{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Leslie Nehring","gend":1,"currentgend":"","add":"2235 Old Hamilton Pl Apt 1000C","city":"Gainesville","state":"GA","zip":30507,"dob":"1966-08-18","age":"","mstatus":"","insh":"0006981224001","cliId":"","pno":7703556091,"cno":"","email":"Leslienehring@gmail.com","ename":"","eno":"","pphy":"Krishna Yarlagadda","ppno":7702198583,"pcpadd":"1285 SIMS ST","pcpcity":"GAINESVILLE","pcpstate":"GA","pcpzip":30501,"pcpcounty":"","pcpid":"","pcpname":"1285 SIMS ST","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"2235 Old Hamilton Pl Apt 1000C","madd2":"","madd3":"","mcity":"Gainesville","mstate":"GA","mzip":30507,"pcpfaxno":7702198584,"pcpnpi":1104180587,"currentgendcomment":"","pphycomment":"","uniqueid":401736,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R73.03","E78.5","Z71.3","E66.01","Z68.35","J06.9","J01.80","J20.8","E55.9","E46","I36.1","R01.1","R53.82","Z86.2","Z83.3","Z83.49","I83.813","E66.812","R06.83","Z00.00","R82.90","R19.7","E66.9","Z68.36","N95.1","Z68.37","M25.50","M79.18","Z13.89","Z76.89","R63.5","G47.33","Z13.220","Z65.8","Z68.34","R63.4","Z68.33","R29.818","J30.1","Z00.01","E78.49","E34.9","Z68.39","R06.02","L71.9","J31.0","Z12.4","Z01.419","Z12.31","I83.893","Z68.41"],"date":["2026-01-19","2026-01-19","2025-12-15","2025-12-15","2026-01-19","2024-10-18","2025-01-12","2025-01-12","2024-07-09","2024-04-04","2025-02-10","2025-02-10","2024-09-09","2023-12-06","2023-12-06","2024-09-09","2025-03-28","2026-01-19","2024-09-20","2024-12-03","2024-04-26","2024-04-26","2024-04-26","2024-12-30","2024-12-30","2024-10-28","2024-09-09","2024-09-09","2024-03-18","2025-08-04","2025-03-06","2024-12-11","2024-03-07","2025-08-04","2025-08-04","2025-08-04","2025-08-04","2025-01-24","2024-04-12","2024-12-02","2024-12-02","2024-09-23","2023-12-06","2025-01-20","2025-01-20","2025-01-20","2024-12-30","2024-12-30","2024-12-30","2024-09-09","2024-11-08"],"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":[["","","Prednisone","20 MG","","Select","Select",""],["","","Benzonatate","200 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Topiramate","25 MG","","Select","Select",""],["","","Triamcinolone Acetonide","1 MG","","Select","Select",""],["","","Ipratropium Bromide","0.042 MG","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","Montelukast","10 MG","","Select","Select",""],["","","Diphenoxylate-Atrop 2.5-0.025","","","Select","Select",""],["","","Nda020503 200 Actuat Albuterol","0.09 MG","","Select","Select",""],["","","Dexamethasone","4 MG","","Select","Select",""],["","","Albuterol Sulfate Hfa","","","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":""}]}]}