{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Bobby Beaver","gend":0,"currentgend":"","add":"2282 Loving Rd","city":"Morganton","state":"GA","zip":30560,"dob":"1965-09-12","age":"","mstatus":"","insh":"0004767873001","cliId":"","pno":6788574775,"cno":6788574775,"email":"beaversbo79@gmail.com","ename":"","eno":"","pphy":"Margi Johnson","ppno":7067459417,"pcpadd":"346 DEEP SOUTH FARM RD STE A","pcpcity":"BLAIRSVILLE","pcpstate":"GA","pcpzip":30512,"pcpcounty":"","pcpid":"","pcpname":"346 DEEP SOUTH FARM RD STE A","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"2282 Loving Rd","madd2":"","madd3":"","mcity":"Morganton","mstate":"GA","mzip":30560,"pcpfaxno":7068960877,"pcpnpi":1053612291,"currentgendcomment":"","pphycomment":"","uniqueid":298396,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M50.30","Z79.891","Z51.81","Z00.00","Z12.2","F17.210","M54.2","Z12.11","M51.37","M47.817","I10","E78.2","I77.9","M54.6","M54.12","M79.12","G89.4","Z68.23","R82.998","R76.0","M54.9","M25.50","R07.2","R77.8","I73.9","F17.209","R42","M79.605","R07.89","R00.2","R06.09","F17.200","M25.552","G89.29","M25.512","M25.511","M54.16","R06.02","I25.110","R20.0","R20.2","Z68.25","M62.89","R29.898","M62.81","R26.89","R29.3","R26.81","Z68.24","Z00.01","I11.9","F41.9","I25.10","R82.90","G56.03","M79.18","M47.892","M43.16","F41.1","R76.8","Z76.89","Z68.26","Z79.899","M46.22","M54.51","Z12.5","Z87.891","S19.9XX","S09.90X","S29.9XX","M54.17","M51.14","M47.24","M79.10","F17.219","M79.604","M48.02","M50.21","M51.16","M51.17","M47.26","F40.240","M50.322","M47.812","M43.12","M47.814","R10.9","K21.9","R03.0","W19.XXX","M50.13","S12.500","M50.323"],"date":["2026-03-04","2026-03-04","2026-03-04","2025-02-18","2025-01-16","2026-02-13","2025-07-30","2025-02-10","2024-07-12","2024-07-12","2025-09-16","2026-02-13","2026-02-13","2025-06-16","2026-02-13","2025-06-16","2026-03-04","2025-07-24","2025-02-18","2024-07-24","2026-02-13","2024-07-24","2023-05-16","2023-05-16","2026-02-13","2023-05-16","2023-11-03","2024-07-31","2025-09-16","2025-09-16","2024-09-10","2025-09-16","2024-08-15","2024-07-12","2025-01-16","2025-01-16","2025-07-30","2025-09-16","2025-09-16","2025-06-11","2025-05-27","2024-02-20","2025-06-11","2025-06-11","2025-06-11","2025-06-11","2025-06-11","2025-06-11","2024-07-25","2026-02-13","2026-02-13","2026-02-13","2026-02-13","2026-02-13","2025-07-30","2025-03-10","2025-05-07","2025-05-27","2024-03-11","2024-07-12","2024-01-09","2024-01-09","2023-05-18","2025-05-07","2026-03-04","2025-02-18","2025-02-13","2025-01-16","2025-01-16","2025-01-16","2025-02-24","2025-04-17","2025-04-17","2025-02-24","2024-01-09","2024-01-09","2024-08-29","2024-08-29","2024-08-29","2024-08-29","2024-08-29","2023-08-30","2025-05-27","2025-05-27","2025-05-27","2024-07-12","2023-09-26","2023-03-16","2023-10-03","2025-01-16","2025-04-17","2025-01-16","2024-07-12"],"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":[["","","Carvedilol","25 MG","","Select","Select",""],["","","Nitroglycerin","0.4 MG","","Select","Select",""],["","","Aspirin","81 MG","","Select","Select",""],["","","Lisinopril","40 MG","","Select","Select",""],["","","Hydrochlorothiazide","12.5 MG","","Select","Select",""],["","","Amlodipine","5 MG","","Select","Select",""],["","","Escitalopram","20 MG","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Diazepam","5 MG","","Select","Select",""],["","","Naproxen","500 MG","","Select","Select",""],["","","Methocarbamol","750 MG","","Select","Select",""],["","","Meloxicam","7.5 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","10 MG","","Select","Select",""],["","","Tramadol Hydrochloride","50 MG","","Select","Select",""],["","","Pregabalin","100 MG","","Select","Select",""],["","","Diclofenac Sodium","50 MG","","Select","Select",""],["","","Ezetimibe","10 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":""}]}]}