{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Danny Millican","gend":0,"add":"601 Maner Rd","city":"Rockmart","state":"GA","zip":30153,"dob":"1966-12-10","age":"","mstatus":"","insh":1540870001,"cliId":"","pno":7706841211,"cno":"","email":"Dannymillican1966@yahoo.com","ename":"","eno":"","pphy":"CATHERINE STRICKLAND","ppno":"","pcpadd":"330 Turner McCall Boulevard SW,Suite 20","pcpcity":"Rome","pcpstate":"GA","pcpzip":"","pcpcounty":"Rome","pcpid":"","pcpname":"","plan":"ALLIANT","program":"ACA","lob":"","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R50.9","R10.9","R51.9","R42","Z20.822","R30.0","R82.90","Z98.890","J00","J06.9","J30.9","I10","E53.8","F41.1","K21.9","M19.91","Z93.6","Z85.51","E55.9","Z13.220","Z00.00","R31.29","C67.9","K43.9","Z79.891","J34.89","D24.2","N63.21","H57.11","R31.9","N39.0","J01.90","Z79.899","I88.9","R39.9","H93.13","J30.89","H69.83","H90.3","M54.9","R20.2","H53.9","N64.89","R92.8","H92.03","H93.19","K11.1","R49.9","J38.4","B02.9","R53.83","H92.02","M19.019","M54.5","K64.9","M25.511","L03.115","S80.861","W57.XXX","Z87.01","K43.5","K57.92","R10.84","K46.9","K59.00","N20.0","R09.81","M51.36","M47.816","K57.32","Z12.39","M47.812","S46.819","R59.0","R03.0","Z86.59","N63.20"],"date":["2021-11-30","2021-11-30","2021-12-21","2021-12-28","2021-11-30","2021-04-20","2020-12-08","2020-12-08","2021-09-07","2021-03-30","2021-03-30","2021-11-02","2021-11-02","2021-11-02","2021-11-02","2021-11-02","2021-12-28","2021-12-28","2021-11-02","2020-09-15","2020-09-22","2020-09-22","2021-11-02","2021-11-02","2021-08-03","2021-08-24","2020-09-29","2020-10-06","2021-09-28","2020-02-18","2020-05-05","2020-02-18","2020-06-30","2020-04-28","2020-01-28","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2021-04-20","2021-10-19","2021-10-19","2021-01-19","2021-01-19","2020-04-21","2020-04-21","2020-04-21","2020-04-21","2020-04-21","2021-08-31","2021-10-12","2021-10-12","2020-12-29","2020-12-29","2021-02-02","2021-02-09","2021-08-31","2021-08-31","2021-08-31","2021-02-09","2021-02-09","2021-11-23","2021-11-23","2021-01-19","2021-02-02","2020-01-28","2021-12-21","2021-02-09","2021-02-09","2021-12-28","2020-10-06","2021-01-12","2021-08-03","2020-04-21","2020-04-21","2021-09-28","2020-09-22"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","69452015120","VITAMIN","D21.25MG(50,000UNIT)","4","Select","Select",""],["","406012505","HYDROCODONE-ACETAMIN","10-325MG","120","Select","Select",""],["","65862086001","FAMOTIDINE","40MGTABLET","30","Select","Select",""],["","143992801","CIPROFLOXACIN","HCL500MGTAB","14","Select","Select",""],["","52817033200","CYCLOBENZAPRINE","10MGTABLET","20","Select","Select",""],["","68462039710","OMEPRAZOLE","DR40MGCAPSULE","30","Select","Select",""],["","43547040750","CLONAZEPAM","1MGTABLET","90","Select","Select",""],["","10572010001","PEG-3350","ANDELECTROLYTESSOLN","4000","Select","Select",""],["","43547035211","LISINOPRIL","5MGTABLET","30","Select","Select",""],["","65862044990","VALACYCLOVIR","HCL1GRAMTABLET","21","Select","Select",""],["","70069000510","CYANOCOBALAMIN","1000MCG\/MLVL","1","Select","Select",""],["","63304069201","CLINDAMYCIN","HCL150MGCAPSULE","40","Select","Select",""],["","50111033402","METRONIDAZOLE","500MGTABLET","30","Select","Select",""],["","65862018730","ONDANSETRON","HCL4MGTABLET","15","Select","Select",""],["","713050324","ANUCORT-HC","25MGSUPPOSITORY","28","Select","Select",""],["","93101042","MUPIROCIN","0.02OINTMENT","22","Select","Select",""],["","781808926","AZITHROMYCIN","250MGTABLET","6","Select","Select",""],["","65162062711","TRAMADOL","HCL50MGTABLET","30","Select","Select",""],["","13811071910","NITROFURANTOIN","MONO-MCR100MG","14","Select","Select",""],["","57237000511","FLUCONAZOLE","150MGTABLET","1","Select","Select",""],["","65162010150","GABAPENTIN","100MGCAPSULE","30","Select","Select",""],["","42806040021","METHYLPREDNISOLONE","4MGDOSEPK","21","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}