5':score>5343353?'4':score>5343350?'3':score>5343343?'4':score>5343320?'3':score>5343254?'5':score>5343253?'4':score>5343250?'3':score>5343243?'4':score>5343220?'3':score>5335544?'5':score>5335540?'4':score>5335534?'5':score>5335533?'4':score>5335530?'3':score>5335524?'5':score>5335523?'4':score>5335520?'3':score>5335454?'5':score>5335433?'4':score>5335430?'3':score>5335423?'4':score>5335420?'3':score>5335354?'5':score>5335353?'4':score>5335350?'3':score>5335343?'4':score>5335320?'3':score>5335254?'5':score>5335253?'4':score>5335250?'3':score>5335243?'4':score>5335220?'3':score>5334544?'5':score>5334540?'4':score>5334534?'5':score>5334533?'4':score>5334530?'3':score>5334524?'5':score>5334523?'4':score>5334520?'3':score>5334454?'5':score>5334433?'4':score>5334430?'3':score>5334423?'4':score>5334420?'3':score>5334354?'5':score>5334353?'4':score>5334350?'3':score>5334343?'4':score>5334320?'3':score>5334254?'5':score>5334253?'4':score>5334250?'3':score>5334243?'4':score>5334220?'3':score>5333544?'5':score>5333540?'4':score>5333534?'5':score>5333533?'4':score>5333530?'3':score>5333524?'5':score>5333523?'4':score>5333520?'3':score>5333454?'5':score>5333433?'4':score>5333430?'3':score>5333423?'4':score>5333420?'3':score>5333354?'5':score>5333353?'4':score>5333350?'3':score>5333343?'4':score>5333320?'3':score>5333254?'5':score>5333253?'4':score>5333250?'3':score>5333243?'4':score>5333220?'3':score>5325544?'5':score>5325540?'4':score>5325534?'5':score>5325533?'4':score>5325530?'3':score>5325524?'5':score>5325523?'4':score>5325522?'3':score>5325520?'2':score>5325454?'5':score>5325433?'4':score>5325430?'3':score>5325423?'4':score>5325422?'3':score>5325420?'2':score>5325354?'5':score>5325353?'4':score>5325350?'3':score>5325343?'4':score>5325322?'3':score>5325320?'2':score>5325254?'5':score>5325253?'4':score>5325252?'3':score>5325250?'2':score>5325243?'4':score>5325242?'3':score>5325240?'2':score>5325232?'3':score>5325220?'2':score>5324544?'5':score>5324540?'4':score>5324534?'5':score>5324533?'4':score>5324530?'3':score>5324524?'5':score>5324523?'4':score>5324522?'3':score>5324520?'2':score>5324454?'5':score>5324433?'4':score>5324430?'3':score>5324423?'4':score>5324422?'3':score>5324420?'2':score>5324354?'5':score>5324353?'4':score>5324350?'3':score>5324343?'4':score>5324322?'3':score>5324320?'2':score>5324254?'5':score>5324253?'4':score>5324252?'3':score>5324250?'2':score>5324243?'4':score>5324242?'3':score>5324240?'2':score>5324232?'3':score>5324220?'2':score>5323544?'5':score>5323540?'4':score>5323534?'5':score>5323533?'4':score>5323530?'3':score>5323524?'5':score>5323523?'4':score>5323522?'3':score>5323520?'2':score>5323454?'5':score>5323433?'4':score>5323430?'3':score>5323423?'4':score>5323422?'3':score>5323420?'2':score>5323354?'5':score>5323353?'4':score>5323350?'3':score>5323343?'4':score>5323322?'3':score>5323320?'2':score>5323254?'5':score>5323253?'4':score>5323252?'3':score>5323250?'2':score>5323243?'4':score>5323242?'3':score>5323240?'2':score>5323232?'3':score>5323220?'2':score>5155544?'5':score>5155540?'4':score>5155534?'5':score>5155533?'4':score>5155530?'3':score>5155524?'5':score>5155523?'4':score>5155522?'3':score>5155520?'2':score>5155454?'5':score>5155433?'4':score>5155430?'3':score>5155423?'4':score>5155422?'3':score>5155420?'2':score>5155354?'5':score>5155353?'4':score>5155350?'3':score>5155343?'4':score>5155322?'3':score>5155320?'2':score>5155254?'5':score>5155253?'4':score>5155252?'3':score>5155250?'2':score>5155243?'4':score>5155242?'3':score>5155240?'2':score>5155232?'3':score>5155220?'2':score>5154544?'5':score>5154540?'4':score>5154534?'5':score>5154533?'4':score>5154530?'3':score>5154524?'5':score>5154523?'4':score>5154522?'3':score>5154520?'2':score>5154454?'5':score>5154433?'4':score>5154430?'3':score>5154423?'4':score>5154422?'3':score>5154420?'2':score>5154354?'5':score>5154353?'4':score>5154350?'3':score>5154343?'4':score>5154322?'3':score>5154320?'2':score>5154254?'5':score>5154253?'4':score>5154252?'3':score>5154250?'2':score>5154243?'4':score>5154242?'3':score>5154240?'2':score>5154232?'3':score>5154220?'2':score>5153544?'5':score>5153540?'4':score>5153534?'5':score>5153533?'4':score>5153530?'3':score>5153524?'5':score>5153523?'4':score>5153522?'3':score>5153520?'2':score>5153454?'5':score>5153433?'4':score>5153430?'3':score>5153423?'4':score>5153422?'3':score>5153420?'2':score>5153354?'5':score>5153353?'4':score>5153350?'3':score>5153343?'4':score>5153322?'3':score>5153320?'2':score>5153254?'5':score>5153253