{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Harold B Rakestraw","gend":0,"currentgend":"","add":"4782 Eagle Watch Dr","city":"Flowery Branch","state":"GA","zip":30542,"dob":"1963-08-27","age":"","mstatus":"","insh":"0005719375001","cliId":"","pno":6782451515,"cno":6782451515,"email":"brianrakestraw28@gmail.com","ename":"","eno":"","pphy":"Lawrence Charles","ppno":7708865184,"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":"4782 Eagle Watch Dr","madd2":"","madd3":"","mcity":"Flowery Branch","mstate":"GA","mzip":30542,"pcpfaxno":"","pcpnpi":1801327267,"currentgendcomment":"","pphycomment":"","uniqueid":367239,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.2","M54.16","R07.89","I21.3","I25.10","I10","E78.2","J06.9","U07.1","J02.9","R51.9","Z68.27","E11.9","Z79.4","D31.31","H25.13","H52.7","E11.65","E03.9","R70.0","M10.09","I20.9","E78.00","I25.2","E11.22","I12.9","N18.9","Z79.899","Z79.82","Z95.5","Z87.891","Z79.02","M48.061","M51.17","E78.5","E05.90","E27.40","E22.1","R82.90","Z13.29","F41.9","R06.83","F32.A","Z91.041","G47.33","Z78.9","Z79.85","I21.02","N18.30","G47.30","I49.3","Z72.0","Z00.00","Z12.5","R00.0","F17.210","F17.290","M79.18","G57.02","J20.8","J06.0","R05.8","J02.8","Z13.31","I67.82","R20.0","I63.9","G45.9","R30.0","B37.42","N48.9","Z68.26","Z11.3","F31.78","M47.816","J01.90","M54.17","M47.817","R07.9","M48.00","M48.07","M51.9","G89.29","F41.1","L01.09","Z68.31","I21.9","M53.3","R29.898","M99.53","M76.02","I72.9","M25.552","S33.8XX","F41.0","Z68.28","Z12.11","Z86.010","Z98.61","F43.9","R42","F43.23","M54.59","M51.16","M54.31","M54.32","E11.42","E29.1","G47.00","Z01.810","Z86.73","M79.672","M77.42","M71.572","Z13.89","E78.1","F52.4","Z45.42","B00.9","M81.0","Z98.890","Z95.0","M54.6","R77.8","I63.89","R26.2","I65.23","M65.321","N40.0","Z01.818","E13.69","I21.4","M51.26","I25.82","F51.05","J41.0","I49.1","R94.31","I13.10","F31.9","M51.36","R53.83","R94.30","K21.9","R26.81","R91.1","N18.31","R06.81","E78.89","R55","M54.50","I42.0","S76.012"],"date":["2025-12-11","2025-05-05","2026-02-17","2026-01-15","2026-02-17","2026-03-04","2026-03-04","2024-10-11","2024-12-27","2024-10-11","2024-09-03","2025-04-23","2026-02-17","2025-06-10","2024-09-24","2024-09-24","2024-09-24","2025-08-08","2025-07-23","2025-08-08","2025-07-23","2025-05-24","2025-05-24","2026-02-17","2026-01-15","2025-06-10","2025-06-10","2025-06-10","2025-06-10","2025-06-10","2025-06-10","2025-06-10","2025-04-28","2025-08-06","2025-11-25","2025-07-23","2025-07-23","2025-07-23","2025-07-23","2025-07-23","2025-11-01","2024-05-30","2025-06-10","2024-07-25","2026-02-10","2024-10-14","2025-06-10","2025-04-28","2025-08-06","2024-07-25","2024-07-25","2024-07-25","2025-04-23","2025-04-23","2025-03-11","2025-03-11","2025-03-11","2024-12-17","2024-12-17","2024-12-27","2024-12-27","2024-12-27","2024-12-27","2024-12-27","2025-06-08","2025-06-08","2025-06-10","2025-06-08","2024-08-26","2024-08-26","2024-08-26","2024-08-30","2024-08-26","2026-01-15","2025-08-06","2024-10-11","2025-04-22","2024-10-31","2025-05-24","2024-12-09","2024-12-03","2024-12-03","2024-12-09","2025-12-11","2025-11-01","2025-11-01","2025-11-01","2024-03-22","2025-06-08","2025-08-06","2025-08-06","2024-07-31","2024-04-17","2024-04-17","2025-04-23","2026-01-15","2026-03-04","2026-03-04","2026-01-15","2024-11-20","2026-02-17","2026-02-17","2025-04-28","2025-02-19","2025-02-19","2025-02-19","2025-07-23","2025-08-29","2025-12-11","2026-02-17","2026-02-17","2025-02-05","2025-02-05","2025-02-05","2025-04-23","2023-06-16","2023-06-16","2026-02-10","2024-08-30","2025-04-22","2024-05-30","2024-05-30","2024-07-25","2024-07-25","2025-06-08","2025-04-28","2025-06-08","2025-04-23","2025-04-23","2024-05-24","2024-05-24","2024-07-25","2025-04-04","2024-07-30","2023-06-08","2024-12-27","2024-07-30","2024-07-30","2025-06-10","2024-01-23","2024-09-12","2024-08-15","2024-08-15","2024-08-15","2025-06-09","2024-07-25","2026-01-15","2023-10-30","2025-05-23","2025-03-11","2025-03-11","2024-07-26","2024-03-12"],"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","12.5 MG","","Select","Select",""],["","","Humulin N 100 Unit\/Ml Vial","","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Lamotrigine","100 MG","","Select","Select",""],["","","Clonazepam","0.5 MG","","Select","Select",""],["","","Duloxetine","60 MG","","Select","Select",""],["","","Hydroxyzine Hcl","10 MG","","Select","Select",""],["","","Olmesartan Medoxomil","40 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Hydrocodone-Acetamin 7.5-325","","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Brilinta","90 MG","","Select","Select",""],["","","Valacyclovir","1000 MG","","Select","Select",""],["","","Nitroglycerin","0.4 MG","","Select","Select",""],["","","1 Ml Evolocumab","140 MG","","Select","Select",""],["","","Diazepam","5 MG","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","Dextromethorphan Hydrobromide","3 MG","","Select","Select",""],["","","Ipratropium Bromide","0.2 MG","","Select","Select",""],["","","Pregabalin","25 MG","","Select","Select",""],["","","24 Hr Bupropion Hydrochloride","150 MG","","Select","Select",""],["","","Hydroxyzine Hydrochloride","","","Select","Select",""],["","","Humalog Kwikpen","","","Select","Select",""],["","","Ticagrelor","","","Select","Select",""],["","","Ozempic","","","Select","Select",""],["","","Fenofibrate","54 MG","","Select","Select",""],["","","Clopidogrel","75 MG","","Select","Select",""],["","","Toujeo Solostar","","","Select","Select",""],["","","Mupirocin","0.02 MG","","Select","Select",""],["","","Humalog","","","Select","Select",""],["","","Humalog 100 Unit\/Ml Kwikpen","","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Toujeo Max Solostr 300 Unit\/Ml","","","Select","Select",""],["","","Nystatin 100000 Unt\/Ml Topical Cream","","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Levalbuterol","0.417 MG","","Select","Select",""],["","","Benzonatate","200 MG","","Select","Select",""],["","","Prednisone","50 MG","","Select","Select",""],["","","Tamsulosin Hydrochloride","0.4 MG","","Select","Select",""],["","","Toujeo Max Solostar","","","Select","Select",""],["","","Ezetimibe","10 MG","","Select","Select",""],["","","Mounjaro","","","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":""}]}]}