{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Denise Stecovich","gend":1,"currentgend":"","add":"4515 Havenwood Pl","city":"Gainesville","state":"GA","zip":30504,"dob":"1971-02-14","age":"","mstatus":"","insh":"0004866242001","cliId":"","pno":6782153104,"cno":6782153104,"email":"dstecovich@gmail.com","ename":"","eno":"","pphy":"Brent Flickinger","ppno":7705313711,"pcpadd":"700 S ENOTA DR NE","pcpcity":"GAINESVILLE","pcpstate":"GA","pcpzip":30501,"pcpcounty":"","pcpid":"","pcpname":"700 S ENOTA DR NE","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"4515 Havenwood Pl","madd2":"","madd3":"","mcity":"Gainesville","mstate":"GA","mzip":30504,"pcpfaxno":7705313718,"pcpnpi":1902914872,"currentgendcomment":"","pphycomment":"","uniqueid":367563,"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","G89.4","Z79.891","N20.1","N13.6","N17.9","E11.9","E03.9","I10","B96.20","Z87.442","Z79.899","Z79.890","Z71.89","F41.8","M06.89","Z79.52","M79.7","E66.01","Z00.00","Z68.41","M45.9","M25.50","Z01.89","F11.20","M54.17","F41.9","N13.2","E53.8","R50.9","R39.15","M54.50","M06.9","M19.90","R06.02","M06.09","G47.00","E03.0","Z13.0","Z13.6","Z13.1","Z13.29","Z11.4","Z12.4","M96.1","Z68.32","Z78.0","Z68.35","Z51.81","Z71.51","M54.9","M15.9","N20.0","Z68.27","D72.829","R78.81","N12","R11.0","E66.813","F11.29","A41.9","R00.0","E78.2","Z68.37","Z12.31","M79.89","F32.A","Z68.29","Z68.28","N39.0","Z12.11","Z68.36","K76.0","N13.5","Z09","Z68.30","E66.811","J02.9","Z68.26","N30.01","N20.2","L70.0","N28.1","L70.8","D23.71","D23.72","L73.8","S60.011","L91.8"],"date":["2026-02-22","2026-02-04","2026-02-04","2023-08-14","2023-07-28","2023-07-31","2026-01-29","2025-09-18","2026-03-16","2023-07-31","2023-07-28","2026-02-16","2023-07-28","2026-02-04","2026-02-04","2026-02-16","2026-02-16","2026-02-16","2025-03-24","2025-09-18","2026-01-29","2023-01-09","2023-01-09","2023-01-09","2023-03-09","2024-08-23","2023-03-09","2023-08-03","2026-03-16","2023-08-03","2023-08-03","2023-08-03","2023-08-03","2023-08-03","2023-07-29","2026-03-16","2024-08-01","2026-01-29","2025-09-18","2025-09-18","2025-09-18","2025-09-18","2024-08-01","2024-08-01","2025-11-01","2023-06-26","2023-03-01","2023-03-01","2026-02-04","2024-08-23","2023-01-31","2023-01-31","2023-11-30","2026-01-29","2023-07-31","2023-07-31","2023-07-31","2024-12-26","2026-01-29","2026-03-16","2023-07-28","2023-07-28","2026-01-29","2023-01-05","2026-03-16","2025-09-18","2026-03-16","2025-06-25","2024-07-22","2023-08-08","2023-01-25","2023-01-25","2023-07-28","2023-08-09","2023-08-09","2024-12-26","2024-12-26","2026-03-16","2026-03-16","2023-08-08","2023-01-05","2024-10-31","2023-08-03","2026-03-18","2024-10-31","2024-10-31","2024-10-31","2024-10-31","2024-10-31"],"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":[["","","Losartan Potassium","50 MG","","Select","Select",""],["","","Oxycodone\/Acetaminophen","","","Select","Select",""],["","","Mounjaro","15 MG","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Hydroxychloroquine Sulfate","200 MG","","Select","Select",""],["","","24 Hr Bupropion Hydrochloride","300 MG","","Select","Select",""],["","","Duloxetine","30 MG","","Select","Select",""],["","","Eszopiclone","1 MG","","Select","Select",""],["","","Clindamycin","10 MG","","Select","Select",""],["","","Labetalol Hydrochloride","300 MG","","Select","Select",""],["","","4 Ml Golimumab","12.5 MG","","Select","Select",""],["","","Oxycodone-Acetaminophen 10-325","","","Select","Select",""],["","","Prednisone","1 MG","","Select","Select",""],["","","Zolpidem Tartrate","10 MG","","Select","Select",""],["","","Metformin Hydrochloride","500 MG","","Select","Select",""],["","","Levothyroxine Sodium","0.112 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Ciprofloxacin","500 MG","","Select","Select",""],["","","Promethazine Hydrochloride","12.5 MG","","Select","Select",""],["","","Ketorolac Tromethamine","10 MG","","Select","Select",""],["","","Tamsulosin Hydrochloride","0.4 MG","","Select","Select",""],["","","Minocycline","100 MG","","Select","Select",""],["","","Tretinoin","","","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":""}]}]}