?'4':score>5153252?'3':score>5153250?'2':score>5153243?'4':score>5153242?'3':score>5153240?'2':score>5153232?'3':score>5153220?'2':score>5145544?'5':score>5145540?'4':score>5145534?'5':score>5145533?'4':score>5145530?'3':score>5145524?'5':score>5145523?'4':score>5145522?'3':score>5145520?'2':score>5145454?'5':score>5145433?'4':score>5145430?'3':score>5145423?'4':score>5145422?'3':score>5145420?'2':score>5145354?'5':score>5145353?'4':score>5145350?'3':score>5145343?'4':score>5145322?'3':score>5145320?'2':score>5145254?'5':score>5145253?'4':score>5145252?'3':score>5145250?'2':score>5145243?'4':score>5145242?'3':score>5145240?'2':score>5145232?'3':score>5145220?'2':score>5144544?'5':score>5144540?'4':score>5144534?'5':score>5144533?'4':score>5144530?'3':score>5144524?'5':score>5144523?'4':score>5144522?'3':score>5144520?'2':score>5144454?'5':score>5144433?'4':score>5144430?'3':score>5144423?'4':score>5144422?'3':score>5144420?'2':score>5144354?'5':score>5144353?'4':score>5144350?'3':score>5144343?'4':score>5144322?'3':score>5144320?'2':score>5144254?'5':score>5144253?'4':score>5144252?'3':score>5144250?'2':score>5144243?'4':score>5144242?'3':score>5144240?'2':score>5144232?'3':score>5144220?'2':score>5143544?'5':score>5143540?'4':score>5143534?'5':score>5143533?'4':score>5143530?'3':score>5143524?'5':score>5143523?'4':score>5143522?'3':score>5143520?'2':score>5143454?'5':score>5143433?'4':score>5143430?'3':score>5143423?'4':score>5143422?'3':score>5143420?'2':score>5143354?'5':score>5143353?'4':score>5143350?'3':score>5143343?'4':score>5143322?'3':score>5143320?'2':score>5143254?'5':score>5143253?'4':score>5143252?'3':score>5143250?'2':score>5143243?'4':score>5143242?'3':score>5143240?'2':score>5143232?'3':score>5143220?'2':score>5135544?'5':score>5135540?'4':score>5135534?'5':score>5135533?'4':score>5135530?'3':score>5135524?'5':score>5135523?'4':score>5135522?'3':score>5135520?'2':score>5135454?'5':score>5135433?'4':score>5135430?'3':score>5135423?'4':score>5135422?'3':score>5135420?'2':score>5135354?'5':score>5135353?'4':score>5135350?'3':score>5135343?'4':score>5135322?'3':score>5135320?'2':score>5135254?'5':score>5135253?'4':score>5135252?'3':score>5135250?'2':score>5135243?'4':score>5135242?'3':score>5135240?'2':score>5135232?'3':score>5135220?'2':score>5134544?'5':score>5134540?'4':score>5134534?'5':score>5134533?'4':score>5134530?'3':score>5134524?'5':score>5134523?'4':score>5134522?'3':score>5134520?'2':score>5134454?'5':score>5134433?'4':score>5134430?'3':score>5134423?'4':score>5134422?'3':score>5134420?'2':score>5134354?'5':score>5134353?'4':score>5134350?'3':score>5134343?'4':score>5134322?'3':score>5134320?'2':score>5134254?'5':score>5134253?'4':score>5134252?'3':score>5134250?'2':score>5134243?'4':score>5134242?'3':score>5134240?'2':score>5134232?'3':score>5134220?'2':score>5133544?'5':score>5133540?'4':score>5133534?'5':score>5133533?'4':score>5133530?'3':score>5133524?'5':score>5133523?'4':score>5133522?'3':score>5133520?'2':score>5133454?'5':score>5133433?'4':score>5133430?'3':score>5133423?'4':score>5133422?'3':score>5133420?'2':score>5133354?'5':score>5133353?'4':score>5133350?'3':score>5133343?'4':score>5133322?'3':score>5133320?'2':score>5133254?'5':score>5133253?'4':score>5133252?'3':score>5133250?'2':score>5133243?'4':score>5133242?'3':score>5133240?'2':score>5133232?'3':score>5133220?'2':score>5125544?'5':score>5125540?'4':score>5125534?'5':score>5125533?'4':score>5125530?'3':score>5125524?'5':score>5125523?'4':score>5125522?'3':score>5125520?'2':score>5125454?'5':score>5125433?'4':score>5125430?'3':score>5125423?'4':score>5125422?'3':score>5125420?'2':score>5125354?'5':score>5125353?'4':score>5125350?'3':score>5125343?'4':score>5125322?'3':score>5125320?'2':score>5125254?'5':score>5125253?'4':score>5125252?'3':score>5125250?'2':score>5125243?'4':score>5125242?'3':score>5125240?'2':score>5125232?'3':score>5125220?'2':score>5124544?'5':score>5124540?'4':score>5124534?'5':score>5124533?'4':score>5124530?'3':score>5124524?'5':score>5124523?'4':score>5124522?'3':score>5124520?'2':score>5124454?'5':score>5124433?'4':score>5124430?'3':score>5124423?'4':score>5124422?'3':score>5124420?'2':score>5124354?'5':score>5124353?'4':score>5124350?'3':score>5124343?'4':score>5124322?'3':score>5124320?'2':score>5124254?'5':score>5124253?'4':score>5124252?'3':score>5124250?'2':score>5124243?'4':score>5124242?'3':score>5124240?'2':score>5124232?'3':score>5124220?'2':score>5123544?'5':score>5123540?'4':score>5123534?'5':score>5123533