{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Regan Jones","gend":1,"currentgend":"","add":"1561 River Island Pkwy","city":"Evans","state":"GA","zip":30809,"dob":"1975-01-05","age":"","mstatus":"","insh":"0009023098001","cliId":"","pno":7064960636,"cno":7062676525,"email":"reganmillerjones@gmail.com","ename":"","eno":"","pphy":"Alice David","ppno":7069413690,"pcpadd":"3696 WHEELER RD","pcpcity":"AUGUSTA","pcpstate":"GA","pcpzip":30909,"pcpcounty":"","pcpid":"","pcpname":"3696 WHEELER RD","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"1561 River Island Pkwy","madd2":"","madd3":"","mcity":"Evans","mstate":"GA","mzip":30809,"pcpfaxno":"","pcpnpi":1780661066,"currentgendcomment":"","pphycomment":"","uniqueid":451445,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E02","Z00.00","C50.411","Z17.0","R92.323","Z80.3","C50.911","Z08","Z91.89","C50.919","Z80.41","C77.3","Z85.3","Z15.01","Z15.89","Z15.02","Z15.09","Z98.890","Z92.21","Z92.3","N64.89","Z12.4","Z11.51","Z01.419","Z79.810","L82.1","L81.4","D22.5"],"date":["2025-01-27","2025-01-27","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2026-03-10","2025-09-09","2025-09-08","2026-03-10","2026-03-10","2026-03-10","2025-09-08","2025-09-03","2025-09-03","2025-09-03","2025-09-03","2025-08-11","2025-08-11","2025-08-11"],"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":[["","","Lorazepam","0.5 MG","","Select","Select",""],["","","Tamoxifen","20 MG","","Select","Select",""],["","","Trazodone Hydrochloride","50 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":""}]}]}