{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Kimberly R Berry","gend":1,"currentgend":"","add":"50 White St Apt 16","city":"Cleveland","state":"GA","zip":30528,"dob":"1966-04-17","age":"","mstatus":"","insh":"0000463252001","cliId":"","pno":7068093004,"cno":7068093004,"email":"Krberry1966@gmail.com","ename":"","eno":"","pphy":"Sonali Ganguly","ppno":7702074620,"pcpadd":"1120 PEACHTREE INDUSTRIAL BLVD","pcpcity":"SUWANEE","pcpstate":"GA","pcpzip":300242013,"pcpcounty":"","pcpid":"","pcpname":"1120 PEACHTREE INDUSTRIAL BLVD","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"50 White St Apt 16","madd2":"","madd3":"","mcity":"Cleveland","mstate":"GA","mzip":30528,"pcpfaxno":6782074619,"pcpnpi":1215666862,"currentgendcomment":"","pphycomment":"","uniqueid":217500,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J40","J20.8","R05.9","R06.2","N18.2","I10","E55.9","Z00.00","I87.2","I82.412","I82.401","Z68.43","M25.50","R76.8","Z13.31","E66.813","E66.01","R79.89","Z83.49","Z80.8","D22.5","D22.62","D22.61","D22.71","D22.72","L82.1","L81.4","L73.8","L57.0","R60.0","L81.8","L57.3","R19.7","M77.41","M17.12","R07.9","E27.8","U07.1","R05.1","Z20.822","R07.89","M54.50","M79.89","H35.363","H25.13","H52.03","H40.013","R74.8","K76.0","R77.8","J01.90","I73.9","Z13.89","J10.1","G47.33","Z76.89","R68.2","R16.1","N13.30","M54.9","Z68.41","Z00.01","Z96.651","Z86.718","I47.10","K90.0","K58.9","Z12.31","M25.562","H81.10","N13.39","N20.0","M13.861","J06.9","R60.9","M79.604","R94.5","E61.1","R79.82","R70.0","K29.30","I12.9","N18.9","K21.9","G47.30","K76.9","Z87.2","Z71.89","I89.0","Z68.42","R00.2","Z82.49","R10.84","M19.071","E46","J98.11","R00.0","Z23","Z99.89","J20.9","F41.9","K58.0","R15.9","R03.0","M79.642","M79.641","D12.2","K62.1","D12.4","K57.30","K64.2","R19.4","Z85.828","J30.9","M25.362","Z12.4","Z01.419","K29.70","N13.2","K92.1","S76.311","S76.111","M25.561","K63.5","K64.8","R30.0","R10.9","R13.10","R76.0","K22.2","L30.4","S00.31X","D48.5","K20.80","R19.8","I73.89","Z12.11","R19.5","M17.11","K29.50","D18.01","I36.1"],"date":["2023-04-03","2023-04-03","2023-04-03","2023-04-03","2025-08-20","2025-10-15","2025-08-05","2026-03-02","2026-01-06","2025-03-24","2025-03-24","2025-05-06","2025-04-16","2025-09-17","2025-04-16","2025-04-16","2026-03-03","2024-11-05","2024-11-05","2024-11-05","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2025-09-30","2025-09-30","2025-09-30","2024-09-24","2025-09-30","2025-09-30","2025-09-30","2025-06-18","2024-11-06","2026-01-14","2025-05-06","2024-09-11","2025-05-06","2025-05-06","2025-05-06","2025-05-06","2025-07-29","2026-01-06","2025-07-02","2025-07-02","2025-07-02","2025-07-02","2023-09-11","2025-02-19","2025-03-12","2024-03-20","2025-03-12","2023-09-18","2023-01-30","2025-12-06","2025-04-01","2025-04-01","2023-07-13","2025-04-04","2023-07-13","2025-12-03","2023-03-03","2025-10-01","2025-03-29","2025-10-15","2025-03-12","2025-03-12","2026-03-02","2025-11-26","2025-08-11","2025-02-19","2025-03-17","2025-02-19","2023-03-31","2025-12-03","2025-03-29","2023-09-12","2023-09-12","2026-01-14","2026-01-14","2023-09-26","2023-09-26","2023-09-26","2025-08-20","2023-09-26","2023-09-26","2025-09-30","2025-09-30","2026-03-10","2026-01-06","2023-11-27","2025-02-26","2023-04-26","2025-07-01","2023-09-20","2023-09-28","2023-10-17","2024-09-11","2023-09-18","2023-04-03","2023-10-18","2024-12-11","2024-12-11","2024-12-11","2026-01-14","2025-05-01","2024-07-29","2024-07-29","2024-07-29","2025-06-18","2024-07-29","2024-07-29","2024-09-11","2024-09-11","2025-10-01","2023-04-14","2023-04-14","2024-10-30","2024-01-29","2024-09-18","2025-10-01","2025-10-01","2025-03-29","2024-07-29","2024-07-29","2025-07-29","2023-07-05","2024-06-12","2026-01-14","2023-09-26","2023-09-14","2023-09-14","2023-09-14","2023-09-26","2023-07-05","2023-07-27","2026-03-02","2025-04-23","2024-01-31","2023-09-26","2023-05-04","2023-12-20"],"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":[["","","Celecoxib","200 MG","","Select","Select",""],["","","Ibuprofen","800 MG","","Select","Select",""],["","","Oseltamivir","75 MG","","Select","Select",""],["","","Benzonatate","100 MG","","Select","Select",""],["","","Albuterol Hfa","90 MCG","","Select","Select",""],["","","Albuterol Sul","2.5 MG","","Select","Select",""],["","","Dicyclomine","10 MG","","Select","Select",""],["","","Famotidine","40 MG","","Select","Select",""],["","","Methocarbamol","500 MG","","Select","Select",""],["","","Amitriptyline Hydrochloride","50 MG","","Select","Select",""],["","","Dexamethasone","1 MG","","Select","Select",""],["","","Amoxicillin","500 MG","","Select","Select",""],["","","Omeprazole Dr","40 MG","","Select","Select",""],["","","Paxlovid 300-100 Mg Pack (Eua)","","","Select","Select",""],["","","Mupirocin","0.02 MG","","Select","Select",""],["","","Clindamycin","150 MG","","Select","Select",""],["","","24 Hr Metoprolol Succinate","25 MG","","Select","Select",""],["","","Fluticasone Prop","50 MCG","","Select","Select",""],["","","Alprazolam","1 MG","","Select","Select",""],["","","Clonidine Hydrochloride","0.1 MG","","Select","Select",""],["","","Eliquis","5 MG","","Select","Select",""],["","","Pantoprazole","40 MG","","Select","Select",""],["","","Magnesium Sulfate","225 MG","","Select","Select",""],["","","Colestipol Hydrochloride","1000 MG","","Select","Select",""],["","","Rifaximin","550 MG","","Select","Select",""],["","","Diclofenac Sodium","75 MG","","Select","Select",""],["","","Losartan Potassium","25 MG","","Select","Select",""],["","","Esomeprazole","40 MG","","Select","Select",""],["","","Potassium Citrate","10 MEQ","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Cholestyramine Resin","4000 MG","","Select","Select",""],["","","Dextromethorphan Hydrobromide","3 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Prednisone","","","Select","Select",""],["","","Ciprofloxacin","500 MG","","Select","Select",""],["","","Hydrocodone Bitartrate\/Acetaminophen","","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Hydrocodone-Acetamin 5-325 Mg","","","Select","Select",""],["","","Tramadol Hydrochloride","50 MG","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Lagevrio","","","Select","Select",""],["","","Levalbuterol","0.417 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":""}]}]}