?'4':score>5123530?'3':score>5123524?'5':score>5123523?'4':score>5123522?'3':score>5123520?'2':score>5123454?'5':score>5123433?'4':score>5123430?'3':score>5123423?'4':score>5123422?'3':score>5123420?'2':score>5123354?'5':score>5123353?'4':score>5123350?'3':score>5123343?'4':score>5123322?'3':score>5123320?'2':score>5123254?'5':score>5123253?'4':score>5123252?'3':score>5123250?'2':score>5123243?'4':score>5123242?'3':score>5123240?'2':score>5123232?'3':score>5123220?'2':score>4555544?'5':score>4555540?'4':score>4555534?'5':score>4555530?'4':score>4555524?'5':score>4555520?'4':score>4555454?'5':score>4555420?'4':score>4555354?'5':score>4555320?'4':score>4555254?'5':score>4553533?'4':score>4553530?'3':score>4553523?'4':score>4553520?'3':score>4553433?'4':score>4553430?'3':score>4553423?'4':score>4553420?'3':score>4553353?'4':score>4553350?'3':score>4553343?'4':score>4553320?'3':score>4553253?'4':score>4553250?'3':score>4553243?'4':score>4553220?'3':score>4543533?'4':score>4543530?'3':score>4543523?'4':score>4543520?'3':score>4543433?'4':score>4543430?'3':score>4543423?'4':score>4543420?'3':score>4543353?'4':score>4543350?'3':score>4543343?'4':score>4543320?'3':score>4543253?'4':score>4543250?'3':score>4543243?'4':score>4543220?'3':score>4535533?'4':score>4535530?'3':score>4535523?'4':score>4535520?'3':score>4535433?'4':score>4535430?'3':score>4535423?'4':score>4535420?'3':score>4535353?'4':score>4535350?'3':score>4535343?'4':score>4535320?'3':score>4535253?'4':score>4535250?'3':score>4535243?'4':score>4535220?'3':score>4534533?'4':score>4534530?'3':score>4534523?'4':score>4534520?'3':score>4534433?'4':score>4534430?'3':score>4534423?'4':score>4534420?'3':score>4534353?'4':score>4534350?'3':score>4534343?'4':score>4534320?'3':score>4534253?'4':score>4534250?'3':score>4534243?'4':score>4534220?'3':score>4533533?'4':score>4533530?'3':score>4533523?'4':score>4533520?'3':score>4533433?'4':score>4533430?'3':score>4533423?'4':score>4533420?'3':score>4533353?'4':score>4533350?'3':score>4533343?'4':score>4533320?'3':score>4533253?'4':score>4533250?'3':score>4533243?'4':score>4533220?'3':score>4525533?'4':score>4525530?'3':score>4525523?'4':score>4525522?'3':score>4525520?'2':score>4525433?'4':score>4525430?'3':score>4525423?'4':score>4525422?'3':score>4525420?'2':score>4525353?'4':score>4525350?'3':score>4525343?'4':score>4525322?'3':score>4525320?'2':score>4525253?'4':score>4525252?'3':score>4525250?'2':score>4525243?'4':score>4525242?'3':score>4525240?'2':score>4525232?'3':score>4525220?'2':score>4524533?'4':score>4524530?'3':score>4524523?'4':score>4524522?'3':score>4524520?'2':score>4524433?'4':score>4524430?'3':score>4524423?'4':score>4524422?'3':score>4524420?'2':score>4524353?'4':score>4524350?'3':score>4524343?'4':score>4524322?'3':score>4524320?'2':score>4524253?'4':score>4524252?'3':score>4524250?'2':score>4524243?'4':score>4524242?'3':score>4524240?'2':score>4524232?'3':score>4524220?'2':score>4523533?'4':score>4523530?'3':score>4523523?'4':score>4523522?'3':score>4523520?'2':score>4523433?'4':score>4523430?'3':score>4523423?'4':score>4523422?'3':score>4523420?'2':score>4523353?'4':score>4523350?'3':score>4523343?'4':score>4523322?'3':score>4523320?'2':score>4523253?'4':score>4523252?'3':score>4523250?'2':score>4523243?'4':score>4523242?'3':score>4523240?'2':score>4523232?'3':score>4523220?'2':score>4355533?'4':score>4355530?'3':score>4355523?'4':score>4355520?'3':score>4355433?'4':score>4355430?'3':score>4355423?'4':score>4355420?'3':score>4355353?'4':score>4355350?'3':score>4355343?'4':score>4355320?'3':score>4355253?'4':score>4355250?'3':score>4355243?'4':score>4355220?'3':score>4354533?'4':score>4354530?'3':score>4354523?'4':score>4354520?'3':score>4354433?'4':score>4354430?'3':score>4354423?'4':score>4354420?'3':score>4354353?'4':score>4354350?'3':score>4354343?'4':score>4354320?'3':score>4354253?'4':score>4354250?'3':score>4354243?'4':score>4354220?'3':score>4353533?'4':score>4353530?'3':score>4353523?'4':score>4353520?'3':score>4353433?'4':''xscore=((estHPI)+(estROS)+(estPFSH)+(estExam)+(estDiagNum)+(estData)+(estRisk));score>4353433?'':score>4353430?'3':score>4353423?'4':score>4353420?'3':score>4353353?'4':score>4353350?'3':score>4353343?'4':score>4353320?'3':score>4353253?'4':score>4353250?'3':score>4353243?'4':score>4353220?'3':score>4345533?'4':score>4345530?'3':score>4345523?'4':score>4345520?'3':score>4345433?'4':score>4345430?'3':score>4345423?'4':score>4345420?'3':score>4345353?'4':score>4345350?'3':score>4345343?'4':