{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Regina Abernathy","gend":1,"currentgend":"","add":"4272 Talmadge Dr","city":"Clarkesville","state":"GA","zip":30523,"dob":"1962-07-25","age":"","mstatus":"","insh":"0007435184001","cliId":"","pno":7622301891,"cno":7622301891,"email":"lynnabernathy57@gmail.com","ename":"","eno":"","pphy":"Rahul Sangani","ppno":7702199673,"pcpadd":"743 SPRING ST NE","pcpcity":"GAINESVILLE","pcpstate":"GA","pcpzip":305013715,"pcpcounty":"","pcpid":"","pcpname":"743 SPRING ST NE","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"4272 Talmadge Dr","madd2":"","madd3":"","mcity":"Clarkesville","mstate":"GA","mzip":30523,"pcpfaxno":"","pcpnpi":1598063190,"currentgendcomment":"","pphycomment":"","uniqueid":417213,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C34.90","C79.31","G93.41","Z51.5","Z66","G93.6","G93.5","L89.312","R47.01","Z59.00","F05","S09.90X","C34.31","N30.00","B96.20","E04.1","F15.10","J43.2","Z78.1","D50.9","R09.02","Z86.79","Z79.899","G47.00","T38.0X5","Z71.89","R45.1","C34.91","C79.9","C71.9","N39.0","F19.10","F15.90","Z91.89","G93.89","F17.210","R41.82","R91.8","Z72.0","G93.40","E07.89","J43.8","D49.6","R07.9","I51.9","D64.9","R00.0","R50.9","D72.828","I95.9","E16.2","R06.02","Z98.890","N60.12"],"date":["2026-01-30","2026-01-30","2026-01-22","2026-01-20","2025-12-18","2026-01-30","2025-12-24","2026-01-22","2025-12-18","2025-12-18","2025-12-18","2026-01-07","2026-01-22","2026-01-11","2025-12-18","2025-12-18","2026-01-21","2025-12-18","2025-12-18","2026-01-05","2026-01-22","2025-12-18","2025-12-18","2025-12-18","2025-12-18","2026-01-30","2026-01-30","2025-12-29","2025-12-18","2025-12-22","2026-01-19","2025-12-30","2026-01-20","2026-01-30","2025-12-28","2025-12-18","2025-12-21","2026-01-13","2025-12-21","2025-12-24","2025-12-18","2026-01-30","2025-12-22","2026-01-14","2025-12-28","2026-01-12","2025-12-17","2026-01-12","2026-01-12","2026-01-12","2026-01-12","2025-12-29","2025-12-22","2025-12-21"],"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":[]},{"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":""}]}]}