{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Angela Gibson","gend":1,"currentgend":"","add":"209 Park Ln","city":"Warner Robins","state":"GA","zip":31093,"dob":"1970-11-01","age":"","mstatus":"","insh":"0009031923001","cliId":"","pno":9314469993,"cno":9314469993,"email":"tn_titan_fan@yahoo.com","ename":"","eno":"","pphy":"Joshua Onyango","ppno":6153223000,"pcpadd":"3601 THE VANDERBILT CLINIC","pcpcity":"NASHVILLE","pcpstate":"TN","pcpzip":37232,"pcpcounty":"","pcpid":"","pcpname":"3601 THE VANDERBILT CLINIC","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"209 Park Ln","madd2":"","madd3":"","mcity":"Warner Robins","mstate":"GA","mzip":31093,"pcpfaxno":"","pcpnpi":1851957906,"currentgendcomment":"","pphycomment":"","uniqueid":462629,"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":["G89.18","C18.9","C18.2","F41.9"],"date":["2025-02-25","2025-02-25","2025-04-07","2025-04-07"],"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":[["","","Pantoprazole Sodium","","","Select","Select",""],["","","Methocarbamol","500 MG","","Select","Select",""],["","","Albuterol Sulfate Hfa","","","Select","Select",""],["","","Polyethylene Glycol 3350","236000 MG","","Select","Select",""],["","","Erythromycin","500 MG","","Select","Select",""],["","","Hydrocodone Bitartrate\/Acetaminophen","","","Select","Select",""],["","","Amoxicillin","","","Select","Select",""],["","","Lidocaine\/Prilocaine","","","Select","Select",""],["","","Prochlorperazine","10 MG","","Select","Select",""],["","","Clindamycin","150 MG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Rolapitant","90 MG","","Select","Select",""],["","","Lidocaine Hydrochloride","20 MG","","Select","Select",""],["","","Prochlorperazine Maleate","","","Select","Select",""],["","","24 Hr Amphetamine Aspartate","5 MG","","Select","Select",""],["","","Oxycodone\/Acetaminophen","","","Select","Select",""],["","","Promethazine Hydrochloride","25 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Amphetamine\/Dextroamphetamine","","","Select","Select",""],["","","Oxycodone Hydrochloride","5 MG","","Select","Select",""],["","","Hydromorphone Hcl","","","Select","Select",""],["","","Hydroxyzine Hydrochloride","25 MG","","Select","Select",""],["","","Haloperidol","","","Select","Select",""],["","","Lorazepam","2 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Metronidazole","500 MG","","Select","Select",""],["","","Meloxicam","7.5 MG","","Select","Select",""],["","","Doxycycline Hyclate","","","Select","Select",""],["","","Buspirone Hydrochloride","","","Select","Select",""],["","","Neomycin Sulfate","","","Select","Select",""],["","","Eliquis","","","Select","Select",""],["","","Ibuprofen","800 MG","","Select","Select",""],["","","Chlorhexidine Gluconate","","","Select","Select",""],["","","Olanzapine","5 MG","","Select","Select",""],["","","Fluconazole","150 MG","","Select","Select",""],["","","Valacyclovir","1000 MG","","Select","Select",""],["","","Microencapsulated Potassium Chloride","20 MEQ","","Select","Select",""],["","","Potassium Chloride","20 MEQ","","Select","Select",""],["","","Trospium Chloride","20 MG","","Select","Select",""],["","","Cefdinir","300 MG","","Select","Select",""],["","","24 Hr Mirabegron","50 MG","","Select","Select",""],["","","Famotidine","20 MG","","Select","Select",""],["","","Tamsulosin Hydrochloride","0.4 MG","","Select","Select",""],["","","Dronabinol","2.5 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":""}]}]}