score>4345320?'3':score>4345253?'4':score>4345250?'3':score>4345243?'4':score>4345220?'3':score>4344533?'4':score>4344530?'3':score>4344523?'4':score>4344520?'3':score>4344433?'4':score>4344430?'3':score>4344423?'4':score>4344420?'3':score>4344353?'4':score>4344350?'3':score>4344343?'4':score>4344320?'3':score>4344253?'4':score>4344250?'3':score>4344243?'4':score>4344220?'3':score>4343533?'4':score>4343530?'3':score>4343523?'4':score>4343520?'3':score>4343433?'4':score>4343430?'3':score>4343423?'4':score>4343420?'3':score>4343353?'4':score>4343350?'3':score>4343343?'4':score>4343320?'3':score>4343253?'4':score>4343250?'3':score>4343243?'4':score>4343220?'3':score>4335533?'4':score>4335530?'3':score>4335523?'4':score>4335520?'3':score>4335433?'4':score>4335430?'3':score>4335423?'4':score>4335420?'3':score>4335353?'4':score>4335350?'3':score>4335343?'4':score>4335320?'3':score>4335253?'4':score>4335250?'3':score>4335243?'4':score>4335220?'3':score>4334533?'4':score>4334530?'3':score>4334523?'4':score>4334520?'3':score>4334433?'4':score>4334430?'3':score>4334423?'4':score>4334420?'3':score>4334353?'4':score>4334350?'3':score>4334343?'4':score>4334320?'3':score>4334253?'4':score>4334250?'3':score>4334243?'4':score>4334220?'3':score>4333533?'4':score>4333530?'3':score>4333523?'4':score>4333520?'3':score>4333433?'4':score>4333430?'3':score>4333423?'4':score>4333420?'3':score>4333353?'4':score>4333350?'3':score>4333343?'4':score>4333320?'3':score>4333253?'4':score>4333250?'3':score>4333243?'4':score>4333220?'3':score>4325533?'4':score>4325530?'3':score>4325523?'4':score>4325522?'3':score>4325520?'2':score>4325433?'4':score>4325430?'3':score>4325423?'4':score>4325422?'3':score>4325420?'2':score>4325353?'4':score>4325350?'3':score>4325343?'4':score>4325322?'3':score>4325320?'2':score>4325253?'4':score>4325252?'3':score>4325250?'2':score>4325243?'4':score>4325242?'3':score>4325240?'2':score>4325232?'3':score>4325220?'2':score>4324533?'4':score>4324530?'3':score>4324523?'4':score>4324522?'3':score>4324520?'2':score>4324433?'4':score>4324430?'3':score>4324423?'4':score>4324422?'3':score>4324420?'2':score>4324353?'4':score>4324350?'3':score>4324343?'4':score>4324322?'3':score>4324320?'2':score>4324253?'4':score>4324252?'3':score>4324250?'2':score>4324243?'4':score>4324242?'3':score>4324240?'2':score>4324232?'3':score>4324220?'2':score>4323533?'4':score>4323530?'3':score>4323523?'4':score>4323522?'3':score>4323520?'2':score>4323433?'4':score>4323430?'3':score>4323423?'4':score>4323422?'3':score>4323420?'2':score>4323353?'4':score>4323350?'3':score>4323343?'4':score>4323322?'3':score>4323320?'2':score>4323253?'4':score>4323252?'3':score>4323250?'2':score>4323243?'4':score>4323242?'3':score>4323240?'2':score>4323232?'3':score>4323220?'2':score>4155533?'4':score>4155530?'3':score>4155523?'4':score>4155522?'3':score>4155520?'2':score>4155433?'4':score>4155430?'3':score>4155423?'4':score>4155422?'3':score>4155420?'2':score>4155353?'4':score>4155350?'3':score>4155343?'4':score>4155322?'3':score>4155320?'2':score>4155253?'4':score>4155252?'3':score>4155250?'2':score>4155243?'4':score>4155242?'3':score>4155240?'2':score>4155232?'3':score>4155220?'2':score>4154533?'4':score>4154530?'3':score>4154523?'4':score>4154522?'3':score>4154520?'2':score>4154433?'4':score>4154430?'3':score>4154423?'4':score>4154422?'3':score>4154420?'2':score>4154353?'4':score>4154350?'3':score>4154343?'4':score>4154322?'3':score>4154320?'2':score>4154253?'4':score>4154252?'3':score>4154250?'2':score>4154243?'4':score>4154242?'3':score>4154240?'2':score>4154232?'3':score>4154220?'2':score>4153533?'4':score>4153530?'3':score>4153523?'4':score>4153522?'3':score>4153520?'2':score>4153433?'4':score>4153430?'3':score>4153423?'4':score>4153422?'3':score>4153420?'2':score>4153353?'4':score>4153350?'3':score>4153343?'4':score>4153322?'3':score>4153320?'2':score>4153253?'4':score>4153252?'3':score>4153250?'2':score>4153243?'4':score>4153242?'3':score>4153240?'2':score>4153232?'3':score>4153220?'2':score>4145533?'4':score>4145530?'3':score>4145523?'4':score>4145522?'3':score>4145520?'2':score>4145433?'4':score>4145430?'3':score>4145423?'4':score>4145422?'3':score>4145420?'2':score>4145353?'4':score>4145350?'3':score>4145343?'4':score>4145322?'3':score>4145320?'2':score>4145253?'4':score>4145252?'3':score>4145250?'2':score>4145243?'4':score>4145242?'3':score>4145240?'2':score>4145232?'3':score>4145220?'2':score>4144533?'4':score>4144530?'3':score>4144523?'4':score>4144522?'3':score>4144520?'2