{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Laura L King","gend":1,"currentgend":"","add":"113 Wynn Wood Ln","city":"Alto","state":"GA","zip":30510,"dob":"1964-01-25","age":"","mstatus":"","insh":"0007595462001","cliId":"","pno":7062070500,"cno":"","email":"LYNNPOOLE00@GMAIL.COM","ename":"","eno":"","pphy":"Joshua Hedrick","ppno":7064757055,"pcpadd":"1199 PRINCE AVE","pcpcity":"ATHENS","pcpstate":"GA","pcpzip":30606,"pcpcounty":"","pcpid":"","pcpname":"1199 PRINCE AVE","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"113 Wynn Wood Ln","madd2":"","madd3":"","mcity":"Alto","mstate":"GA","mzip":30510,"pcpfaxno":"","pcpnpi":1952721144,"currentgendcomment":"","pphycomment":"","uniqueid":422716,"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":["M25.562","R10.31","N39.0","R10.9","Z12.11","R31.29","J02.9","R05.1","E11.65","J01.80","Z68.29","R05.9","R09.89","R79.82","R74.8","J32.9","R68.2","M25.50","R51.9","Z47.89","L30.9","R21","L03.114","R29.90","R94.31","R53.1","Z86.73","G43.909","I10","E55.9","E78.5","K21.9","R53.83","R29.898","I63.9","Z68.30","G56.03","R29.810","R20.2","F41.9","M17.12","R70.0","E53.8","S61.452","Z23","W55.01X","G44.89","M18.12","G89.18","R07.9","R06.09","E78.00","R06.02","R42","Z68.37","R60.9","L08.9","L82.0","M79.641","M79.642","S02.5XX","S00.83X","S60.221","M23.204","J06.9","R50.9","R05.8","Z96.652","J02.0","Z20.822","G43.109","E78.2","E66.811","Z68.31","S83.242","R30.0","E66.01","Z68.36","G45.9","G43.709","S60.222","M25.512","M25.532","Z78.9","Z12.31","Z68.32","N28.1","N20.0","K57.30","S69.91X","M71.22","M79.662","L90.5","M25.561","M17.11","H10.021","G89.29","Z68.33","L21.8","D48.5","S83.92X","I82.402","Z68.34","G56.02","R06.83","E66.9"],"date":["2025-01-28","2024-06-13","2024-06-13","2024-06-13","2024-06-13","2024-06-13","2025-08-28","2025-08-28","2025-08-28","2025-08-28","2025-08-28","2024-04-10","2024-04-10","2024-10-29","2024-10-29","2024-10-29","2024-10-29","2024-10-29","2024-10-29","2026-01-28","2025-07-01","2025-07-01","2025-11-24","2024-06-11","2024-04-23","2024-06-11","2024-06-11","2024-06-11","2025-06-13","2024-08-19","2024-07-05","2026-01-06","2024-08-19","2024-04-22","2024-06-10","2025-06-13","2024-09-18","2024-06-10","2024-04-23","2026-01-06","2025-01-02","2024-10-29","2024-08-19","2025-11-22","2025-11-22","2025-11-22","2024-06-10","2025-11-24","2025-01-02","2024-07-05","2024-06-07","2024-06-07","2024-06-07","2024-08-30","2024-06-07","2024-10-07","2024-02-19","2024-02-19","2024-02-07","2024-02-07","2024-07-22","2024-07-22","2024-07-22","2024-04-18","2025-11-11","2025-11-11","2025-11-11","2025-01-28","2025-02-21","2025-02-21","2025-02-21","2025-02-21","2026-01-06","2025-02-21","2024-03-23","2024-05-31","2024-05-31","2024-07-10","2024-08-01","2026-01-06","2026-01-03","2026-01-03","2026-01-03","2026-01-06","2026-01-06","2026-01-06","2024-06-13","2024-06-13","2024-06-13","2024-07-22","2024-10-07","2024-10-07","2024-03-11","2024-11-18","2024-11-18","2024-10-25","2024-10-25","2024-10-25","2024-03-11","2024-03-11","2025-01-31","2025-01-31","2024-08-30","2024-07-10","2024-04-29","2024-06-28"],"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":[["","","Escitalopram","20 MG","","Select","Select",""],["","","Ketoconazole","20 MG","","Select","Select",""],["","","Ondansetron","8 MG","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Atorvastatin","40 MG","","Select","Select",""],["","","Aspirin","81 MG","","Select","Select",""],["","","Losartan Potassium","25 MG","","Select","Select",""],["","","Pantoprazole","40 MG","","Select","Select",""],["","","Rimegepant","75 MG","","Select","Select",""],["","","{21 Methylprednisolone","4 MG","","Select","Select",""],["","","Propranolol Er","80 MG","","Select","Select",""],["","","Mupirocin 2% Ointment","","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Mounjaro","7.5 MG","","Select","Select",""],["","","Propranolol Hydrochloride Er","","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Fluconazole","150 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Gentamicin","3 MG","","Select","Select",""],["","","Dextromethorphan Hydrobromide","3 MG","","Select","Select",""],["","","Fluticasone Propionate","0.05 MG","","Select","Select",""],["","","Metronidazole","500 MG","","Select","Select",""],["","","Mupirocin","0.02 MG","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","Benzonatate","200 MG","","Select","Select",""],["","","Tramadol Hydrochloride","50 MG","","Select","Select",""],["","","Ciprofloxacin","500 MG","","Select","Select",""],["","","Ubrelvy","100 MG","","Select","Select",""],["","","Prednisolone Acetate","10 MG","","Select","Select",""],["","","Promethazine Hydrochloride","12.5 MG","","Select","Select",""],["","","Hydrocodone Bitartrate\/Acetaminophen","","","Select","Select",""],["","","Triamcinolone Acetonide","1 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":""}]}]}