{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Karen Ann Baker","gend":1,"currentgend":"","add":"1907 Dug Gap Rd","city":"Dalton","state":"GA","zip":30720,"dob":"1961-06-25","age":"","mstatus":"","insh":"0000322151001","cliId":"","pno":7062633773,"cno":7062633773,"email":"harexprt@gmail.com","ename":"","eno":"","pphy":"Carey Osbourn","ppno":7068762130,"pcpadd":"1500 DUG GAP RD","pcpcity":"DALTON","pcpstate":"GA","pcpzip":30720,"pcpcounty":"","pcpid":"","pcpname":"1500 DUG GAP RD","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"1907 Dug Gap Rd","madd2":"","madd3":"","mcity":"Dalton","mstate":"GA","mzip":30720,"pcpfaxno":"","pcpnpi":1710214374,"currentgendcomment":"","pphycomment":"","uniqueid":224233,"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":["R68.89","Z03.818","R07.0","G44.89","U07.1","N30.01","F51.01","Z01.818","Z79.899","G89.29","M19.071","M19.072","T84.84X","Z98.1","I10","E06.3","F41.1","M71.38","M48.062","G25.81","E83.52","M81.0","I73.00","M54.16","D64.9","Z01.810","Z01.812","E03.8","J01.00","Z80.0","M54.9","F41.9","M19.90","H40.9","E03.9","Z90.49","M47.895","M51.34","Z98.82","E55.9","N28.9","G43.009","T85.848","Z00.00","G43.909","Z12.31","Z76.89","R42","Z79.1","M79.671","M54.2","M47.812","M54.50","M96.1","M79.2","F43.20","M25.551","M54.59","Z98.890","R25.9","T78.49X","S32.591","M79.601","M79.602","M47.816","M43.15","M51.27","M47.817","M43.16","M54.12","M79.604","W19.XXX","R52","I70.0","Z13.6","H40.013","T88.7XX","H25.813","H52.4","E78.2","N30.91","R76.8","M47.26","M79.661","Z12.11","Z12.12","M21.371","M51.362","R79.9","M15.8","M79.10","F32.0","M53.86","S80.811","I95.9","Z63.4","R94.31","M79.672","S32.511","M76.01","R20.2","H10.13","H10.023","J20.8","R05.1","Z11.59","R10.9","R31.9","M71.30","Z96.89","H04.123","I70.223","G57.61","Z01.811","H10.9","R09.89","H92.02","M47.896"],"date":["2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2025-10-07","2025-10-07","2025-12-16","2025-07-09","2026-01-19","2025-05-12","2026-03-16","2025-03-19","2025-11-11","2025-11-11","2025-03-19","2025-03-19","2025-01-28","2026-01-09","2025-07-28","2023-10-23","2025-06-10","2025-10-05","2026-01-19","2025-10-05","2025-12-16","2025-12-16","2024-08-13","2024-08-13","2024-08-13","2025-10-05","2025-10-05","2025-10-05","2025-10-05","2025-10-05","2025-11-11","2025-10-05","2025-10-05","2025-10-05","2024-10-07","2025-07-28","2025-07-28","2025-03-19","2023-03-28","2023-10-23","2023-12-11","2023-10-23","2025-06-24","2025-06-10","2026-03-16","2024-10-24","2024-08-26","2025-11-11","2026-01-19","2026-01-19","2025-10-06","2023-01-31","2025-09-19","2025-11-11","2025-11-11","2025-11-11","2023-02-24","2024-08-19","2024-08-19","2025-11-11","2026-01-09","2025-06-24","2025-06-24","2025-06-24","2024-10-24","2024-10-24","2023-01-31","2023-03-17","2025-11-11","2025-11-12","2023-07-11","2023-07-11","2023-07-11","2023-07-11","2023-09-27","2025-10-04","2023-11-07","2026-01-09","2024-12-09","2025-06-15","2025-06-15","2026-01-09","2026-01-09","2024-05-13","2023-11-07","2023-11-07","2023-11-07","2025-03-19","2024-12-10","2025-06-24","2025-06-24","2025-11-12","2026-03-16","2023-06-19","2023-06-19","2023-06-19","2023-06-29","2023-05-08","2023-06-07","2023-06-07","2023-06-07","2025-10-04","2025-10-04","2024-08-26","2026-01-19","2023-06-29","2024-01-29","2023-01-16","2025-12-16","2023-05-23","2023-05-23","2023-05-23","2025-11-11"],"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":[["","","Diclofenac Sodium","75 MG","","Select","Select",""],["","","Methocarbamol","500 MG","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Levothyroxine Sodium","0.112 MG","","Select","Select",""],["","","Ibuprofen","600 MG","","Select","Select",""],["","","Sertraline","100 MG","","Select","Select",""],["","","Ofloxacin","3 MG","","Select","Select",""],["","","Polymyxin B 10000 Unt\/Ml \/ Trimethoprim","1 MG","","Select","Select",""],["","","Gabapentin","400 MG","","Select","Select",""],["","","Methylprednisolone","4 MG","","Select","Select",""],["","","Pramipexole Dihydrochloride","0.5 MG","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","Hydrochlorothiazide","12.5 MG","","Select","Select",""],["","","Rimegepant","75 MG","","Select","Select",""],["","","1.56 Ml Abaloparatide","2 MG","","Select","Select",""],["","","0.5 Ml Varicella Zoster Virus Glycoprotein E, Recombinant","0.1 MG","","Select","Select",""],["","","Amlodipine","5 MG","","Select","Select",""],["","","Omeprazole","20 MG","","Select","Select",""],["","","Abrysvo Vial With Diluent","","","Select","Select",""],["","","Buspirone Hydrochloride","5 MG","","Select","Select",""],["","","Dextromethorphan Hydrobromide","3 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","5 MG","","Select","Select",""],["","","Hydrocodone\/Acetaminophen","","","Select","Select",""],["","","Clonazepam","0.5 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Trazodone Hydrochloride","50 MG","","Select","Select",""],["","","Diazepam","","","Select","Select",""],["","","Sertraline Hydrochloride","","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Azelastine Hydrochloride","0.5 MG","","Select","Select",""],["","","Albuterol Hfa","90 MCG","","Select","Select",""],["","","0.5 Ml Influenza A Virus A\/Darwin\/6\/2021 H3N2 Antigen","0.09 MG","","Select","Select",""],["","","Amoxicillin","500 MG","","Select","Select",""],["","","Mupirocin","0.02 MG","","Select","Select",""],["","","Hydrocodone-Acetamin 7.5-325","","","Select","Select",""],["","","Ondansetron","4 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":""}]}]}