':score>4144433?'4':score>4144430?'3':score>4144423?'4':score>4144422?'3':score>4144420?'2':score>4144353?'4':score>4144350?'3':score>4144343?'4':score>4144322?'3':score>4144320?'2':score>4144253?'4':score>4144252?'3':score>4144250?'2':score>4144243?'4':score>4144242?'3':score>4144240?'2':score>4144232?'3':score>4144220?'2':score>4143533?'4':score>4143530?'3':score>4143523?'4':score>4143522?'3':score>4143520?'2':score>4143433?'4':score>4143430?'3':score>4143423?'4':score>4143422?'3':score>4143420?'2':score>4143353?'4':score>4143350?'3':score>4143343?'4':score>4143322?'3':score>4143320?'2':score>4143253?'4':score>4143252?'3':score>4143250?'2':score>4143243?'4':score>4143242?'3':score>4143240?'2':score>4143232?'3':score>4143220?'2':score>4135533?'4':score>4135530?'3':score>4135523?'4':score>4135522?'3':score>4135520?'2':score>4135433?'4':score>4135430?'3':score>4135423?'4':score>4135422?'3':score>4135420?'2':score>4135353?'4':score>4135350?'3':score>4135343?'4':score>4135322?'3':score>4135320?'2':score>4135253?'4':score>4135252?'3':score>4135250?'2':score>4135243?'4':score>4135242?'3':score>4135240?'2':score>4135232?'3':score>4135220?'2':score>4134533?'4':score>4134530?'3':score>4134523?'4':score>4134522?'3':score>4134520?'2':score>4134433?'4':score>4134430?'3':score>4134423?'4':score>4134422?'3':score>4134420?'2':score>4134353?'4':score>4134350?'3':score>4134343?'4':score>4134322?'3':score>4134320?'2':score>4134253?'4':score>4134252?'3':score>4134250?'2':score>4134243?'4':score>4134242?'3':score>4134240?'2':score>4134232?'3':score>4134220?'2':score>4133533?'4':score>4133530?'3':score>4133523?'4':score>4133522?'3':score>4133520?'2':score>4133433?'4':score>4133430?'3':score>4133423?'4':score>4133422?'3':score>4133420?'2':score>4133353?'4':score>4133350?'3':score>4133343?'4':score>4133322?'3':score>4133320?'2':score>4133253?'4':score>4133252?'3':score>4133250?'2':score>4133243?'4':score>4133242?'3':score>4133240?'2':score>4133232?'3':score>4133220?'2':score>4125533?'4':score>4125530?'3':score>4125523?'4':score>4125522?'3':score>4125520?'2':score>4125433?'4':score>4125430?'3':score>4125423?'4':score>4125422?'3':score>4125420?'2':score>4125353?'4':score>4125350?'3':score>4125343?'4':score>4125322?'3':score>4125320?'2':score>4125253?'4':score>4125252?'3':score>4125250?'2':score>4125243?'4':score>4125242?'3':score>4125240?'2':score>4125232?'3':score>4125220?'2':score>4124533?'4':score>4124530?'3':score>4124523?'4':score>4124522?'3':score>4124520?'2':score>4124433?'4':score>4124430?'3':score>4124423?'4':score>4124422?'3':score>4124420?'2':score>4124353?'4':score>4124350?'3':score>4124343?'4':score>4124322?'3':score>4124320?'2':score>4124253?'4':score>4124252?'3':score>4124250?'2':score>4124243?'4':score>4124242?'3':score>4124240?'2':score>4124232?'3':score>4124220?'2':score>4123533?'4':score>4123530?'3':score>4123523?'4':score>4123522?'3':score>4123520?'2':score>4123433?'4':score>4123430?'3':score>4123423?'4':score>4123422?'3':score>4123420?'2':score>4123353?'4':score>4123350?'3':score>4123343?'4':score>4123322?'3':score>4123320?'2':score>4123253?'4':score>4123252?'3':score>4123250?'2':score>4123243?'4':score>4123242?'3':score>4123240?'2':score>4123232?'3':score>4123220?'2':score>3555544?'5':score>3555540?'4':score>3555534?'5':score>3555533?'4':score>3555530?'3':score>3555524?'5':score>3555523?'4':score>3555520?'3':score>3555454?'5':score>3555433?'4':score>3555430?'3':score>3555423?'4':score>3555420?'3':score>3555354?'5':score>3555353?'4':score>3555350?'3':score>3555343?'4':score>3555320?'3':score>3555254?'5':score>3555253?'4':score>3555250?'3':score>3555243?'4':score>3555220?'3':score>3554533?'4':score>3554530?'3':score>3554523?'4':score>3554520?'3':score>3554433?'4':score>3554430?'3':score>3554423?'4':score>3554420?'3':score>3554353?'4':score>3554350?'3':score>3554343?'4':score>3554320?'3':score>3554253?'4':score>3554250?'3':score>3554243?'4':score>3553220?'3':score>3545533?'4':score>3545530?'3':score>3545523?'4':score>3545520?'3':score>3545433?'4':score>3545430?'3':score>3545423?'4':score>3545420?'3':score>3545353?'4':score>3545350?'3':score>3545343?'4':score>3545320?'3':score>3545253?'4':score>3545250?'3':score>3545243?'4':score>3545220?'3':score>3544533?'4':score>3544530?'3':score>3544523?'4':score>3544520?'3':score>3544433?'4':score>3544430?'3':score>3544423?'4':score>3544420?'3':score>3544353?'4':score>3544350?'3':score>3544343?'4':score>3544320?'3':score>3544253?'4':score>3544250?'3':score>3544243?'4':score>3525522?'3':score>3525520?