{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Melissa Flowers","gend":1,"currentgend":"","add":"325 Viewmont Dr","city":"Tunnel Hill","state":"GA","zip":30755,"dob":"1966-12-05","age":"","mstatus":"","insh":"0006449258001","cliId":"","pno":7704906184,"cno":"","email":"melissagflowers66@gmail.com","ename":"","eno":"","pphy":"Jennifer Duckett","ppno":7062780138,"pcpadd":"1114 PROFESSIONAL BLVD","pcpcity":"DALTON","pcpstate":"GA","pcpzip":30720,"pcpcounty":"","pcpid":"","pcpname":"1114 PROFESSIONAL BLVD","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"325 Viewmont Dr","madd2":"","madd3":"","mcity":"Tunnel Hill","mstate":"GA","mzip":30755,"pcpfaxno":7062780347,"pcpnpi":1912266230,"currentgendcomment":"","pphycomment":"","uniqueid":426807,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F41.9","I10","E78.2","C79.51","C82.04","C82.84","C82.94","Z00.00","M94.0","I34.0","I35.8","I44.4","E66.01","R53.83","R03.0","L65.9","R23.8","J06.9","Z20.822","C85.90","E66.09","R63.5","J02.9","Z11.59","J01.00","D84.9","L91.8","M25.512","G89.29","E66.812","N95.1","Z71.3","Z68.37","S00.412","H92.02","R42","H90.3","Z85.72","E78.00","Z12.31","E87.5","M75.121","M75.122","M25.511","I87.2","E66.8","Z68.41","I87.8","C82.90"],"date":["2026-02-10","2026-02-10","2026-02-10","2026-02-10","2026-02-10","2026-02-10","2026-02-09","2025-02-04","2025-08-04","2025-04-28","2025-04-28","2025-04-28","2025-04-28","2025-04-28","2025-04-28","2025-08-04","2025-08-04","2025-02-08","2025-02-08","2025-09-19","2026-02-10","2026-02-10","2024-07-18","2024-05-28","2024-05-28","2026-02-10","2024-07-18","2025-04-23","2025-03-04","2026-03-06","2026-02-10","2025-08-14","2025-08-14","2026-02-09","2026-02-09","2026-02-09","2026-02-09","2026-02-09","2026-02-09","2025-04-18","2025-07-18","2025-04-23","2025-04-23","2025-04-23","2025-09-19","2024-06-21","2024-06-21","2025-09-16","2025-03-03"],"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":[["","","Atorvastatin","20 MG","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Meloxicam","7.5 MG","","Select","Select",""],["","","Trazodone Hydrochloride","50 MG","","Select","Select",""],["","","Valacyclovir","1000 MG","","Select","Select",""],["","","Progesterone","200 MG","","Select","Select",""],["","","Allopurinol","300 MG","","Select","Select",""],["","","Sulfamethoxazole","800 MG","","Select","Select",""],["","","Lidocaine\/Prilocaine","","","Select","Select",""],["","","Acyclovir","400 MG","","Select","Select",""],["","","Hydrochlorothiazide","12.5 MG","","Select","Select",""],["","","Azelastine Hydrochloride","0.137 MG","","Select","Select",""],["","","Mupirocin","0.02 MG","","Select","Select",""],["","","Ondansetron Hydrochloride","","","Select","Select",""],["","","Prochlorperazine","10 MG","","Select","Select",""],["","","Oxycodone Hydrochloride","","","Select","Select",""],["","","Ondansetron","8 MG","","Select","Select",""],["","","Hydrocortisone","10 MG","","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":""}]}]}