{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Holly Michelle Lovelace","gend":1,"currentgend":"","add":"4605 Cleveland Hwy","city":"Cohutta","state":"GA","zip":30710,"dob":"1972-01-28","age":54,"mstatus":"Divorced","insh":"0005745210001","cliId":"","pno":"7065905426","cno":7068513913,"email":"marylsmith@windstream.net","ename":"","eno":"","pphy":"Sumedha Sonde","ppno":7065293072,"pcpadd":"1107 MEMORIAL DR STE 100","pcpcity":"DALTON","pcpstate":"GA","pcpzip":30720,"pcpcounty":"","pcpid":"","pcpname":"1107 MEMORIAL DR STE 100","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"4605 Cleveland Hwy","madd2":"","madd3":"","mcity":"Cohutta","mstate":"GA","mzip":30710,"pcpfaxno":7065293077,"pcpnpi":1750886339,"currentgendcomment":"","pphycomment":"","uniqueid":347668,"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":["R53.1","E11.69","F41.9","E11.9","F17.210","R29.818","F25.8","I89.0","Z14.8","Z72.0","J43.9","R77.8","F41.1","F33.1","R91.8","D75.1","G43.711","S09.90X","F25.9","R00.2","J34.89","J34.2","J30.89","H81.11","G89.18","Z00.00","J01.01","F17.200","I20.9","R06.09","E66.01","E04.1","E66.813","G47.33","R00.0","K59.00","I10","F43.10","I25.10","Z79.899","Z15.09","Z15.060","Z12.31","Z83.49","F41.0","Z01.419","N95.9","E55.9","F41.8","N94.6","N39.46","N72","D25.1","N73.6","N83.292","N83.291","Z79.85","J45.909","R26.89","R51.9","T43.595","J44.89","Z90.49","Z79.4","Z79.51","R09.81","R50.9","R05.1","Z82.49","I25.9","J18.8","R94.31","I27.89","I51.7","J67.9","J45.30","N92.1","R10.2","J84.9","R13.19","Z12.11","Z80.0","Z68.41","R09.89","R07.89","K62.1","K57.30","K44.9","K29.51","E04.2","J45.20","E66.9","Z68.39","H25.813","H43.393","K08.89","R13.10","K29.70","K63.5","F43.12","R60.0","J30.1","J30.2","Z00.01","N95.1","N92.0","N93.8","N39.3","N90.69","I23.1","Z13.6","T88.7XX","N99.89","D48.5","L85.3","D23.9","I20.89","K21.9","E89.41","N32.81","Z01.818","R13.13","R09.82","J34.3","J32.0","R29.90","K29.50","N94.5","G43.001","N90.60","Z84.81","D22.39","Z76.89","I89.9","Z72.9","R42","N93.9"],"date":["2024-12-01","2025-12-08","2025-06-24","2025-12-16","2025-11-25","2025-01-21","2025-02-25","2025-05-28","2025-02-25","2025-05-28","2025-05-28","2025-02-27","2025-05-29","2025-05-28","2025-11-25","2025-05-28","2026-02-24","2025-01-21","2026-03-09","2025-06-12","2025-09-23","2025-09-23","2025-08-22","2025-09-08","2023-12-13","2025-07-22","2025-08-22","2026-03-09","2024-11-11","2024-11-11","2024-11-11","2025-08-14","2025-08-14","2025-11-25","2026-03-09","2026-03-09","2026-03-09","2026-03-09","2026-03-09","2026-03-09","2026-03-09","2026-03-09","2025-12-15","2025-07-29","2025-07-29","2025-12-15","2025-12-15","2025-12-15","2025-12-15","2023-12-13","2023-12-13","2023-12-13","2023-12-13","2023-12-13","2023-12-13","2023-12-13","2024-07-16","2024-02-16","2024-12-01","2024-12-02","2024-12-01","2024-12-01","2024-12-01","2025-12-16","2024-12-01","2025-03-20","2025-03-20","2025-03-20","2025-04-18","2025-04-18","2023-08-15","2025-09-10","2025-09-10","2025-09-10","2025-11-25","2025-11-25","2023-12-13","2024-02-16","2026-03-08","2024-07-16","2024-07-16","2024-06-12","2024-06-12","2025-11-25","2023-08-15","2024-07-16","2024-07-16","2024-07-16","2024-07-16","2024-07-16","2024-07-16","2024-07-16","2024-07-16","2025-12-16","2025-12-16","2025-06-23","2024-07-16","2024-07-16","2024-07-16","2024-11-27","2024-11-05","2025-08-19","2025-08-19","2025-12-08","2024-07-03","2023-10-18","2023-10-18","2023-10-18","2024-02-15","2024-12-01","2024-12-01","2024-12-01","2024-02-16","2025-07-02","2025-07-02","2025-07-02","2026-03-09","2025-07-16","2024-12-09","2024-12-09","2023-12-13","2023-08-29","2023-08-29","2023-08-29","2023-08-29","2025-01-16","2024-07-16","2023-11-13","2024-12-10","2024-02-15","2024-01-23","2025-07