{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Joseph Seale","gend":0,"currentgend":"","add":"448 Jackson St","city":"Rockmart","state":"GA","zip":30153,"dob":"1975-09-26","age":"","mstatus":"","insh":"0009036667001","cliId":"","pno":6787694418,"cno":"","email":"joeyseale@ymail.com","ename":"","eno":"","pphy":"Maryann Mugo","ppno":7706848700,"pcpadd":"48 HILLS CREEK RD","pcpcity":"TAYLORSVILLE","pcpstate":"GA","pcpzip":30178,"pcpcounty":"","pcpid":"","pcpname":"48 HILLS CREEK RD","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"448 Jackson St","madd2":"","madd3":"","mcity":"Rockmart","mstate":"GA","mzip":30153,"pcpfaxno":"","pcpnpi":1235173485,"currentgendcomment":"","pphycomment":"","uniqueid":468263,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25.562","E29.1","R79.89","I10","Z23","G47.33","M79.7","M79.672","G90.1","R53.83","G89.4","Z79.899","E27.1","I83.90","K21.9","G40.909","J45.40","G70.9","Z79.52","R53.82","R42","E66.812","R05.3","J30.9","K22.10","E66.01","Z68.37","N43.3","I86.1","R94.7","G47.30","E27.40","J06.9","G89.29","N50.3","J31.0","M54.12","M96.1","M47.817","G25.81","M17.0","R55","I45.10","I80.02","J34.2","S83.242","M17.12","M23.262","M54.59","M13.861","M13.862","G60.9","Z01.818","G90.A","D86.9","S09.90X","M25.462","Z78.9"],"date":["2025-12-26","2025-12-17","2025-12-30","2026-02-23","2025-09-16","2025-12-26","2026-02-03","2025-09-16","2025-12-17","2025-09-16","2026-02-03","2026-02-03","2025-12-09","2025-12-26","2025-12-26","2025-12-26","2025-12-26","2025-12-26","2025-12-26","2025-06-12","2025-11-13","2025-06-12","2025-10-13","2025-12-17","2025-10-13","2025-06-12","2025-06-12","2025-08-14","2025-08-14","2025-06-24","2025-06-24","2025-12-17","2025-12-17","2025-12-17","2025-08-14","2025-10-13","2026-02-03","2026-02-03","2026-02-03","2026-02-03","2026-02-03","2026-02-23","2026-02-23","2026-02-19","2025-10-13","2025-12-26","2025-11-14","2025-11-14","2025-07-09","2025-07-09","2025-07-09","2025-07-09","2025-12-17","2025-12-17","2025-12-17","2026-02-19","2026-02-19","2025-12-17"],"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":[["","","Ropinirole","0.5 MG","","Select","Select",""],["","","Pregabalin","150 MG","","Select","Select",""],["","","Hydrocodone Bitartrate\/Acetaminophen","","","Select","Select",""],["","","Meloxicam","7.5 MG","","Select","Select",""],["","","Levetiracetam","500 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","","","Select","Select",""],["","","Propranolol Hydrochloride","10 MG","","Select","Select",""],["","","Ergocalciferol","1.25 MG","","Select","Select",""],["","","Azithromycin","250 MG","","Select","Select",""],["","","Oxycodone\/Acetaminophen","","","Select","Select",""],["","","Pantoprazole","40 MG","","Select","Select",""],["","","Hydrocortisone","5 MG","","Select","Select",""],["","","Lidocaine\/Prilocaine","","","Select","Select",""],["","","24 Hr Venlafaxine","75 MG","","Select","Select",""],["","","Famotidine","40 MG","","Select","Select",""],["","","Prednisone","10 MG","","Select","Select",""],["","","Naproxen","500 MG","","Select","Select",""],["","","Jardiance","","","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":""}]}]}