{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Stacy Y Lykes","gend":1,"currentgend":"","add":"302 Camellia Cir","city":"Warner Robins","state":"GA","zip":31093,"dob":"1965-10-04","age":"","mstatus":"","insh":"0007286801001","cliId":"","pno":4782138837,"cno":"","email":"kiphime1@gmail.com","ename":"","eno":"","pphy":"Lorie Startup","ppno":7708388440,"pcpadd":"600 CELEBRATE LIFE PKWY","pcpcity":"NEWNAN","pcpstate":"GA","pcpzip":30265,"pcpcounty":"","pcpid":"","pcpname":"600 CELEBRATE LIFE PKWY","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"302 Camellia Cir","madd2":"","madd3":"","mcity":"Warner Robins","mstate":"GA","mzip":31093,"pcpfaxno":"","pcpnpi":1871112110,"currentgendcomment":"","pphycomment":"","uniqueid":432128,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","E11.9","K21.9","E66.01","Z68.42","G40.909","Z85.528","Z86.73","Z88.5","Z88.8","I25.10","M32.9","J44.9","M79.7","Z79.01","Z79.4","Z79.84","Z79.899","Z01.810","R07.2","R00.2","R06.02","E78.2","E11.65","G47.33","Z86.718","Z99.81","I48.0","I42.9","R07.9","Z86.711","I50.22","N28.89","L02.413","L76.82","E11.22","E11.40","Z68.44","Z86.79","Z71.89","C64.9","I50.32","K51.90","Z68.41","E87.1","E11.42","R94.39","Z91.128","I11.0","I27.20","M06.9","Z76.5","D63.8","D50.9","Z45.2","R06.09","L03.113","I50.9","K76.89","N28.1","D13.5","I48.91","I25.2","R11.2","N30.00","M79.89","I50.23","N18.2","F31.12","Z95.1","K21.00","R53.82","I11.9","I08.1","I86.8","Z51.89","Z68.39","E66.9","L29.9","R53.83","R07.89","R51.9","R00.0","Z80.0","R07.81","Z51.81","Z09","F33.1","Z13.31","D72.829","R65.20","R53.1","R10.9","C64.1","H93.13","H92.13","H60.593","R09.82","H61.23","H90.0","M79.601","Z00.00","Z12.31","S89.91X","Z98.890","Z23","A41.9","N17.9","I13.0","N39.0","J44.1","B95.62","B95.4","D63.1","I50.89","J96.01","I12.9","F41.8","E55.9","I31.39","R93.1","I35.8","R65.10","L02.91","L03.119","R45.89","M32.8","A49.02","R10.84","R29.818","R19.7","I50.42","I43","I42.1","Z12.11","Z12.12","I42.8","I34.0","I36.1","K30","L02.818","R41.82","R92.323","Z13.6","G40.89","K51.80","I51.7","E78.5","I50.20","D17.71","L08.9","M25.511","K57.90","R29.810","R06.00","E11.00","K86.1","E10.65","R94.31"],"date":["2026-02-28","2026-02-18","2025-11-18","2026-02-09","2025-07-18","2026-02-18","2025-07-15","2025-10-01","2025-07-14","2025-07-14","2025-12-29","2026-02-15","2026-02-15","2026-02-18","2025-10-01","2025-11-18","2024-11-04","2025-11-03","2025-07-01","2025-08-05","2025-09-30","2025-11-18","2026-02-28","2025-07-01","2025-11-18","2025-07-01","2025-10-01","2025-11-18","2025-09-30","2025-11-20","2025-11-18","2026-02-28","2025-10-01","2024-11-21","2024-11-17","2026-02-09","2024-11-17","2024-11-17","2024-11-17","2025-10-09","2025-11-18","2026-02-15","2026-02-15","2026-02-09","2025-11-18","2025-11-21","2025-11-18","2025-11-18","2026-02-15","2026-02-15","2025-11-18","2025-11-18","2025-11-18","2025-11-18","2025-11-19","2025-05-13","2024-12-10","2024-11-17","2025-10-01","2025-10-01","2025-10-01","2025-10-01","2025-10-01","2026-02-09","2025-07-15","2024-11-16","2025-02-18","2026-02-09","2025-02-18","2025-02-18","2025-02-18","2025-10-10","2024-09-05","2024-10-16","2024-09-05","2025-12-02","2025-12-18","2025-09-30","2025-09-30","2025-09-30","2025-11-21","2025-09-30","2025-09-30","2025-09-30","2025-11-18","2025-11-03