'2':score>3525422?'3':score>3525420?'2':score>3525322?'3':score>3525320?'2':score>3525252?'3':score>3525250?'2':score>3525242?'3':score>3525240?'2':score>3525232?'3':score>3525220?'2':score>3524522?'3':score>3524520?'2':score>3524422?'3':score>3524420?'2':score>3524322?'3':score>3524320?'2':score>3524252?'3':score>3524250?'2':score>3524242?'3':score>3524240?'2':score>3524232?'3':score>3524220?'2':score>3523522?'3':score>3523520?'2':score>3523422?'3':score>3523420?'2':score>3523322?'3':score>3523320?'2':score>3523252?'3':score>3523250?'2':score>3523242?'3':score>3523240?'2':score>3523232?'3':score>3523220?'2':score>3325522?'3':score>3325520?'2':score>3325422?'3':score>3325420?'2':score>3325322?'3':score>3325320?'2':score>3325252?'3':score>3325250?'2':score>3325242?'3':score>3325240?'2':score>3325232?'3':score>3325220?'2':score>3324522?'3':score>3324520?'2':score>3324422?'3':score>3324420?'2':score>3324322?'3':score>3324320?'2':score>3324252?'3':score>3324250?'2':score>3324242?'3':score>3324240?'2':score>3324232?'3':score>3324220?'2':score>3323522?'3':score>3323520?'2':score>3323422?'3':score>3323420?'2':score>3323322?'3':score>3323320?'2':score>3323252?'3':score>3323250?'2':score>3323242?'3':score>3323240?'2':score>3323232?'3':score>3323220?'2':score>3155522?'3':score>3155520?'2':score>3155422?'3':score>3155420?'2':score>3155322?'3':score>3155320?'2':score>3155252?'3':score>3155250?'2':score>3155242?'3':score>3155240?'2':score>3155232?'3':score>3155220?'2':score>3154522?'3':score>3154520?'2':score>3154422?'3':score>3154420?'2':score>3154322?'3':score>3154320?'2':score>3154252?'3':score>3154250?'2':score>3154242?'3':score>3154240?'2':score>3154232?'3':score>3154220?'2':score>3153522?'3':score>3153520?'2':score>3153422?'3':score>3153420?'2':score>3153322?'3':score>3153320?'2':score>3153252?'3':score>3153250?'2':score>3153242?'3':score>3153240?'2':score>3153232?'3':score>3153220?'2':score>3145522?'3':score>3145520?'2':score>3145422?'3':score>3145420?'2':score>3145322?'3':score>3145320?'2':score>3145252?'3':score>3145250?'2':score>3145242?'3':score>3145240?'2':score>3145232?'3':score>3145220?'2':score>3144522?'3':score>3144520?'2':score>3144422?'3':score>3144420?'2':score>3144322?'3':score>3144320?'2':score>3144252?'3':score>3144250?'2':score>3144242?'3':score>3144240?'2':score>3144232?'3':score>3144220?'2':score>3143522?'3':score>3143520?'2':score>3143422?'3':score>3143420?'2':score>3143322?'3':score>3143320?'2':score>3143252?'3':score>3143250?'2':score>3143242?'3':score>3143240?'2':score>3143232?'3':score>3143220?'2':score>3135522?'3':score>3135520?'2':score>3135422?'3':score>3135420?'2':score>3135322?'3':score>3135320?'2':score>3135252?'3':score>3135250?'2':score>3135242?'3':score>3135240?'2':score>3135232?'3':score>3135220?'2':score>3134522?'3':score>3134520?'2':score>3134422?'3':score>3134420?'2':score>3134322?'3':score>3134320?'2':score>3134252?'3':score>3134250?'2':score>3134242?'3':score>3134240?'2':score>3134232?'3':score>3134220?'2':score>3133522?'3':score>3133520?'2':score>3133422?'3':score>3133420?'2':score>3133322?'3':score>3133320?'2':score>3133252?'3':score>3133250?'2':score>3133242?'3':score>3133240?'2':score>3133232?'3':score>3133220?'2':score>3125522?'3':score>3125520?'2':score>3125422?'3':score>3125420?'2':score>3125322?'3':score>3125320?'2':score>3125252?'3':score>3125250?'2':score>3125242?'3':score>3125240?'2':score>3125232?'3':score>3125220?'2':score>3124522?'3':score>3124520?'2':score>3124422?'3':score>3124420?'2':score>3124322?'3':score>3124320?'2':score>3124252?'3':score>3124250?'2':score>3124242?'3':score>3124240?'2':score>3124232?'3':score>3124220?'2':score>3123522?'3':score>3123520?'2':score>3123422?'3':score>3123420?'2':score>3123322?'3':score>3123320?'2':score>3123252?'3':score>3123250?'2':score>3123242?'3':score>3123240?'2':score>3123232?'3':score>3123220?'2':score>2555544?'5':score>2555540?'4':score>2555534?'5':score>2555533?'4':score>2555530?'3':score>2555524?'5':score>2555523?'4':score>2555522?'3':score>2555520?'2':score>2555454?'5':score>2555433?'4':score>2555430?'3':score>2555423?'4':score>2555422?'3':score>2555420?'2':score>2555354?'5':score>2555353?'4':score>2555350?'3':score>2555343?'4':score>2555322?'3':score>2555320?'2':score>2555254?'5':score>2555253?'4':score>2555252?'3':score>2555250?'2':score>2555243?'4':score>2555242?'3':score>2555240?'2':score>2555232?'3':score>2555220?'2':score>2554533?'4':score>2554530?'3':score>2554523?'4':score>2554522?'3':score>2554520?'2':score>2554433?'4':score>2554430