{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Vickie C Cary","gend":1,"add":"1339 Boyles Mill Rd","city":"Dalton","state":"GA","zip":30721,"dob":"1958-09-20","age":"","mstatus":"","insh":"AS1003978001","cliId":"","pno":7062646098,"cno":"","email":"vickiecary@gmail.com","ename":"","eno":"","pphy":"CHRISTINE SAGER","ppno":"","pcpadd":"105 JW Plaza Drive SE,Suite ","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":["Z01.419","Z13.31","Z79.890","E55.9","R53.83","Z12.39","E03.8","H02.834","I60.9","I67.1","Z09","Z86.010","K64.0","K64.4","K20.80","K22.2","K44.9","K29.50","L93.0","I10","Z86.73","R11.2","M54.2","H26.493","H16.223","G93.41","I67.848","E87.1","I61.5","R42","E87.6","M32.9","E86.0","R91.1","I34.0","I36.1","M20.5X1","M24.571","M89.8X7","E07.9","G47.33","M21.611","M62.461","E03.9","F41.8","R73.03","E78.5","R73.01","R51","I67.9","R03.0","F90.9","Z12.31","G89.18","M79.10","D48.5","D23.9","L82.1","L85.9","L71.9","L57.8","H25.813","H02.831","R13.10","K29.60","Z12.11","Z79.899","M21.6X1","Z96.1","J01.90","H25.812","Z23","Z01.818","I62.9","H90.5","G93.40","T16.1XX","M99.05","M54.5","M99.02","M54.6","F41.9","Z71.89","L93.2","I45.10","I61.9","M20.11","M20.12","Z71.9","J30.1","J30.2","R11.0","M76.62","M21.6X2","H10.231","M21.612","I60.8","H90.3","R94.4","G47.09","F41.1","T63.444","Z99.89","R91.8","H25.811","H91.90","M25.562","D23.61","G47.30"],"date":["2021-09-07","2021-09-07","2021-09-07","2020-09-01","2020-09-01","2021-09-07","2020-09-29","2021-02-16","2021-04-20","2021-02-16","2021-04-27","2021-04-27","2020-11-24","2021-09-07","2020-11-24","2020-11-24","2020-11-24","2020-11-24","2020-11-24","2021-06-22","2020-11-24","2021-02-02","2021-02-02","2021-08-31","2021-08-31","2020-06-02","2020-06-02","2020-09-01","2020-06-02","2020-06-02","2020-09-01","2020-09-01","2020-06-02","2020-06-02","2020-05-12","2020-05-12","2020-10-13","2020-10-13","2020-10-13","2020-10-13","2020-12-29","2020-10-13","2020-10-13","2020-12-01","2021-09-07","2021-09-07","2021-06-22","2021-06-22","2020-05-19","2021-04-20","2021-04-20","2021-04-20","2022-01-06","2020-10-13","2020-05-19","2020-09-08","2020-09-08","2020-09-08","2020-09-08","2020-09-08","2020-09-08","2020-10-20","2021-02-16","2020-11-24","2020-11-24","2021-04-27","2020-09-01","2020-11-17","2021-02-02","2021-11-02","2021-01-06","2021-03-30","2020-10-06","2020-12-01","2020-10-06","2020-05-19","2020-06-16","2021-01-26","2021-01-26","2021-01-26","2021-01-26","2020-08-04","2020-03-12","2020-03-12","2020-05-12","2020-10-06","2021-02-23","2021-03-30","2021-02-23","2020-10-20","2020-09-29","2020-07-14","2021-06-22","2021-06-22","2020-11-10","2021-03-30","2020-06-09","2020-05-12","2020-09-29","2020-09-29","2020-09-29","2020-09-29","2020-12-29","2020-10-06","2020-12-15","2020-05-19","2021-03-30","2020-09-29","2020-12-15"],"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":[["","68180071909","AMLODIPINE","BESYLATE2.5MGTAB","30","Select","Select",""],["","69238183407","LEVOTHYROXINE","100MCGTABLET","30","Select","Select",""],["","24208045705","DICLOFENAC","0.001EYEDROPS","5","Select","Select",""],["","61314063705","PREDNISOLONE","AC0.01EYEDROP","5","Select","Select",""],["","31722088290","ROSUVASTATIN","CALCIUM5MGTAB","30","Select","Select",""],["","378464226","ESTRADIOL","0.05MGPATCH","8","Select","Select",""],["","591544210","PREDNISONE","10MGTABLET","18","Select","Select",""],["","406012305","HYDROCODONE-ACETAMIN","5-325MG","28","Select","Select",""],["","60505056000","OFLOXACIN","0.003EYEDROPS","5","Select","Select",""],["","378623201","CITALOPRAM","HBR20MGTABLET","30","Select","Select",""],["","70700016201","PROGESTERONE","100MGCAPSULE","30","Select","Select",""],["","65862018730","ONDANSETRON","HCL4MGTABLET","7","Select","Select",""],["","55566670001","CLENPIQ","SOLUTION","320","Select","Select",""],["","62559043130","HYDROCORTISONE","0.025CREAM","30","Select","Select",""],["","51224012230","AZITHROMYCIN","500MGTABLET","3","Select","Select",""],["","93598627","EPINEPHRINE","0.3MGAUTO-INJECT","2","Select","Select",""],["","58160082311","SHINGRIX","VIALKIT","1","Select","Select",""],["","93314705","CEPHALEXIN","500MGCAPSULE","14","Select","Select",""],["","24208091055","ERYTHROMYCIN","0.005EYEOINTMENT","3.5","Select","Select",""],["","61314063006","NEOMYC-POLYM-DEXAMETH","EYEDROP","5","Select","Select",""],["","65862090901","CELECOXIB","200MGCAPSULE","60","Select","Select",""],["","228202796","ALPRAZOLAM","0.25MGTABLET","30","Select","Select",""],["","60758018805","GENTAMICIN","0.003EYEDROP","15","Select","Select",""],["","68382091634","METHYLPREDNISOLONE","4MGDOSEPK","21","Select","Select",""],["","65862050320","AMOX-CLAV","875-125MGTABLET","20","Select","Select",""],["","93005805","TRAMADOL","HCL50MGTABLET","12","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":""}]}]}