{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Melessia Roberts","gend":1,"currentgend":"","add":"4242 Lawton Dr","city":"Gainesville","state":"GA","zip":30506,"dob":"1969-06-20","age":57,"mstatus":"","insh":"0004517354002","cliId":"","pno":"7706544090","cno":"","email":"rickeyroberts7@gmail.com","ename":"","eno":"","pphy":"Sheree Swaby","ppno":7702199000,"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":"4242 Lawton Dr","madd2":"","madd3":"","mcity":"Gainesville","mstate":"GA","mzip":30506,"pcpfaxno":"","pcpnpi":1588075758,"currentgendcomment":"","pphycomment":"","uniqueid":258811,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E87.29","E11.65","G35","E66.9","I10","K31.84","E86.0","E78.5","Z96.643","R79.89","T40.605","T73.0XX","Z86.718","Z79.01","Z79.891","Z86.73","Z11.52","Z68.32","Z79.02","Z79.84","U07.1","E87.20","I82.512","E83.39","E11.43","Z95.820","E87.1","Z79.4","R00.1","G89.29","Z88.1","Z88.2","Z88.8","E87.6","R00.0","K31.7","E53.8","E55.9","I82.532","E78.2","E11.9","K21.9","Z79.899","R27.9","F33.9","T38.0X5","Z68.37","Z87.01","Z87.440","Z87.828","Z90.710","Z91.018","Z91.09","Z79.82","Z96.641","R29.898","R26.89","M62.81","M62.89","Z96.649","M87.051","M87.052","M87.9","Z96.642","E66.01","E11.51","Z95.828","Z68.42","K59.09","T40.2X5","T42.8X5","T42.4X5","I95.9","Z86.16","K44.9","K83.8","K29.60","R25.2","M79.2","E83.42","E78.49","K58.9","F41.9","F32.A","Z68.34","L03.116","T81.89X","L98.491","M16.11","D62","E87.5","R11.2","E11.69","R51.9","M79.605","I82.402","G60.9","Z51.81","M62.830","M46.1","M47.817","M54.17","R65.10","M54.16","M51.17","M51.36","M54.51","M47.896","M53.3","S33.6XX","M47.898","M25.552","M79.661","M79.662","G89.4","M47.816","J21.0","R42","I82.5Y9","R19.7","J90","K76.0","Z01.818","G47.00","R52","Z98.890","R00.2","G45.9","Z91.89","D64.9","F11.20","K63.89","M87.852","F19.20","T18.2XX","K31.89","R26.2","R53.1","R10.9","Z47.1","M87.050","Z68.36","G89.18","R10.32","Z20.822","S39.93X","M79.604","R11.0","J20.5","I82.432","T14.90X","M16.12","R73.09","R13.10","J11.1","D51.9","M16.52","M25.652","R10.2","G37.9","R07.9","J98.6","R63.8","R06.09","Z98.1","M79.89","M79.609","M17.12","K29.50","R60.0","M51.360","M79.18","R93.3","J98.11","R10.13","E11.8","E83.30","M87.851","G35.A","M51.16","M47.27","I49.9","I45.81","M54.50","M47.26","G35.D","Z76.89","I82.409"],"date":["2025-03-28","2026-01-14","2025-09-29","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-04-25","2025-03-28","2026-02-23","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-03-28","2025-02-05","2025-03-24","2025-02-05","2025-02-05","2025-02-05","2025-02-05","2025-02-05","2025-02-05","2025-02-05","2025-02-05","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-20","2025-02-05","2025-02-05","2025-11-12","2025-05-06","2023-09-19","2025-03-10","2026-01-14","2025-12-31","2023-03-15","2023-02-21","2023-02-21","2023-10-06","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-10-06","2024-02-21","2025-02-02","2024-02-21","2024-02-21","2024-02-21","2024-02-21","2024-02-21","2024-02-21","2024-02-21","2024-02-27","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-03-16","2025-01-29","2024-12-26","2025-11-12","2023-03-10","2023-03-10","2023-03-11","2023-10-24","2023-03-10","2023-03-10","2024-09-13","2024-09-13","2024-09-13","2023-07-12","2023-10-06","2023-10-06","2025-03-28","2025-03-28","2025-01-27","2025-02-04","2025-05-06","2023-02-28","2026-02-23","2023-02-28","2025-10-28","2025-07-25","2023-02-28","2025-03-24","2025-12-31","2024-10-21","2024-08-26","2024-10-21","2024-10-21","2024-10-21","2024-10-21","2024-10-21","2024-02-09","2024-02-09","2024-02-09","2025-10-28","2026-02-23","2026-01-14","2024-12-06","2025-03-10","2025-03-16","2025-02-01","2025-03-21","2023-09-29","2023-07-07","2025-01-31","2023-07-07","2023-10-05","2023-09-29","2023-09-29","2023-10-04","2023-09-29","2025-03-10","2023-04-19","2023-04-19","2025-01-29","2025-01-29","2023-07-20","2026-01-12","2025-03-07","2024-02-27","2023-05-01","2023-02-16","2023-05-18","2023-03-10","2023-03-10","2024-02-09","2025-02-04","2026-01-14","2026-01-14","2024-06-20","2025-01-27","2023-10-07","2024-09-17","2025-02-01","2025-03-07","2025-02-02","2023-05-01","2023-05-01","2023-05-01","2023-02-22","2025-03-21","2025-03-20","2023-02-22","2023-02-22","2023-10-04","2023-09-15","2025-01-30","2023-02-27","2025-01-29","2024-06-20","2024-10-21","2024-10-21","2025-03-07","2025-03-21","2025-02-03","2023-09-16","2025-01-29","2023-06-29","2025-11-12","2024-05-10","2024-05-10","2025-01-27","2025-02-04","2025-11-21","2025-11-21","2025-11-21","2025-04-25","2025-03-09"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","",""],"comment":["","","","","","","","","","","","",""],"sub":[]}}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","",""],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"arr":[],"comment":[]},{"a":{"indx":["","",""],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":["","",""],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false,false],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[["","",""],["","",""],["","",""],["","",""],["","",""],["","",""]]}]},{"t":"Medical History","q":[{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"index":-1,"comment":"","sub":[]},{"a":[{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","",""],"comment":["","","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","","",""],"comment":["","","","","","",""],"sub":[]}}]},{"t":"Family