{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Wanda Reeves","gend":1,"currentgend":"","add":"988 Hill Pl","city":"Macon","state":"GA","zip":31210,"dob":"1961-05-26","age":"","mstatus":"","insh":"0006606468001","cliId":"","pno":4787319063,"cno":"","email":"subergirl44@gmail.com","ename":"","eno":"","pphy":"Donald Robinson","ppno":4787466191,"pcpadd":"458 HEMLOCK ST STE 200","pcpcity":"MACON","pcpstate":"GA","pcpzip":31201,"pcpcounty":"","pcpid":"","pcpname":"458 HEMLOCK ST STE 200","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"988 Hill Pl","madd2":"","madd3":"","mcity":"Macon","mstate":"GA","mzip":31210,"pcpfaxno":4787462252,"pcpnpi":1235271636,"currentgendcomment":"","pphycomment":"","uniqueid":398883,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z20.822","E89.41","M81.0","M83.9","Z87.310","G47.33","Z87.891","N63.11","R19.7","D12.5","D12.7","K57.30","K63.89","R13.10","K21.9","Z87.19","R10.9","K57.90","K29.70","K22.70","R19.4","R14.0","N18.32","I35.1","L82.1","D22.5","Z08","Z85.828","Z12.83","L82.0","L29.89","L53.8","R20.8","R06.02","I25.10","I25.83","Z95.818","R55","M54.16","F41.9","M25.50","G58.9","G89.4","I49.8","M23.311","M41.9","M48.061","J44.9","M50.30","G63","I35.2","I25.2","I27.20","Z79.899","F17.210","I35.0","R07.89","I47.29","I47.19","L57.0","Z98.82","H69.83","H90.A22","H90.A31","J30.89","R53.82","I46.9","R60.9","I10","E55.9","I95.9","Z45.09","M47.896","F23","F13.20","F41.1","E78.5","J44.0","R94.31","J32.8","F32.9","R79.1","R53.83","M62.81","R01.1","I47.20","N18.9","Z82.49","Z86.16","Z88.5","D48.5","R11.10","R00.0","N28.9","Z01.810","R41.82","R41.3","Z72.0","Z01.419","Z12.31","R60.0","I95.89","Z95.0","R06.09","R63.6","N18.2","R42","R71.8","R91.1","Z20.828","N63.42","H92.21","H72.01","R44.3","E78.00","R92.1","T85.43X","Z74.3","K63.5","I86.8","I34.0","I36.1","Z01.818","Z68.22","R26.9"],"date":["2023-10-13","2025-12-30","2025-12-30","2025-12-30","2025-12-30","2026-03-20","2026-01-15","2025-04-22","2024-03-07","2024-02-08","2024-02-08","2024-02-08","2024-02-08","2024-03-07","2026-02-17","2024-03-07","2024-03-07","2024-03-07","2024-03-07","2024-03-07","2024-03-07","2024-03-07","2026-02-17","2025-09-02","2026-02-24","2025-02-24","2025-02-24","2025-02-24","2025-02-24","2025-02-24","2025-02-24","2025-02-24","2025-02-24","2025-12-15","2025-11-25","2025-11-25","2025-11-25","2025-10-14","2025-06-04","2025-06-10","2025-10-14","2026-02-17","2025-10-14","2025-10-14","2024-03-11","2025-06-04","2025-06-10","2026-01-15","2026-02-17","2025-06-10","2024-11-11","2024-11-11","2025-12-15","2024-11-11","2024-11-11","2025-09-02","2024-10-23","2025-11-26","2025-12-15","2026-02-24","2025-04-22","2025-09-12","2025-09-12","2025-09-12","2025-09-12","2026-03-20","2025-12-15","2023-10-31","2026-01-15","2026-01-08","2025-12-15","2025-12-15","2024-10-11","2023-10-16","2023-10-16","2023-10-16","2023-10-16","2026-02-17","2025-12-16","2026-02-17","2026-02-17","2024-12-23","2024-12-23","2024-12-23","2025-12-15","2025-12-15","2025-12-15","2025-12-15","2025-12-15","2025-12-15","2026-01-14","2024-03-07","2024-03-07","2025-04-28","2024-12-12","2023-10-13","2023-10-13","2024-08-22","2025-08-20","2025-08-20","2025-12-30","2025-11-25","2024-04-22","2026-01-15","2026-01-15","2026-01-15","2024-07-09","2024-11-13","2024-10-16","2024-02-08","2024-10-21","2025-08-11","2025-08-11","2023-10-14","2025-08-06","2025-04-22","2024-10-21","2023-10-14","2024-02-08","2025-12-30","2025-09-02","2025-09-02","2024-12-19","2024-12-19","2024-12-19"],"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":[["","","Promethazine Hydrochloride","25 MG","","Select","Select",""],["","","Levocetirizine Dihydrochloride","5 MG","","Select","Select",""],["","","Hydrochlorothiazide","12.5 MG","","Select","Select",""],["","","Lorazepam","1 MG","","Select","Select",""],["","","Furosemide","40 MG","","Select","Select",""],["","","Duloxetine","30 MG","","Select","Select",""],["","","Pregabalin","100 MG","","Select","Select",""],["","","Ketorolac","10 MG","","Select","Select",""],["","","Atorvastatin","20 MG","","Select","Select",""],["","","Carisoprodol","350 MG","","Select","Select",""],["","","Amoxicillin","500 MG","","Select","Select",""],["","","Estradiol","1 MG","","Select","Select",""],["","","Lansoprazole","15 MG","","Select","Select",""],["","","Bumetanide","2 MG","","Select","Select",""],["","","72 Hr Scopolamine","0.0139 MG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Alprazolam","0.5 MG","","Select","Select",""],["","","24 Hr Metoprolol Succinate","25 MG","","Select","Select",""],["","","Microencapsulated Potassium Chloride","20 MEQ","","Select","Select",""],["","","Ergocalciferol","1.25 MG","","Select","Select",""],["","","Tramadol Hydrochloride","50 MG","","Select","Select",""],["","","Pantoprazole Sodium","","","Select","Select",""],["","","Megestrol Acetate","20 MG","","Select","Select",""],["","","Pantoprazole","20 MG","","Select","Select",""],["","","Ciprofloxacin","3 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Trazodone Hydrochloride","50 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Midodrine Hydrochloride","","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Mometasone Furoate","0.025 MG","","Select","Select",""],["","","Fluticasone Propionate","","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Finerenone","20 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":""}]}]}