?'3':score>2554423?'4':score>2554422?'3':score>2554420?'2':score>2554353?'4':score>2554350?'3':score>2554343?'4':score>2554322?'3':score>2554320?'2':score>2554253?'4':score>2554252?'3':score>2554250?'2':score>2554243?'4':score>2554242?'3':score>2554240?'2':score>2554232?'3':score>2554220?'2':score>2553522?'3':score>2553520?'2':score>2553422?'3':score>2553420?'2':score>2553322?'3':score>2553320?'2':score>2553252?'3':score>2553250?'2':score>2553242?'3':score>2553240?'2':score>2553232?'3':score>2553220?'2':score>2545533?'4':score>2545530?'3':score>2545523?'4':score>2545522?'3':score>2545520?'2':score>2545433?'4':score>2545430?'3':score>2545423?'4':score>2545422?'3':score>2545420?'2':score>2545353?'4':score>2545350?'3':score>2545343?'4':score>2545322?'3':score>2545320?'2':score>2545253?'4':score>2545252?'3':score>2545250?'2':score>2545243?'4':score>2545242?'3':score>2545240?'2':score>2545232?'3':score>2545220?'2':score>2544533?'4':score>2544530?'3':score>2544523?'4':score>2544522?'3':score>2544520?'2':score>2544433?'4':score>2544430?'3':score>2544423?'4':score>2544422?'3':score>2544420?'2':score>2544353?'4':score>2544350?'3':score>2544343?'4':score>2544322?'3':score>2544320?'2':score>2544253?'4':score>2544252?'3':score>2544250?'2':score>2544243?'4':score>2544242?'3':score>2544240?'2':score>2544232?'3':score>2544220?'2':score>2543522?'3':score>2543520?'2':score>2543422?'3':score>2543420?'2':score>2543322?'3':score>2543320?'2':score>2543252?'3':score>2543250?'2':score>2543242?'3':score>2543240?'2':score>2543232?'3':score>2543220?'2':score>2535522?'3':score>2535520?'2':score>2535422?'3':score>2535420?'2':score>2535322?'3':score>2535320?'2':score>2535252?'3':score>2535250?'2':score>2535242?'3':score>2535240?'2':score>2535232?'3':score>2535220?'2':score>2534522?'3':score>2534520?'2':score>2534422?'3':score>2534420?'2':score>2534322?'3':score>2534320?'2':score>2534252?'3':score>2534250?'2':score>2534242?'3':score>2534240?'2':score>2534232?'3':score>2534220?'2':score>2533522?'3':score>2533520?'2':score>2533422?'3':score>2533420?'2':score>2533322?'3':score>2533320?'2':score>2533252?'3':score>2533250?'2':score>2533242?'3':score>2533240?'2':score>2533232?'3':score>2523220?'2':score>2355522?'3':score>2355520?'2':score>2355422?'3':score>2355420?'2':score>2355322?'3':score>2355320?'2':score>2355252?'3':score>2355250?'2':score>2355242?'3':score>2355240?'2':score>2355232?'3':score>2355220?'2':score>2354522?'3':score>2354520?'2':score>2354422?'3':score>2354420?'2':score>2354322?'3':score>2354320?'2':score>2354252?'3':score>2354250?'2':score>2354242?'3':score>2354240?'2':score>2354232?'3':score>2354220?'2':score>2353522?'3':score>2353520?'2':score>2353422?'3':score>2353420?'2':score>2353322?'3':score>2353320?'2':score>2353252?'3':score>2353250?'2':score>2353242?'3':score>2353240?'2':score>2353232?'3':score>2353220?'2':score>2345522?'3':score>2345520?'2':score>2345422?'3':score>2345420?'2':score>2345322?'3':score>2345320?'2':score>2345252?'3':score>2345250?'2':score>2345242?'3':score>2345240?'2':score>2345232?'3':score>2345220?'2':score>2344522?'3':score>2344520?'2':score>2344422?'3':score>2344420?'2':score>2344322?'3':score>2344320?'2':score>2344252?'3':score>2344250?'2':score>2344242?'3':score>2344240?'2':score>2344232?'3':score>2344220?'2':score>2343522?'3':score>2343520?'2':score>2343422?'3':score>2343420?'2':score>2343322?'3':score>2343320?'2':score>2343252?'3':score>2343250?'2':score>2343242?'3':score>2343240?'2':score>2343232?'3':score>2343220?'2':score>2335522?'3':score>2335520?'2':score>2335422?'3':score>2335420?'2':score>2335322?'3':score>2335320?'2':score>2335252?'3':score>2335250?'2':score>2335242?'3':score>2335240?'2':score>2335232?'3':score>2335220?'2':score>2334522?'3':score>2334520?'2':score>2334422?'3':score>2334420?'2':score>2334322?'3':score>2334320?'2':score>2334252?'3':score>2334250?'2':score>2334242?'3':score>2334240?'2':score>2334232?'3':score>2334220?'2':score>2333522?'3':score>2333520?'2':score>2333422?'3':score>2333420?'2':score>2333322?'3':score>2333320?'2':score>2333252?'3':score>2333250?'2':score>2333242?'3':score>2333240?'2':score>2333232?'3':score>2123220?'2':score>1555544?'5':score>1555540?'4':score>1555534?'5':score>1555533?'4':score>1555530?'3':score>1555524?'5':score>1555523?'4':score>1555522?'3':score>1555520?'2':score>1555454?'5':score>1555433?'4':score>1555430?'3':score>1555423?'4':score>1555422?'3':score>1555420?'2':score>1555354?'5':score>1555353?'4':score>1555350?'3':score>1555343?'4':score>1555322?'3':score>1555