{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Derrick Wade Mccarty","gend":0,"currentgend":"","add":"32 King Bird Dr","city":"Cleveland","state":"GA","zip":30528,"dob":"1976-09-14","age":"","mstatus":"","insh":"0001026327001","cliId":"","pno":7062017461,"cno":"","email":"derrickmccarty16@gmail.com","ename":"","eno":"","pphy":"Merin Varghese","ppno":7702197939,"pcpadd":"743 SPRING ST NE","pcpcity":"GAINESVILLE","pcpstate":"GA","pcpzip":305013715,"pcpcounty":"","pcpid":"","pcpname":"743 SPRING ST NE","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"32 King Bird Dr","madd2":"","madd3":"","mcity":"Cleveland","mstate":"GA","mzip":30528,"pcpfaxno":"","pcpnpi":1336584929,"currentgendcomment":"","pphycomment":"","uniqueid":410402,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I13.10","N18.4","E11.42","E78.5","Z13.31","Z76.89","Z68.32","L02.31","F32.5","E66.9","Z45.2","D68.8","Z99.2","N25.81","D50.9","E83.39","D63.1","Z11.1","I12.0","N18.6","E11.22","Z79.4","E87.5","E87.20","G47.00","I10","N17.9","I12.9","I34.0","F33.1","H54.8","F51.01","E66.811","B96.89","R80.9","E55.9","R69","T82.590","Z79.899","N28.9","E86.0","R50.9","D72.829","D64.9","R07.9","N18.9","R78.81","T82.41X","E87.21","L03.317","K61.0","E11.319","E11.40","Z68.33","E86.9","F17.220","N28.1","B95.5","T82.898","T82.49X","I05.9","B95.62","Z68.31","I33.0","N20.0","I15.9","R06.00","R07.89","R65.10","E11.69","Z99.89","H54.7","N18.5","Z01.818","B95.4","Z12.11","Z12.12","Q24.8","E83.30","E11.8","A49.1","Z68.30","N32.89","C49.22","E21.1","Z91.89","B99.9","D84.81","R60.0","E88.01"],"date":["2025-04-29","2025-09-30","2026-01-13","2026-01-13","2025-03-17","2024-06-11","2025-10-21","2024-06-11","2024-06-11","2025-09-19","2026-02-27","2026-02-27","2026-02-28","2026-02-27","2026-02-06","2026-02-27","2026-01-16","2026-01-16","2026-01-05","2026-02-28","2026-01-13","2026-01-05","2026-01-05","2026-01-05","2026-01-05","2025-12-26","2025-12-09","2024-05-31","2026-01-13","2026-01-13","2026-01-13","2026-01-13","2026-01-13","2024-06-21","2025-09-30","2025-09-30","2024-05-23","2025-11-20","2025-10-24","2024-05-23","2024-05-23","2024-05-23","2024-05-23","2024-05-23","2024-05-23","2025-12-09","2025-12-18","2025-12-12","2024-05-31","2024-05-28","2024-05-28","2024-05-25","2024-05-25","2025-05-22","2024-05-25","2025-12-29","2024-05-26","2024-05-25","2025-12-29","2026-01-05","2025-12-18","2025-12-18","2026-02-26","2024-05-28","2025-09-30","2025-08-04","2025-10-23","2024-05-23","2024-05-31","2025-09-19","2025-09-19","2025-09-19","2025-10-10","2025-07-07","2024-05-28","2025-06-20","2025-06-20","2025-07-07","2024-05-31","2024-05-28","2024-05-29","2026-01-13","2024-05-28","2024-05-28","2025-10-24","2024-07-15","2024-06-21","2024-06-21","2024-05-25","2024-05-30"],"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":[["","","Gabapentin","300 MG","","Select","Select",""],["","","Clonidine Hcl","0.1 MG","","Select","Select",""],["","","24 Hr Metoprolol Succinate","100 MG","","Select","Select",""],["","","Amlodipine","10 MG","","Select","Select",""],["","","Lisinopril","40 MG","","Select","Select",""],["","","Atorvastatin","40 MG","","Select","Select",""],["","","Clonidine Hydrochloride","0.1 MG","","Select","Select",""],["","","Atorvastatin Calcium","","","Select","Select",""],["","","Trazodone Hydrochloride","50 MG","","Select","Select",""],["","","Dexcom G7 Sensor","","","Select","Select",""],["","","Calcium Acetate","667 MG","","Select","Select",""],["","","Tramadol Hydrochloride","50 MG","","Select","Select",""],["","","Hydralazine Hydrochloride","50 MG","","Select","Select",""],["","","Ergocalciferol","1.25 MG","","Select","Select",""],["","","Tenapanor","30 MG","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","Sevelamer Carbonate","800 MG","","Select","Select",""],["","","Dexcom G7 Receiver","","","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":""}]}]}