History","q":[{"index":-1,"comment":"","sub":[]}]},{"t":"Preventive Care","q":[{"a":[["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],{"comment":""}]},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"comment":"","sub":[["","","Mupirocin 2% Ointment","","","Select","Select",""],["","","Diazepam","5 MG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Carisoprodol","350 MG","","Select","Select",""],["","","Esomeprazole","40 MG","","Select","Select",""],["","","Amitriptyline Hydrochloride","75 MG","","Select","Select",""],["","","Zolpidem Tartrate","10 MG","","Select","Select",""],["","","Promethazine Hydrochloride","25 MG","","Select","Select",""],["","","Tizanidine","4 MG","","Select","Select",""],["","","Gabapentin","800 MG","","Select","Select",""],["","","Duloxetine","60 MG","","Select","Select",""],["","","Oxycodone Hydrochloride","20 MG","","Select","Select",""],["","","Naloxone Hcl","4 MG","","Select","Select",""],["","","Dicyclomine","10 MG","","Select","Select",""],["","","Diroximel Fumarate","231 MG","","Select","Select",""],["","","Oxycodone Hcl Ir","20 MG","","Select","Select",""],["","","Clopidogrel","75 MG","","Select","Select",""],["","","Hydromorphone","2 MG","","Select","Select",""],["","","Tramadol Hcl","50 MG","","Select","Select",""],["","","Hydromorphone Hydrochloride","4 MG","","Select","Select",""],["","","Sulfamethoxazole","800 MG","","Select","Select",""],["","","Methocarbamol","750 MG","","Select","Select",""],["","","Dicyclomine Hydrochloride","","","Select","Select",""],["","","Eliquis","","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Loperamide Hydrochloride","2 MG","","Select","Select",""],["","","72 Hr Scopolamine","0.0139 MG","","Select","Select",""],["","","Sucralfate","","","Select","Select",""],["","","Glipizide","5 MG","","Select","Select",""],["","","Erythromycin Ethylsuccinate","80 MG","","Select","Select",""],["","","Buprenorphine","0.3 MG","","Select","Select",""],["","","Onetouch Delica Plus Lancets Fine","30 G","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Hydrocodone-Acetamin 5-325 Mg","","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Oxycodone-Acetaminophen 10-325","","","Select","Select",""],["","","Mupirocin","0.02 MG","","Select","Select",""],["","","Cvs Purelax Powder Packet","","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Zolpidem Tart Er","12.5 MG","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Baclofen","20 MG","","Select","Select",""],["","","Fluconazole","150 MG","","Select","Select",""],["","","Gentamicin","1 MG","","Select","Select",""],["","","24 Hr Glipizide","5 MG","","Select","Select",""],["","","Erythromycin","","","Select","Select",""],["","","Onetouch Verio Test Strips","","","Select","Select",""],["","","Oxycodone-Acetaminophn 7.5-325","","","Select","Select",""],["","","Atorvastatin","20 MG","","Select","Select",""],["","","Omeprazole","40 MG","","Select","Select",""],["","","Prednisone","20 MG","","Select","Select",""],["","","Linzess","290 MCG","","Select","Select",""],["","","Metformin Hydrochloride","850 MG","","Select","Select",""],["","","Onetouch Delica Plus","30 G","","Select","Select",""]]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}}]},{"t":"Assessment of Diagnoses","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false,false],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false],"comment":["","","","","","","",""],"score":["","","","","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}],"phq":[{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","","","",""],"comment":["","","","","","",""]},{"indx":["","","","","",false],"comment":[""]}]}]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Pain","q":[{"a":{"indx":["",""],"comment":["",""],"sub":[[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]]}}]},{"t":"Vital Signs","q":[{"a":["","","","","","","",false,false,false]},{"a":["","","","",{"txt":""},{"malnutrition":{"indx":["","","","","","",""],"sub":{"indx":[],"comment":[],"sub":[]}}}]},{"a":{"indx":["","","","","","","","","","","",""],"comment":["","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"arr":[],"comment":[]},{"arr":[],"comment":[]},{"a":{"indx":["","","","","","","","",""],"comment":["","","","","","","","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Exam Review","q":[{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":[""],"comment":[""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"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":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}}]},{"t":"Mini-Cog","q":[{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":{"data":["","1","","","","0"],"indx":[false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false],"version":[false,false,false,false,false,false]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Home Safety & Personal Goals","q":[{"a":{"indx":["","","","",""],"comment":["","","","",""],"score":[0,0,0,0]}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":[""]},{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":[""]},{"arr":[],"comment":[]},{"a":{"indx":["","","","","","","","","","",""],"comment":["","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"2026-07-13T13:30","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"","a12":"","a13":"","a15":[],"a14":"","a16":"","a18":"","a20":"","a21":""}]}]}