","2025-07-18","2025-07-17","2025-04-07","2024-11-21","2024-11-21","2026-02-18","2026-02-18","2026-02-15","2025-07-21","2025-07-21","2025-07-21","2025-07-21","2025-07-21","2025-07-21","2024-11-17","2025-03-19","2025-06-24","2025-03-19","2025-02-10","2024-11-12","2024-11-23","2024-11-18","2024-11-17","2024-11-17","2025-11-25","2024-11-17","2024-11-17","2024-11-16","2024-11-12","2024-11-12","2024-12-10","2024-11-12","2025-05-20","2025-05-13","2025-05-13","2025-05-13","2024-11-16","2024-11-22","2024-11-22","2024-11-22","2024-11-22","2024-11-22","2026-02-09","2026-02-09","2026-02-09","2026-02-18","2025-11-25","2025-11-25","2025-06-28","2025-06-28","2024-10-16","2025-02-10","2024-11-03","2026-02-18","2024-11-19","2026-02-09","2025-06-24","2024-08-13","2025-11-21","2025-11-21","2024-11-02","2024-10-16","2024-10-16","2024-09-05","2024-11-16","2024-11-04","2024-09-05","2026-02-09","2024-11-10","2024-07-25","2024-07-25","2025-07-15","2025-09-30"],"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":[["","","3 Ml Insulin Glargine-Yfgn 100 Unt\/Ml Pen Injector [Semglee]","","","Select","Select",""],["","","24 Hr Metoprolol Succinate","50 MG","","Select","Select",""],["","","Entresto","24 MG","","Select","Select",""],["","","1 Ml Enoxaparin Sodium","100 MG","","Select","Select",""],["","","Ergocalciferol","1.25 MG","","Select","Select",""],["","","Levetiracetam","1000 MG","","Select","Select",""],["","","Zolpidem Tartrate","10 MG","","Select","Select",""],["","","Atropine Sulfate","0.025 MG","","Select","Select",""],["","","Albuterol","0.83 MG","","Select","Select",""],["","","Klor-Con M20 Tablet","","","Select","Select",""],["","","Rosuvastatin Calcium","20 MG","","Select","Select",""],["","","Pantoprazole","40 MG","","Select","Select",""],["","","Bd Nano 2 Gen Pen Ndl","32 G","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Spironolactone","25 MG","","Select","Select",""],["","","Gabapentin","600 MG","","Select","Select",""],["","","Carvedilol","6.25 MG","","Select","Select",""],["","","Levetiracetam 1,000 Mg Tablet","","","Select","Select",""],["","","Warfarin Sodium","2.5 MG","","Select","Select",""],["","","Hydromorphone","2 MG","","Select","Select",""],["","","Quetiapine","300 MG","","Select","Select",""],["","","Duloxetine","60 MG","","Select","Select",""],["","","Lacosamide","150 MG","","Select","Select",""],["","","Tramadol Hydrochloride","","","Select","Select",""],["","","Potassium Chloride","20 MEQ","","Select","Select",""],["","","Nitrofurantoin, Macrocrystals","25 MG","","Select","Select",""],["","","Eliquis","","","Select","Select",""],["","","Simvastatin","20 MG","","Select","Select",""],["","","Sacubitril\/Valsartan","","","Select","Select",""],["","","Pantoprazole Sodium","","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Advair Hfa","","","Select","Select",""],["","","Hydromorphone Hydrochloride","2 MG","","Select","Select",""],["","","Farxiga","10 MG","","Select","Select",""],["","","Cefdinir","300 MG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Amoxicillin","500 MG","","Select","Select",""],["","","Fluconazole","200 MG","","Select","Select",""],["","","Fluocinolone Acetonide","0.1 MG","","Select","Select",""],["","","Bisoprolol Fumarate","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":""}]}]}