{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"David B Kesler","gend":0,"currentgend":"","add":"107 Hollyhurst Farm Rd","city":"Clarkesville","state":"GA","zip":30523,"dob":"1961-05-17","age":"","mstatus":"","insh":"0005112952001","cliId":"","pno":7069683816,"cno":"","email":"bckesler100@gmail.com","ename":"","eno":"","pphy":"Narendra Logendra","ppno":6787142070,"pcpadd":"541 HISTORIC HWY 441","pcpcity":"DEMOREST","pcpstate":"GA","pcpzip":30535,"pcpcounty":"","pcpid":"","pcpname":"541 HISTORIC HWY 441","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"107 Hollyhurst Farm Rd","madd2":"","madd3":"","mcity":"Clarkesville","mstate":"GA","mzip":30523,"pcpfaxno":6786581957,"pcpnpi":1588602189,"currentgendcomment":"","pphycomment":"","uniqueid":306177,"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":["J44.9","H25.813","C34.11","Z87.891","Z90.2","Z79.51","E78.5","K21.9","R10.811","Z68.33","E66.811","J06.9","J01.00","Z12.5","R73.03","E78.2","Z85.118","J96.11","Z68.32","S61.012","Z68.34","H25.811","S61.112","W26.0XX","Z68.31","H26.9","D23.39","L81.4","L82.1","Z87.2","Z71.89","L57.0","H25.812","Z00.00","Z13.31","Z68.29","H91.90"],"date":["2025-10-20","2025-08-14","2026-02-25","2025-02-26","2025-02-26","2025-02-26","2025-02-26","2025-10-20","2025-02-26","2025-02-26","2025-03-24","2025-02-18","2025-02-18","2025-03-17","2025-10-03","2025-10-03","2025-10-20","2025-10-03","2025-03-24","2024-11-27","2024-11-27","2025-10-20","2024-11-20","2024-11-20","2026-02-25","2025-10-20","2025-07-07","2025-07-07","2025-07-07","2025-07-07","2025-07-07","2025-07-07","2025-10-06","2025-10-02","2025-10-02","2025-10-02","2025-10-02"],"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":[["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Lansoprazole","30 MG","","Select","Select",""],["","","Trelegy Ellipta 100-62.5-25","","","Select","Select",""],["","","Azithromycin","250 MG","","Select","Select",""],["","","12 Hr Bupropion Hydrochloride","150 MG","","Select","Select",""],["","","Trelegy Ellipta","","","Select","Select",""],["","","Neomycin\/Polymyxin\/Dexamethasone","","","Select","Select",""],["","","Comirnaty 2025-26","","","Select","Select",""],["","","Flublok 2025-2026","","","Select","Select",""],["","","Budesonide","0.25 MG","","Select","Select",""],["","","Hydromet","5 MG","","Select","Select",""],["","","Cefdinir","300 MG","","Select","Select",""],["","","Fluticasone Propionate","","","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":""}]}]}