{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Arthur Gregg Singer","gend":0,"currentgend":"","add":"200 Blue Jay Rd","city":"Clarkesville","state":"GA","zip":30523,"dob":"1970-11-15","age":"","mstatus":"","insh":"0003688916001","cliId":"","pno":7064990410,"cno":7069688741,"email":"jeresinger@gmail.com","ename":"","eno":"","pphy":"Evan Hiner","ppno":7705342020,"pcpadd":"1400 RIVER PL","pcpcity":"BRASELTON","pcpstate":"GA","pcpzip":30517,"pcpcounty":"","pcpid":"","pcpname":"1400 RIVER PL","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"200 Blue Jay Rd","madd2":"","madd3":"","mcity":"Clarkesville","mstate":"GA","mzip":30523,"pcpfaxno":"","pcpnpi":1821400441,"currentgendcomment":"","pphycomment":"","uniqueid":296080,"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":["G47.33","I50.33","J96.01","I27.20","N17.9","B95.2","I16.0","I13.0","E66.01","I35.1","I71.21","N18.9","I42.8","D62","J98.11","I48.0","D35.01","E78.5","G47.30","Z79.01","Z79.2","Z79.899","Z79.82","Z96.653","M62.82","I36.1","I38","I50.43","R78.81","I27.22","A08.11","I45.2","Z86.73","E87.5","Z87.01","Z95.2","M10.9","I25.10","R55","A41.9","E27.8","K42.9","Z45.2","J81.1","Z13.6","I35.0","R11.2","R19.7","Z87.891","I33.0","I50.32","Z82.49","I50.9","R09.02","E66.812","I27.21","Z98.890","I49.9","R79.89","I48.21","R41.0","R53.1","R09.89","Z48.812","J90","E87.6","R74.8","Z96.652","M25.462","I45.10","Z95.3","Z86.79","M25.562","M25.561","R53.83","I10","E78.2","Z68.38","M76.31","M76.32","Z01.818","R50.9","I48.11","I49.8","I49.3","I42.1","Z68.31","I33.9","R03.1","I26.99","Z68.30","I11.0","R06.02","I48.91","I50.1","I34.0","I51.9","R42","I50.811","R50.81","I48.19","J18.9","Z95.4","Z45.018","Z09","R73.01","R07.9","A49.1","Z96.651","T82.03X","I44.4","M1A.9XX","E55.9","E66.3","N18.2","D84.9","I65.23","I37.1","Z00.00","J81.0","Z95.818","Z68.29","R06.83","R06.00","E53.9","E87.70","Z48.815","I35.8","Z68.33","Z68.35","I49.1","I28.8","Z95.0","M62.81","I50.22","I42.9","B99.9","Z91.89","D84.81","I35.9","G45.9","J16.8","I44.2","I25.84","R93.1","Z68.32"],"date":["2026-03-17","2025-10-09","2025-10-06","2025-10-09","2025-10-06","2025-11-19","2025-10-06","2026-03-05","2025-10-06","2026-03-05","2025-10-06","2025-10-27","2025-10-06","2025-10-06","2025-10-06","2026-03-12","2025-10-06","2025-10-27","2025-10-06","2025-12-10","2025-10-06","2025-10-06","2025-10-27","2025-10-06","2025-10-24","2025-10-03","2025-10-09","2025-06-29","2025-11-19","2025-07-03","2025-07-03","2025-06-30","2025-06-29","2025-06-29","2025-06-29","2026-01-29","2025-06-29","2025-10-24","2025-07-04","2025-07-04","2025-07-04","2025-07-04","2025-10-06","2025-10-06","2025-07-04","2025-07-04","2025-06-01","2025-07-03","2025-06-15","2025-10-27","2026-03-05","2025-10-27","2025-06-17","2025-06-15","2025-11-20","2025-06-15","2026-03-05","2025-12-10","2025-06-27","2025-06-27","2025-06-27","2025-06-27","2025-10-06","2025-10-06","2025-10-06","2025-07-18","2025-10-29","2026-02-10","2025-05-13","2025-12-10","2025-12-10","2026-03-05","2026-02-10","2026-02-10","2026-03-17","2025-06-14","2025-11-20","2025-05-23","2025-05-02","2025-05-02","2025-09-03","2025-07-01","2026-03-12","2026-03-12","2025-12-10","2025-12-04","2025-12-04","2025-10-24","2025-05-08","2025-11-20","2025-11-20","2025-10-04","2025-10-26","2025-11-17","2025-12-08","2025-10-03","2025-10-03","2025-06-29","2025-06-29","2025-06-29","2025-07-01","2025-06-11","2025-07-31","2026-03-12","2025-06-17","2025-06-17","2025-12-10","2025-10-06","2025-11-19","2025-07-03","2025-07-03","2026-03-16","2026-03-16","2026-03-16","2025-09-02","2025-09-02","2025-07-02","2025-08-26","2026-03-16","2025-12-10","2025-12-10","2026-03-12","2026-03-11","2025-06-11","2026-03-16","2025-10-05","2025-10-04","2025-10-23","2025-10-23","2025-06-17","2025-12-08","2025-06-27","2026-02-20","2025-07-01","2025-10-05","2025-10-05","2025-08-07","2025-08-07","2025-08-07","2025-07-03","2025-06-27","2025-06-01","2025-12-10","2025-07-01","2025-07-01","2025-10-09"],"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":[["","","Eliquis","","","Select","Select",""],["","","Metoprolol Tartrate","25 MG","","Select","Select",""],["","","Dicyclomine Hydrochloride","20 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Benzonatate","100 MG","","Select","Select",""],["","","Potassium Chloride","10 MEQ","","Select","Select",""],["","","Acetaminophen","300 MG","","Select","Select",""],["","","Losartan Potassium","25 MG","","Select","Select",""],["","","Spironolactone","25 MG","","Select","Select",""],["","","Torsemide","20 MG","","Select","Select",""],["","","Rifampin","300 MG","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Linezolid","600 MG","","Select","Select",""],["","","Lisinopril","2.5 MG","","Select","Select",""],["","","Tramadol Hydrochloride","50 MG","","Select","Select",""],["","","Jardiance","","","Select","Select",""],["","","Potassium Chloride Er","","","Select","Select",""],["","","Rosuvastatin Calcium","10 MG","","Select","Select",""],["","","Allopurinol","300 MG","","Select","Select",""],["","","Loperamide Hydrochloride","2 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Albuterol Sulfate Hfa","","","Select","Select",""],["","","Furosemide","","","Select","Select",""],["","","Mupirocin","0.02 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":""}]}]}