{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Amanda Gonyea","gend":1,"currentgend":"Female","add":"7 Camelia Ln NE","city":"Rome","state":"GA","zip":30161,"dob":"1968-12-19","age":57,"mstatus":"Married","insh":"0005888254001","cliId":"","pno":4044225684,"cno":4044225684,"email":"amandabgonyea@gmail.com","ename":"","eno":"","pphy":"Megan White","ppno":7068023025,"pcpadd":"501 REDMOND RD NW","pcpcity":"ROME","pcpstate":"GA","pcpzip":30165,"pcpcounty":"","pcpid":"","pcpname":"501 REDMOND RD NW","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"7 Camelia Ln NE","madd2":"","madd3":"","mcity":"Rome","mstate":"GA","mzip":30161,"pcpfaxno":8448636774,"pcpnpi":1871242461,"currentgendcomment":"","pphycomment":"","uniqueid":393071,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":[true,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F43.12","F41.1","E16.1","A04.4","F32.9","K25.9","B00.1","F43.10","G89.29","F41.9","G43.909","M85.80","Z79.899","M19.90","Z98.84","H91.8X3","E27.8","E66.3","E86.0","Z91.048","Z88.0","Z88.6","J30.2","Z68.26","Z71.3","Z87.891","J30.1","J30.89","K29.60","K22.89","E61.1","R53.83","Z09","M47.812","Z90.49","Z12.11","Z86.010","K63.5","K57.30","E53.8","Z76.0","M85.89","E55.9","M51.34","E60","F32.A","M47.816","M54.2","M54.50","M25.561","M79.671","M79.672","M17.11","M25.511","M25.661","R26.2","Z48.89","S63.502","M25.532","M25.632","C90.00","M47.22","M47.24","M47.26","Z90.710","Z88.8","M54.16","N39.3","E83.52","R68.89","A08.39","Z12.31","Z79.891","M65.861","E66.9","Z68.34","Z23","S49.91X","M53.9","M79.10","G89.4","M48.02","M48.062","M51.16","Z98.1","M15.0","M25.571","M25.671","R26.9","M54.12","S91.001","Z91.89","Z92.29","H91.93","R07.9","M47.25","I10","I25.10","R19.7","R11.0","R63.8","N20.0","Z87.19","G62.9","D50.8","E61.2","R11.2","M54.6","T63.301","B37.31","R41.3","R10.9","R11.10","E87.6","I95.89","M15.9","F41.8","D50.9","M51.26","R63.4","E44.1","M48.04","E66.01","I95.9","I73.00","K58.0","T50.916","F12.90","Z91.128","Z11.52","R53.1","R19.4","K52.9","Z68.32","J31.0","M94.261","R51.9","A08.4","R21","M47.817","M47.814","M51.14","M25.361","S83.206","M25.461","R20.0","I63.9","R68.81","K21.00","J34.2","J34.3","T78.49X","R09.81","Z13.820","Z78.0","M96.1","M53.3","M54.14","K63.89","S46.011","M54.42","J04.0","H90.3","H93.13","R50.9","K92.1","K59.09","Z87.440","Z87.448","D64.9","H93.8X2","S63.92X","X50.0XX","M50.322","R92.323","R10.84","K29.00","M51.37","M54.41","Z98.890","H10.13","B37.81","B37.0","J09.X2","L85.8","R32","R06.00","M54.89","H93.8X1"],"date":["2026-03-17","2026-03-17","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2025-10-24","2026-01-12","2026-01-12","2025-02-27","2025-02-27","2025-10-31","2025-10-31","2025-10-31","2025-11-10","2025-10-21","2026-03-06","2026-03-06","2024-07-03","2026-03-06","2026-02-25","2025-06-25","2025-10-02","2025-06-25","2025-10-01","2025-10-01","2025-06-25","2025-12-02","2026-02-27","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2025-04-24","2024-01-15","2024-01-15","2025-06-10","2024-01-15","2024-01-15","2025-06-08","2025-11-10","2024-11-08","2025-06-25","2025-06-25","2024-11-05","2025-10-09","2025-11-10","2024-04-26","2024-04-26","2024-04-26","2025-10-31","2025-10-31","2026-02-25","2025-10-31","2026-02-25","2026-02-25","2026-02-25","2026-02-27","2026-02-27","2026-02-25","2024-02-21","2024-02-21","2024-02-21","2025-11-10","2024-02-12","2025-04-09","2025-04-09","2024-11-08","2024-11-27","2025-06-08","2025-06-08","2025-06-08","2025-12-17","2024-11-27","2024-11-27","2024-11-27","2024-11-27","2024-12-11","2024-06-06","2024-06-06","2025-10-24","2026-02-27","2024-02-08","2024-02-07","2024-02-27","2025-12-17","2024-11-10","2024-11-10","2024-11-10","2024-11-10","2024-11-10","