{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Lashun Renee Williams","gend":1,"currentgend":"","add":"637 Huntington Rd Apt E3","city":"Athens","state":"GA","zip":30606,"dob":"1974-06-13","age":"","mstatus":"","insh":"0006982689001","cliId":"","pno":7708826662,"cno":7708826662,"email":"LaShun613@yahoo.com","ename":"","eno":"","pphy":"Subhod Rao","ppno":2053481770,"pcpadd":"1175 N Glynn St Ste140","pcpcity":"FAYETTEVILLE","pcpstate":"GA","pcpzip":302141390,"pcpcounty":"","pcpid":"","pcpname":"1175 N Glynn St Ste 140","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"637 Huntington Rd Apt E3","madd2":"","madd3":"","mcity":"Athens","mstate":"GA","mzip":30606,"pcpfaxno":2053487216,"pcpnpi":1033303821,"currentgendcomment":"","pphycomment":"","uniqueid":415599,"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":["R09.89","R05.1","N76.0","I34.0","I27.20","Z68.29","Z00.00","R79.89","R76.9","M06.4","Z12.31","R76.8","M05.8A","E01.0","Z11.3","Z79.899","M10.09","M05.79","M32.19","D89.89","J01.80","G44.89","L64.8","L67.0","Z12.11","K21.9","K64.8","J45.20","R06.83","K62.1","K29.50","K62.5","M32.9","E78.5","I47.9","E66.9","Z86.711","Z86.718","Z88.8","Z88.0","Z88.5","D86.89","Z01.411","N89.8","Z87.898","R07.89","B34.9","J02.9","J34.89","R09.82","Z78.0","U07.1","J02.8","Z20.822","J30.1","K29.70","D12.8","Z91.09","E66.3","B00.9","Z13.9","G47.33","R14.0","K92.1","B96.89","Z00.01","M10.9"],"date":["2025-06-01","2025-06-01","2026-02-18","2024-02-13","2024-02-13","2025-01-25","2025-10-28","2025-05-05","2025-04-28","2025-04-28","2026-02-18","2025-01-27","2025-01-27","2024-10-22","2026-02-18","2025-01-08","2025-01-08","2025-01-08","2025-01-08","2025-01-08","2025-09-16","2025-09-16","2025-11-18","2025-11-18","2024-05-17","2025-03-24","2024-05-17","2025-05-05","2024-04-30","2024-05-17","2024-05-17","2024-05-17","2025-03-24","2024-05-17","2025-03-24","2024-05-17","2025-03-24","2025-03-24","2024-05-17","2024-05-17","2024-05-17","2025-01-08","2026-02-18","2026-02-18","2025-03-24","2024-09-16","2024-05-08","2024-05-08","2024-05-08","2024-05-08","2025-11-04","2024-08-08","2024-08-08","2024-08-08","2024-08-08","2024-05-17","2024-05-17","2024-10-22","2024-10-22","2024-10-22","2024-04-25","2024-04-25","2024-04-25","2024-04-25","2024-04-09","2024-10-22","2025-01-08"],"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":[["","","Pantoprazole","40 MG","","Select","Select",""],["","","Paxlovid 300-100 Mg Dose Pack","","","Select","Select",""],["","","Nda021457 200 Actuat Albuterol","0.09 MG","","Select","Select",""],["","","Fluticasone Propionate","0.05 MG","","Select","Select",""],["","","Dextromethorphan Hydrobromide","3 MG","","Select","Select",""],["","","Ibuprofen","800 MG","","Select","Select",""],["","","Minoxidil","2.5 MG","","Select","Select",""],["","","Nda020503 200 Actuat Albuterol","0.09 MG","","Select","Select",""],["","","Fluconazole","150 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Ergocalciferol","1.25 MG","","Select","Select",""],["","","Prednisone","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":""}]}]}