{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Fredrick Denson","gend":0,"currentgend":"","add":"419 N Main St","city":"Climax","state":"GA","zip":39834,"dob":"1985-12-12","age":"","mstatus":"","insh":"0006859906002","cliId":"","pno":2292540545,"cno":2292540545,"email":"atdenson87@gmail.com","ename":"","eno":"","pphy":"Robert Smallwood","ppno":8504315430,"pcpadd":"1500 E SHOTWELL ST","pcpcity":"BAINBRIDGE","pcpstate":"GA","pcpzip":39819,"pcpcounty":"","pcpid":"","pcpname":"1500 E SHOTWELL ST","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"419 N Main St","madd2":"","madd3":"","mcity":"Climax","mstate":"GA","mzip":39834,"pcpfaxno":"","pcpnpi":1225520679,"currentgendcomment":"","pphycomment":"","uniqueid":402689,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.12","Z13.1","H65.02","R10.13","R25.2","N39.0","Z13.31","Z00.01","R73.03","Z13.220","Z13.29","N40.0","E11.8","E29.1","K52.9","M54.2","M47.812","Z68.35","J31.0","J34.89","J39.2","J34.820","J32.0","I10","N40.1","M54.50","M79.10","Z68.34","J40","M15.0","Z87.820","K21.00","R00.0","I89.0","Z68.32","G44.229","J30.1","H90.12","H92.02","H93.13","J01.81","R06.83","G43.801","H65.06","R53.83","Z68.33","R07.9","J32.1","J32.2","R42","J34.2","J34.3","J39.8","M50.223","R97.20","K59.09","M47.22","M62.838","R51.9","R40.0","J01.80","R07.2","G93.5","M25.78","M48.02","R07.89","J30.0","J18.1","S16.1XX","K59.00","K44.9","R10.9","J30.89"],"date":["2025-07-25","2024-10-04","2024-05-22","2025-01-17","2024-10-04","2024-10-08","2024-05-22","2024-10-03","2025-03-17","2026-03-10","2025-03-17","2026-03-10","2026-03-10","2026-03-10","2025-09-12","2026-03-10","2025-07-25","2025-07-25","2026-03-10","2025-06-10","2025-07-31","2025-06-10","2025-06-10","2026-03-15","2024-10-08","2025-07-25","2025-07-25","2025-04-24","2024-12-09","2026-03-10","2026-03-10","2026-03-10","2025-03-10","2026-03-15","2024-10-25","2024-08-27","2025-11-06","2024-08-01","2024-08-01","2026-03-10","2025-09-03","2026-03-10","2025-09-03","2024-10-08","2025-09-19","2024-11-22","2025-03-10","2024-06-12","2024-08-27","2025-09-19","2025-11-06","2025-11-06","2025-05-14","2024-09-11","2024-11-14","2024-11-11","2025-06-19","2024-10-04","2024-10-04","2025-09-03","2025-11-06","2025-03-10","2025-06-19","2025-06-19","2025-06-19","2025-03-10","2025-02-11","2024-10-08","2024-09-30","2026-03-10","2026-03-10","2025-09-12","2024-07-18"],"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":[["","","Fluticasone Propionate","0.05 MG","","Select","Select",""],["","","Losartan Potassium","50 MG","","Select","Select",""],["","","Meclizine Hydrochloride","25 MG","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Chlorhexidine Gluconate","1.2 MG","","Select","Select",""],["","","Acetaminophen-Cod #3 Tablet","","","Select","Select",""],["","","Propranolol Er","60 MG","","Select","Select",""],["","","Ibuprofen","800 MG","","Select","Select",""],["","","Chlorhexidine 0.12% Rinse","","","Select","Select",""],["","","Meloxicam","7.5 MG","","Select","Select",""],["","","Diclofenac Sodium","75 MG","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Tizanidine","4 MG","","Select","Select",""],["","","Famotidine","20 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","5 MG","","Select","Select",""],["","","Celecoxib","50 MG","","Select","Select",""],["","","Metoclopramide","10 MG","","Select","Select",""],["","","Azelastine Hydrochloride","0.137 MG","","Select","Select",""],["","","Montelukast","10 MG","","Select","Select",""],["","","Ketorolac Tromethamine","","","Select","Select",""],["","","Prednisolone Acetate","10 MG","","Select","Select",""],["","","Tamsulosin Hydrochloride","0.4 MG","","Select","Select",""],["","","Osmotic 24 Hr Nifedipine","30 MG","","Select","Select",""],["","","Omeprazole","20 MG","","Select","Select",""],["","","Levocetirizine Dihydrochloride","5 MG","","Select","Select",""],["","","Testosterone Cypionate","","","Select","Select",""],["","","Pregabalin","100 MG","","Select","Select",""],["","","Anastrozole","1 MG","","Select","Select",""],["","","Dicyclomine Hydrochloride","20 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Methylprednisolone Dose Pack","","","Select","Select",""],["","","Prednisone","20 MG","","Select","Select",""],["","","Propranolol Hydrochloride Er","","","Select","Select",""],["","","Methocarbamol","500 MG","","Select","Select",""],["","","0.5 Ml Testosterone Enanthate","200 MG","","Select","Select",""],["","","Levofloxacin","500 MG","","Select","Select",""],["","","Dexamethasone","6 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","{3 Azithromycin","500 MG","","Select","Select",""],["","","Propranolol Hydrochloride","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":""}]}]}