{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Donald G Lovell","gend":0,"add":"567 Donahoo Rd SE","city":"Silver Creek","state":"GA","zip":30173,"dob":"1961-03-24","age":"","mstatus":"","insh":1919116001,"cliId":"","pno":7705462051,"cno":"","email":"dlovell4k@gmail.com","ename":"","eno":"","pphy":"Charles Jackson","ppno":"","pcpadd":"1035 Red Bud Road NE","pcpcity":"Calhoun","pcpstate":"GA","pcpzip":"","pcpcounty":"Calhoun","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":["I48.91","I51.9","I10","K62.5","E78.5","Z68.42","D64.89","Z87.11","K52.9","J96.01","K25.4","E87.0","E87.1","N17.9","Z68.43","K76.6","I50.33","D50.9","E03.9","E66.01","F10.20","N25.0","N50.89","R73.03","Z79.890","Z87.891","Z91.19","E66.9","F19.90","E87.6","F40.240","K64.4","Z79.82","Z20.822","I48.0","F10.21","F41.9","I11.0","I50.32","M19.90","S86.812","I50.31","R60.1","R06.02","R07.9","E11.9","H25.13","Z79.01","E03.1","E11.65","I50.9","R60.0","I48.19","N17.8","K64.8","E55.9","R53.83","R73.09","M25.462","K57.30","R79.89","M17.12","K92.2","R07.89","N50.82","D64.9","Z01.812"],"date":["2021-05-25","2021-05-25","2021-11-30","2021-08-24","2021-11-30","2021-05-25","2021-03-16","2021-05-11","2021-05-11","2021-05-25","2021-04-27","2021-04-27","2021-04-27","2021-05-25","2021-04-27","2021-04-27","2021-04-27","2021-04-27","2021-05-11","2021-05-11","2021-04-27","2021-04-27","2021-04-27","2021-04-27","2021-04-27","2021-05-11","2021-04-27","2021-04-27","2021-04-27","2021-04-27","2021-04-27","2021-05-18","2021-05-11","2021-05-11","2021-05-11","2021-05-11","2021-05-11","2021-05-25","2021-05-11","2021-05-11","2020-08-18","2021-04-06","2021-04-06","2021-04-06","2021-04-06","2021-11-30","2021-11-09","2021-05-18","2021-11-30","2021-11-30","2021-11-30","2021-11-30","2021-03-16","2021-03-02","2021-08-24","2021-09-21","2021-09-21","2021-09-21","2020-09-22","2021-05-18","2021-04-06","2020-08-11","2021-03-30","2021-03-02","2021-03-02","2021-04-06","2021-05-04"],"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":[["","69097045905","FENOFIBRATE","48MGTABLET","30","Select","Select",""],["","68180021606","LOSARTAN-HCTZ","100-12.5MGTAB","30","Select","Select",""],["","68382009305","CARVEDILOL","6.25MGTABLET","30","Select","Select",""],["","68180097203","LEVOTHYROXINE","137MCGTABLET","60","Select","Select",""],["","69238199201","DIGOXIN","250MCGTABLET","30","Select","Select",""],["","832532510","POTASSIUM","CLER20MEQTABLET","60","Select","Select",""],["","65862056099","PANTOPRAZOLE","SODDR40MGTAB","30","Select","Select",""],["","69315011710","FUROSEMIDE","40MGTABLET","60","Select","Select",""],["","50458057990","XARELTO","20MGTABLET","30","Select","Select",""],["","64380073706","VITAMIN","D21.25MG(50,000UNIT)","4","Select","Select",""],["","68382066001","SPIRONOLACTONE","25MGTABLET","30","Select","Select",""],["","378003210","METOPROLOL","TARTRATE50MGTAB","180","Select","Select",""],["","45802000403","HYDROCORTISONE","0.025CREAM","28","Select","Select",""],["","23155010410","METFORMIN","HCL1000MGTABLET","60","Select","Select",""],["","60505014101","GLIPIZIDE","5MGTABLET","30","Select","Select",""],["","713050324","ANUCORT-HC","25MGSUPPOSITORY","30","Select","Select",""],["","10572010001","PEG-3350","ANDELECTROLYTESSOLN","4000","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":""}]}]}