{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Laura Mcgivney","gend":1,"add":"1184 Johnson Mill Rd","city":"Ellijay","state":"GA","zip":30536,"dob":"1963-09-05","age":"","mstatus":"","insh":4072159001,"cliId":"","pno":7703146576,"cno":"","email":"mcgivney0730@att.net","ename":"","eno":"","pphy":"Crystal Gary","ppno":"","pcpadd":"346 Deep South Farm Rd,Suite ","pcpcity":"Blairsville","pcpstate":"GA","pcpzip":"","pcpcounty":"Blairsville","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":["E78.2","E51.8","E55.9","Z79.899","M65.331","M25.541","M25.441","M25.641","R35.0","K59.00","R31.29","F17.200","Z87.442","Z68.26","N81.10","R79.89","Z13.820","M81.0","N63.10","M18.12","G56.02","J06.9","D51.8","G44.219","Z23","R82.89","R29.898","M25.59","Z13.6","Z13.29","M79.645","E66.3","R35.1","R39.11","N39.43","K21.9","J30.2","Z12.31","R30.0"],"date":["2021-11-09","2021-11-02","2021-11-09","2021-12-16","2021-03-23","2021-03-23","2021-03-23","2021-03-23","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-05-18","2021-12-07","2021-12-07","2021-12-07","2021-11-02","2021-10-12","2021-12-16","2021-11-09","2021-05-11","2021-04-27","2021-09-07","2021-10-06","2021-11-09","2021-10-06","2021-10-06","2021-03-02","2021-11-02","2021-10-05","2021-10-05","2021-10-05","2021-11-09","2021-02-02","2021-11-30","2021-05-18"],"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":[["","68382025501","OXYBUTYNIN","CLER5MGTABLET","30","Select","Select",""],["","16714063301","ALENDRONATE","SODIUM70MGTAB","4","Select","Select",""],["","16714087501","ATORVASTATIN","20MGTABLET","30","Select","Select",""],["","68382005105","MELOXICAM","15MGTABLET","30","Select","Select",""],["","70710112307","DOXYCYCLINE","MONO100MGTABLET","14","Select","Select",""],["","591544310","PREDNISONE","20MGTABLET","14","Select","Select",""],["","80777027310","MODERNA","COVID-19VACCINE(EUA)","0.2","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":""}]}]}