{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Michael Weaver","gend":0,"currentgend":"","add":"5560 Highway 29","city":"Royston","state":"GA","zip":30662,"dob":"1977-07-29","age":"","mstatus":"","insh":"0000064528002","cliId":"","pno":7062465665,"cno":"","email":"theweavers00@gmail.com","ename":"","eno":"","pphy":"Frederick Flynt","ppno":7063532990,"pcpadd":"3320 OLD JEFFERSON RD BLDG 700","pcpcity":"ATHENS","pcpstate":"GA","pcpzip":30607,"pcpcounty":"","pcpid":"","pcpname":"3320 OLD JEFFERSON RD BLDG 700","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"5560 Highway 29","madd2":"","madd3":"","mcity":"Royston","mstate":"GA","mzip":30662,"pcpfaxno":"","pcpnpi":1235356247,"currentgendcomment":"","pphycomment":"","uniqueid":224638,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","C18.4","Z51.11","G62.0","Z29.14","Z23","I10","Z87.891","R11.0","R10.31","Z93.3","Z79.899","J02.9","H66.91","J04.30","C18.9","F32.A","G47.33","F41.9","D64.9","R13.10","Z11.52","E66.811","Z68.35","F43.23","R06.02","R91.8","J34.3","J34.2","J32.0","J32.3","J34.89","J32.1","Z20.3","C26.9","K40.90","K94.29","K56.609","D49.0","E66.9","R73.01","E78.5","D50.9","Z68.31","Z72.0","Z00.00","Z45.2","D37.4","R51.9","J32.8","Z68.32","C77.2","D63.0","D53.9","D72.829","F11.91","Z43.3","J32.2","K63.5","Z85.038","Z90.49","Z92.21","S61.012","F33.9","Z68.34","K76.9","J32.4","R59.0","Z68.36","N52.8","E66.01","J01.80","Z68.41","K46.9","J01.90","E66.812","T45.1X5","G89.4","M45.6","K43.5","J45.909","G47.30","Z86.010","J33.9","J33.0","F17.200","R09.81","J03.90","G89.18","Z53.21","Z12.11","Z12.89","M89.9","R53.1","G89.3","Z51.5","L04.0","Z98.0","K13.79","K21.9","J30.89","F17.210","J33.8","J35.01","R59.9","K59.00","M54.2","J47.9","J06.9","Z68.33","Z71.83","K76.89","R10.2","R10.9","D12.8","J38.4"],"date":["2024-12-31","2026-03-04","2025-09-03","2025-08-06","2025-12-06","2025-12-09","2026-01-16","2025-12-06","2025-04-10","2025-01-30","2025-06-11","2025-08-20","2025-03-13","2025-03-13","2025-03-13","2025-11-07","2025-06-11","2026-01-16","2025-06-11","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-05-28","2025-05-28","2025-10-13","2024-09-17","2024-09-17","2024-10-22","2024-10-22","2024-09-17","2024-10-22","2025-12-06","2025-10-13","2025-10-13","2025-05-27","2025-01-22","2025-01-17","2026-01-16","2026-01-16","2026-01-16","2026-01-16","2026-01-16","2026-01-16","2026-01-16","2025-11-07","2025-01-18","2024-02-02","2024-07-16","2024-03-14","2025-01-20","2025-01-18","2025-01-18","2025-01-18","2025-01-18","2025-05-20","2024-10-22","2026-03-04","2026-03-04","2026-03-04","2026-03-04","2024-12-31","2026-01-16","2024-12-31","2025-03-25","2024-07-23","2024-07-21","2025-11-10","2025-11-10","2026-01-16","2026-01-16","2026-01-16","2025-05-27","2024-06-28","2025-04-10","2025-04-10","2026-02-27","2026-02-27","2025-06-11","2025-06-11","2025-06-11","2025-06-11","2024-09-17","2024-09-17","2024-08-06","2024-08-06","2025-03-13","2025-01-30","2025-12-09","2026-03-04","2025-03-25","2025-03-25","2025-01-18","2025-04-01","2025-04-01","2024-07-20","2026-03-04","2024-11-25","2024-10-23","2024-07-23","2024-08-06","2024-07-23","2025-03-28","2025-03-28","2025-01-30","2025-03-12","2025-02-05","2024-05-30","2024-09-25","2025-02-17","2025-01-30","2025-01-30","2025-01-30","2026-03-04","2024-07-21"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Self-Assessment and Social History (SDOH)","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":[]}]},{"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":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","","Prednisone","10 MG","","Select","Select",""],["","","Paroxetine Hydrochloride","40 MG","","Select","Select",""],["","","Buprenorphine","2 MG","","Select","Select",""],["","","Cefdinir","300 MG","","Select","Select",""],["","","Famotidine","20 MG","","Select","Select",""],["","","Sucralfate","1000 MG","","Select","Select",""],["","","Hydrochlorothiazide","12.5 MG","","Select","Select",""],["","","Naproxen Sodium","550 MG","","Select","Select",""],["","","Lidocaine 2% Viscous Soln","","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Oxycodone Hydrochloride","5 MG","","Select","Select",""],["","","Lidocaine","25 MG","","Select","Select",""],["","","Lorazepam","1 MG","","Select","Select",""],["","","Dexamethasone","4 MG","","Select","Select",""],["","","Albuterol Sulfate Hfa","","","Select","Select",""],["","","Olanzapine","5 MG","","Select","Select",""],["","","Methocarbamol","750 MG","","Select","Select",""],["","","24 Hr Desvenlafaxine Succinate","50 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Azelastine Hydrochloride","0.137 MG","","Select","Select",""],["","","Ondansetron","8 MG","","Select","Select",""],["","","Hydrocodone-Acetamin 5-325 Mg","","","Select","Select",""],["","","Nystatin 100000 Unt\/Ml Oral Suspension","","","Select","Select",""],["","","Lidocaine Viscous","","","Select","Select",""],["","","Erythromycin","250 MG","","Select","Select",""],["","","Neomycin Sulfate","","","Select","Select",""],["","","Ibuprofen","600 MG","","Select","Select",""],["","","Ezetimibe","10 MG","","Select","Select",""],["","","Omeprazole","40 MG","","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Assessment of 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":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"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":""}]}]}