320?'2':score>1555254?'5':score>1555253?'4':score>1555252?'3':score>1555250?'2':score>1555243?'4':score>1555242?'3':score>1555240?'2':score>1555232?'3':score>1555220?'2':score>1554533?'4':score>1554530?'3':score>1554523?'4':score>1554522?'3':score>1554520?'2':score>1554433?'4':score>1554430?'3':score>1554423?'4':score>1554422?'3':score>1554420?'2':score>1554353?'4':score>1554350?'3':score>1554343?'4':score>1554322?'3':score>1554320?'2':score>1554253?'4':score>1554252?'3':score>1554250?'2':score>1554243?'4':score>1554242?'3':score>1554240?'2':score>1554232?'3':score>1554220?'2':score>1553522?'3':score>1553520?'2':score>1553422?'3':score>1553420?'2':score>1553322?'3':score>1553320?'2':score>1553252?'3':score>1553250?'2':score>1553242?'3':score>1553240?'2':score>1553232?'3':score>1553220?'2':score>1545533?'4':score>1545530?'3':score>1545523?'4':score>1545522?'3':score>1545520?'2':score>1545433?'4':score>1545430?'3':score>1545423?'4':score>1545422?'3':score>1545420?'2':score>1545353?'4':score>1545350?'3':score>1545343?'4':score>1545322?'3':score>1545320?'2':score>1545253?'4':score>1545252?'3':score>1545250?'2':score>1545243?'4':score>1545242?'3':score>1545240?'2':score>1545232?'3':score>1545220?'2':score>1544533?'4':score>1544530?'3':score>1544523?'4':score>1544522?'3':score>1544520?'2':score>1544433?'4':score>1544430?'3':score>1544423?'4':score>1544422?'3':score>1544420?'2':score>1544353?'4':score>1544350?'3':score>1544343?'4':score>1544322?'3':score>1544320?'2':score>1544253?'4':score>1544252?'3':score>1544250?'2':score>1544243?'4':score>1544242?'3':score>1544240?'2':score>1544232?'3':score>1544220?'2':score>1543522?'3':score>1543520?'2':score>1543422?'3':score>1543420?'2':score>1543322?'3':score>1543320?'2':score>1543252?'3':score>1543250?'2':score>1543242?'3':score>1543240?'2':score>1543232?'3':score>1543220?'2':score>1535522?'3':score>1535520?'2':score>1535422?'3':score>1535420?'2':score>1535322?'3':score>1535320?'2':score>1535252?'3':score>1535250?'2':score>1535242?'3':score>1535240?'2':score>1535232?'3':score>1535220?'2':score>1534522?'3':score>1534520?'2':score>1534422?'3':score>1534420?'2':score>1534322?'3':score>1534320?'2':score>1534252?'3':score>1534250?'2':score>1534242?'3':score>1534240?'2':score>1534232?'3':score>1534220?'2':score>1533522?'3':score>1533520?'2':score>1533422?'3':score>1533420?'2':score>1533322?'3':score>1533320?'2':score>1533252?'3':score>1533250?'2':score>1533242?'3':score>1533240?'2':score>1533232?'3':score>1523220?'2':score>1355522?'3':score>1355520?'2':score>1355422?'3':score>1355420?'2':score>1355322?'3':score>1355320?'2':score>1355252?'3':score>1355250?'2':score>1355242?'3':score>1355240?'2':score>1355232?'3':score>1355220?'2':score>1354522?'3':score>1354520?'2':score>1354422?'3':score>1354420?'2':score>1354322?'3':score>1354320?'2':score>1354252?'3':score>1354250?'2':score>1354242?'3':score>1354240?'2':score>1354232?'3':score>1354220?'2':score>1353522?'3':score>1353520?'2':score>1353422?'3':score>1353420?'2':score>1353322?'3':score>1353320?'2':score>1353252?'3':score>1353250?'2':score>1353242?'3':score>1353240?'2':score>1353232?'3':score>1353220?'2':score>1345522?'3':score>1345520?'2':score>1345422?'3':score>1345420?'2':score>1345322?'3':score>1345320?'2':score>1345252?'3':score>1345250?'2':score>1345242?'3':score>1345240?'2':score>1345232?'3':score>1345220?'2':score>1344522?'3':score>1344520?'2':score>1344422?'3':score>1344420?'2':score>1344322?'3':score>1344320?'2':score>1344252?'3':score>1344250?'2':score>1344242?'3':score>1344240?'2':score>1344232?'3':score>1344220?'2':score>1343522?'3':score>1343520?'2':score>1343422?'3':score>1343420?'2':score>1343322?'3':score>1343320?'2':score>1343252?'3':score>1343250?'2':score>1343242?'3':score>1343240?'2':score>1343232?'3':score>1343220?'2':score>1335522?'3':score>1335520?'2':score>1335422?'3':score>1335420?'2':score>1335322?'3':score>1335320?'2':score>1335252?'3':score>1335250?'2':score>1335242?'3':score>1335240?'2':score>1335232?'3':score>1335220?'2':score>1334522?'3':score>1334520?'2':score>1334422?'3':score>1334420?'2':score>1334322?'3':score>1334320?'2':score>1334252?'3':score>1334250?'2':score>1334242?'3':score>1334240?'2':score>1334232?'3':score>1334220?'2':score>1333522?'3':score>1333520?'2':score>1333422?'3':score>1333420?'2':score>1333322?'3':score>1333320?'2':score>1333252?'3':score>1333250?'2':score>1333242?'3':score>1333240?'2':score>1333232?'3':score>1323220?'2':'1'

display/hide references
Result - Copy and paste this output:

Leave a Reply