2024-11-10","2023-12-15","2025-12-17","2025-04-09","2024-11-08","2024-11-08","2024-11-08","2024-11-08","2024-11-08","2024-11-08","2024-11-08","2024-11-08","2024-11-08","2026-02-27","2026-03-06","2024-12-04","2024-02-08","2024-01-18","2024-04-26","2025-10-21","2025-10-24","2024-08-22","2025-10-07","2025-11-10","2025-06-10","2024-01-22","2024-02-19","2024-02-19","2025-10-16","2025-06-08","2025-02-27","2025-02-27","2024-01-18","2024-01-04","2024-01-04","2024-01-04","2025-10-02","2025-10-02","2025-11-10","2025-11-10","2025-11-10","2026-03-06","2024-05-01","2024-08-22","2024-12-16","2024-04-19","2024-04-19","2025-01-29","2025-02-27","2024-12-27","2023-09-13","2023-09-13","2023-09-13","2024-08-06","2024-09-02","2024-09-02","2024-01-10","2025-10-09","2024-12-05","2025-10-24","2024-08-22","2024-08-22","2025-06-08","2024-01-18","2024-11-27","2024-11-27","2025-01-29","2024-09-12","2024-06-06","2024-11-08","2025-06-08","2024-08-08"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","","1"],"comment":["","","","","","","","","","","","","",""],"sub":[]}}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","","1"],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["","","1",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"arr":["Not applicable"],"comment":[]},{"a":{"indx":["","1",""],"comment":["","",""],"score":[0,0,0,0],"sub":{"indx":[["","","1"],["1","","","",""]],"comment":[["","",""],["","","","",""]],"sub":{"indx":[[],[["","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":["1",""],"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":{"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":[["","","Ciprofloxacin","500 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","10 MG","","Select","Select",""],["","","Citalopram","40 MG","","Select","Select",""],["","","Buspirone Hydrochloride","10 MG","","Select","Select",""],["","","Valacyclovir","500 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Pantoprazole","40 MG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Methylprednisolone","4 MG","","Select","Select",""],["","","Vitamin B12","1 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Fluconazole","150 MG","","Select","Select",""],["","","Hydrocodone-Acetamin 7.5-325","","","Select","Select",""],["","","Epinephrine","0.3 MG","","Select","Select",""],["","","Nystatin 100000 Unt\/Ml Oral Suspension","","","Select","Select",""],["","","Dicyclomine Hydrochloride","20 MG","","Select","Select",""],["","","Clotrimazole","10 MG","","Select","Select",""],["","","Alprazolam","0.5 MG","","Select","Select",""],["","","Prednisone","5 MG","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Meloxicam","7.5 MG","","Select","Select",""],["","","Metronidazole","500 MG","","Select","Select",""],["","","Nystatin","","","Select","Select",""],["","","Pregabalin","75 MG","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","24 Hr Venlafaxine","75 MG","","Select","Select",""],["","","Duloxetine","30 MG","","Select","Select",""],["","","Levocetirizine Dihydrochloride","5 MG","","Select","Select",""],["","","Triamcinolone Acetonide","1 MG","","Select","Select",""],["","","Promethazine Hydrochloride","25 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Oseltamivir","75 MG","","Select","Select",""],["","","Dextromethorphan Hydrobromide","3 MG","","Select","Select",""],["","","Sucralfate","","","Select","Select",""],["","","Hydrocodone Bitartrate\/Acetaminophen","","","Select","Select",""],["","","Trueplus Lancets","33 G","","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":"2026-09-10T13:00","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"","a12":"","a13":"","a15":[],"a14":"","a16":"","a18":"","a20":"","a21":""}]}]}