-02","2023-07-10","2025-02-05","2025-02-05","2024-11-21","2023-12-13"],"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":["","","","","1"],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","","","No"],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"score":[0,0,0,0],"sub":{"indx":[["","",""],["","","","","",""],["","","","","","",""],["","","","","","",""],["",""],["1",""]],"comment":[["","",""],["","","","","",""],["","","","","","",""],["","","","","","",""],["",""],["",""]],"sub":[]}}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"arr":["I am currently employed"],"comment":[]},{"a":{"indx":["1","",""],"comment":["","",""],"score":[0,0,0,0],"sub":{"indx":[["1","","","",""],[""]],"comment":[["","","","",""],[""]],"sub":{"indx":[[["","1","","",""],"I am already working on it but need some help.",["1","","","","","","","",""]],[]],"comment":[[["","","","",""],[],["","","","","","","","",""]],[]],"sub":[]}}}},{"a":{"indx":["1","",""],"comment":["","",""],"score":[0,0,0,0],"sub":{"indx":[["1",""],["","1"]],"comment":[["",""],["",""]],"sub":[]}}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["","","1"],"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":[["","","Trulicity","3 MG","","Select","Select",""],["","","Ergocalciferol","1.25 MG","","Select","Select",""],["","","Olanzapine","5 MG","","Select","Select",""],["","","Trazodone Hydrochloride","50 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","84 Hr Estradiol","0.00417 MG","","Select","Select",""],["","","Mounjaro","10 MG","","Select","Select",""],["","","Progesterone","200 MG","","Select","Select",""],["","","Lorazepam","2 MG","","Select","Select",""],["","","Sumatriptan","100 MG","","Select","Select",""],["","","Nitroglycerin","0.4 MG","","Select","Select",""],["","","Lithium Carbonate","300 MG","","Select","Select",""],["","","Nda021457 200 Actuat Albuterol","0.09 MG","","Select","Select",""],["","","Fluoxetine","10 MG","","Select","Select",""],["","","Topiramate","50 MG","","Select","Select",""],["","","Dextromethorphan Hydrobromide","3 MG","","Select","Select",""],["","","1.5 Ml Fremanezumab-Vfrm","150 MG","","Select","Select",""],["","","Clonazepam","0.5 MG","","Select","Select",""],["","","{14 24 Hr Nicotine","0.292 MG","","Select","Select",""],["","","Ubrelvy","","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Mometasone Furoate","","","Select","Select",""],["","","Fluticasone Propionate","","","Select","Select",""],["","","Azelastine Hydrochloride","0.137 MG","","Select","Select",""],["","","Quetiapine","25 MG","","Select","Select",""],["","","Levocetirizine Dihydrochloride","","","Select","Select",""],["","","Omeprazole","40 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Risperidone","2 MG","","Select","Select",""],["","","Clindamycin","300 MG","","Select","Select",""],["","","Amitriptyline Hydrochloride","50 MG","","Select","Select",""],["","","24 Hr Paliperidone","6 MG","","Select","Select",""],["","","24 Hr Bupropion Hydrochloride","150 MG","","Select","Select",""],["","","Hydrocodone Bitartrate\/Acetaminophen","","","Select","Select",""],["","","Mupirocin","0.02 MG","","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":[]}}}]},{"arr":[],"comment":[]},{"arr":[],"comment":[]},{"a":{"indx":["","","","","","","","","","","",""],"comment":["","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}},{"arr":[],"comment":[]},{"arr":[],"comment":[]},{"a":{"indx":["","","","","","","","",""],"comment":["","","","","","","","",""],"sub":[]}},{"a":{"indx":[],"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":"2026-08-13T14:00","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"","a12":"","a13":"","a15":[],"a14":"","a16":"","a18":"","a20":"","a21":""}]}]}