{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Steve Voorhies","gend":0,"add":"611 Harold Pritchett Rd","city":"Ellijay","state":"GA","zip":30540,"dob":"1958-09-29","age":"","mstatus":"","insh":1614429001,"cliId":"","pno":7703449781,"cno":"","email":"hossfly29@yahoo.com","ename":"","eno":"","pphy":"WILLIAM RAISIG","ppno":"","pcpadd":"60 Highland Court,N","pcpcity":"Ellijay","pcpstate":"GA","pcpzip":"","pcpcounty":"Ellijay","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":["I42.9","I11.0","I50.22","K21.9","Z79.82","Z79.899","Z82.49","I25.110","I70.213","R07.89","R06.02","R94.39","I25.10","Z95.5","R73.09","K57.30","B19.20","M79.89","R63.4","S35.10X","Z68.1","D50.9","E78.2","Z51.81","Z13.29","M48.062","M47.816","Z01.810","R71.8","E03.4","R73.01","R53.83","M79.609","M79.604","M79.605","R60.0","I87.2","I65.23","I82.220","I71.4","I73.89","I87.8","Z12.11","I50.30","I34.0","I50.32","I36.1","E03.8","I83.93","R03.0","I83.893","R09.89","I42.0","I51.7","I51.89","G56.03","R94.31","Z09","N64.4","R94.4","I82.503","J30.1","J06.0","D50.8","R78.89","I82.593","M62.81","I83.813","Z00.00","I70.0"],"date":["2020-12-08","2021-08-24","2021-08-24","2020-12-08","2020-12-08","2021-06-22","2020-12-08","2020-12-08","2020-12-22","2020-03-24","2020-03-24","2020-09-15","2021-08-24","2020-11-24","2021-10-13","2020-08-18","2020-08-04","2020-08-04","2021-05-18","2021-08-24","2021-08-24","2021-06-22","2021-06-22","2021-06-22","2020-04-09","2021-09-28","2021-09-28","2021-08-24","2020-09-15","2021-10-12","2021-06-22","2020-06-02","2021-02-09","2021-05-11","2021-05-11","2021-05-11","2021-05-11","2021-05-18","2021-05-18","2021-05-11","2021-05-11","2020-07-21","2020-08-18","2021-06-22","2020-09-22","2020-12-29","2020-09-22","2020-09-15","2020-09-15","2020-09-15","2021-05-18","2021-05-18","2021-02-23","2021-03-02","2020-10-20","2021-08-10","2020-03-12","2020-12-08","2021-06-22","2021-07-06","2021-03-02","2021-06-15","2020-04-28","2021-06-22","2021-06-22","2021-05-18","2021-05-18","2021-02-23","2020-07-14","2020-03-12"],"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":[["","53746051101","SPIRONOLACTONE","25MGTABLET","30","Select","Select",""],["","50742061610","METOPROLOL","SUCCER50MGTAB","30","Select","Select",""],["","70377002911","ATORVASTATIN","40MGTABLET","30","Select","Select",""],["","186077760","BRILINTA","90MGTABLET","60","Select","Select",""],["","68180051201","LISINOPRIL","2.5MGTABLET","30","Select","Select",""],["","378064205","PREDNISONE","20MGTABLET","18","Select","Select",""],["","93005805","TRAMADOL","HCL50MGTABLET","28","Select","Select",""],["","43386009019","GAVILYTE-G","SOLUTION","4000","Select","Select",""],["","10702005601","OXYCODONE","HCL10MGTABLET","30","Select","Select",""],["","68180016013","AZITHROMYCIN","250MGTABLET","6","Select","Select",""],["","23155000810","HYDROCHLOROTHIAZIDE","25MGTAB","30","Select","Select",""],["","378020810","FUROSEMIDE","20MGTABLET","30","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":""}]}]}