{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Judy Lynn Edwards","gend":1,"currentgend":"","add":"320 Diamond Ct","city":"Carrollton","state":"GA","zip":30116,"dob":"1968-10-01","age":"","mstatus":"","insh":"0009029969001","cliId":"","pno":4049342783,"cno":4049342783,"email":"judyedwards9616@gmail.com","ename":"","eno":"","pphy":"NISHANT SHROFF","ppno":7709490555,"pcpadd":"6025 PROFESSIONAL PKWY","pcpcity":"DOUGLASVILLE","pcpstate":"GA","pcpzip":30134,"pcpcounty":"","pcpid":"","pcpname":"6025 PROFESSIONAL PKWY","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"320 Diamond Ct","madd2":"","madd3":"","mcity":"Carrollton","mstate":"GA","mzip":30116,"pcpfaxno":7709494424,"pcpnpi":1386808947,"currentgendcomment":"","pphycomment":"","uniqueid":455633,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G93.41","I50.32","I11.0","E03.9","E11.649","E66.813","F31.9","J44.9","N17.9","G47.33","M48.061","N20.0","Z79.4","Z11.52","R79.89","M79.89","L53.9","M79.605","I13.0","E11.22","N18.31","D50.9","E66.01","Z68.44","Z79.84","Z79.85","E11.69","E78.5","D72.829","E11.59","I15.2","J45.909","K21.9","E78.2","I10","E61.1","M25.562","R29.818","Z01.811","J96.11","I50.9","R09.02","H10.33","H10.403","H17.11","H16.142","H04.123","D50.8","R00.2","M47.817","I20.89","K64.8","Z86.010","R13.13","K29.50","K31.89","K20.90","J44.89","E11.9","I27.21","J96.01","N28.9","G93.40","M25.551","R06.02","J45.40","I50.30","G47.34","M54.16","M54.17","R41.82","R51.9","Z68.43","I95.1","Z79.899","N18.2","Z11.59","N39.41","Z12.31","M47.816","Z51.81","F11.20","R60.0","R53.1","E11.43","G89.4","Z76.89","J96.21","J96.22","Z13.31","Z78.9","Z71.89","R47.81","R42","D13.30","K29.70","Z79.891","F54","F33.42","F41.9","F10.91","M47.26","R06.00","J96.02","R25.1","M46.1","R13.19","J96.12","N30.00","M54.12","R74.8","Z01.810","E11.8","J98.09","Z88.8","Z12.11","W19.XXX","R94.31"],"date":["2025-02-25","2025-12-16","2025-12-17","2025-12-17","2025-02-25","2026-02-26","2025-11-19","2025-06-16","2025-02-16","2026-03-10","2025-02-16","2025-02-16","2026-03-09","2025-06-11","2026-03-09","2026-03-09","2026-03-09","2026-03-09","2025-09-08","2025-09-08","2025-09-08","2026-01-29","2026-03-09","2026-02-26","2025-09-08","2025-09-08","2026-03-09","2025-09-08","2026-03-03","2025-11-10","2025-11-10","2025-11-10","2025-12-17","2025-12-17","2026-03-09","2025-11-10","2026-03-09","2026-03-10","2026-02-26","2026-02-26","2025-12-17","2025-06-11","2025-08-04","2025-08-04","2025-08-04","2025-08-04","2025-08-04","2026-03-03","2025-02-06","2025-10-14","2025-02-06","2025-12-17","2025-12-17","2025-12-17","2025-12-24","2025-12-17","2025-12-24","2025-12-17","2025-12-17","2025-12-17","2026-03-22","2025-02-16","2026-03-09","2025-04-14","2025-10-22","2025-10-22","2025-11-07","2025-10-22","2026-02-10","2026-02-10","2025-02-16","2025-02-16","2025-07-02","2025-07-02","2025-07-02","2025-06-16","2025-02-14","2025-02-14","2025-05-12","2025-10-14","2026-02-10","2025-09-08","2025-04-23","2025-06-16","2025-06-16","2025-06-16","2025-08-05","2026-03-10","2026-03-10","2025-02-25","2025-02-25","2025-02-25","2026-03-11","2026-03-10","2025-12-24","2025-12-24","2026-02-10","2026-01-13","2026-01-13","2026-01-13","2026-01-13","2025-11-17","2025-06-26","2026-03-11","2025-02-12","2026-02-10","2025-10-10","2026-03-09","2026-03-09","2025-03-11","2025-12-08","2025-12-02","2025-02-27","2025-06-16","2025-09-08","2025-12-17","2025-04-14","2026-03-09"],"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":[["","","Tizanidine","4 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Aripiprazole","15 MG","","Select","Select",""],["","","Duloxetine","60 MG","","Select","Select",""],["","","Quetiapine","100 MG","","Select","Select",""],["","","Clonazepam","1 MG","","Select","Select",""],["","","Esomeprazole","40 MG","","Select","Select",""],["","","Abuse-Deterrent 12 Hr Oxycodone","9 MG","","Select","Select",""],["","","Glucagon Emergency Kit For Low Blood Sugar","","","Select","Select",""],["","","Dexcom G7 Sensor","","","Select","Select",""],["","","Dexcom G7 Receiver","","","Select","Select",""],["","","Levothyroxine Sodium","0.125 MG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Atorvastatin","80 MG","","Select","Select",""],["","","Breyna","","","Select","Select",""],["","","Potassium Chloride","10 MEQ","","Select","Select",""],["","","Novolog Flexpen","","","Select","Select",""],["","","Furosemide","40 MG","","Select","Select",""],["","","Pregabalin","100 MG","","Select","Select",""],["","","Losartan Potassium","25 MG","","Select","Select",""],["","","Jardiance","","","Select","Select",""],["","","Ozempic","","","Select","Select",""],["","","Carvedilol","6.25 MG","","Select","Select",""],["","","Nystatin 100000 Unt\/Ml Topical Cream","","","Select","Select",""],["","","Fluconazole","100 MG","","Select","Select",""],["","","Cephalexin","","","Select","Select",""],["","","Mounjaro","","","Select","Select",""],["","","Toujeo Max Solostar","","","Select","Select",""],["","","Bd Pen Needle\/Short\/Ultra-Fine\/31G X 8Mm","","","Select","Select",""],["","","Levofloxacin","500 MG","","Select","Select",""],["","","Labetalol Hydrochloride","200 MG","","Select","Select",""],["","","Albuterol","0.83 MG","","Select","Select",""],["","","3 Ml Insulin Glargine-Yfgn 100 Unt\/Ml Pen Injector [Semglee]","","","Select","Select",""],["","","Albuterol Sulfate","","","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":""}]}]}