{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Michael Lucas","gend":0,"currentgend":"","add":"4133 Greenwood Dr","city":"Gainesville","state":"GA","zip":30506,"dob":"1963-09-15","age":"","mstatus":"","insh":"0009037173001","cliId":"","pno":7272158278,"cno":"","email":"mikedawnlucas@yahoo.com","ename":"","eno":"","pphy":"Carlos Lucero","ppno":7702197777,"pcpadd":"597 S ENOTA DR NE","pcpcity":"GAINESVILLE","pcpstate":"GA","pcpzip":30501,"pcpcounty":"","pcpid":"","pcpname":"597 S ENOTA DR NE","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"4133 Greenwood Dr","madd2":"","madd3":"","mcity":"Gainesville","mstate":"GA","mzip":30506,"pcpfaxno":"","pcpnpi":1023421930,"currentgendcomment":"","pphycomment":"","uniqueid":468838,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I25.10","J96.01","J44.1","J18.9","F17.210","N17.9","I13.10","E11.22","N18.31","K21.9","Z79.4","Z79.82","Z79.84","I25.83","E78.49","E11.69","I11.9","J44.9","Z71.6","C61","R05.1","J06.9","B96.89","Z68.36","R23.3","J43.1","I65.23","M47.817","M54.17","Z79.899","F41.8","I95.2","E78.2","I71.43","R06.09","I10","E66.9","R94.31","N18.32","R80.9","J98.01","L81.4","D22.9","L82.1","D69.2","L82.0","I95.9","R55","R09.02","R53.1","Z68.37","G47.33","R06.02","E66.812","Z00.00","M47.816","Z68.35","F17.219","F33.9","M51.16","E11.65","H69.81","H92.01","I49.3","E55.9","Z09","R93.422","N18.9","Z00.01","J41.0","I12.9","R00.0","J01.90","J22","J34.89","L02.91","Z23","E66.01","R09.81","J98.4","R05.2","I95.1","E78.5","I77.810","Z99.89","Q60.0","N28.1"],"date":["2026-03-12","2025-08-21","2025-08-26","2025-10-06","2026-03-11","2025-11-17","2025-08-21","2026-02-11","2026-02-11","2025-08-21","2025-08-21","2025-08-21","2025-08-21","2026-03-12","2026-03-05","2026-03-05","2026-03-05","2026-03-05","2026-03-05","2026-01-28","2026-01-07","2026-03-04","2026-01-07","2026-03-12","2025-08-26","2025-08-26","2026-02-11","2026-03-03","2026-03-03","2026-03-03","2025-12-17","2026-02-11","2026-02-20","2026-02-11","2026-02-20","2026-02-18","2026-02-25","2025-11-14","2026-02-25","2026-02-25","2026-02-18","2025-05-29","2025-05-29","2025-05-29","2025-08-26","2025-05-29","2026-02-25","2025-08-21","2025-08-19","2025-08-19","2026-02-20","2026-01-28","2026-01-28","2026-01-28","2025-07-28","2025-09-17","2025-11-07","2025-11-14","2025-11-14","2025-07-28","2025-09-17","2026-03-11","2026-03-11","2025-08-27","2026-02-25","2025-08-26","2025-08-26","2025-08-19","2025-07-28","2025-07-28","2025-11-14","2025-10-01","2025-05-25","2025-05-25","2025-05-25","2025-11-07","2025-11-14","2025-11-14","2026-03-04","2025-07-28","2025-07-28","2025-10-01","2025-10-01","2025-10-01","2025-10-01","2025-10-01","2025-08-20"],"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":[["","","Ozempic","","","Select","Select",""],["","","Tamsulosin Hydrochloride","0.4 MG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Cefprozil","500 MG","","Select","Select",""],["","","Prednisone","10 MG","","Select","Select",""],["","","Rosuvastatin Calcium","40 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","","","Select","Select",""],["","","Amlodipine","5 MG","","Select","Select",""],["","","Losartan Potassium","25 MG","","Select","Select",""],["","","Montelukast","10 MG","","Select","Select",""],["","","Cefdinir","300 MG","","Select","Select",""],["","","Fenofibrate","48 MG","","Select","Select",""],["","","Buspirone Hydrochloride","10 MG","","Select","Select",""],["","","Amitriptyline Hydrochloride","25 MG","","Select","Select",""],["","","Trelegy Ellipta","","","Select","Select",""],["","","Diazepam","","","Select","Select",""],["","","Jardiance","","","Select","Select",""],["","","Omeprazole","40 MG","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Nda020503 200 Actuat Albuterol","0.09 MG","","Select","Select",""],["","","12 Hr Ranolazine","500 MG","","Select","Select",""],["","","Bromphen\/Pseudoephedrine Hcl\/Dextromethorphan Hbr","","","Select","Select",""],["","","Duloxetine","60 MG","","Select","Select",""],["","","{3 Azithromycin","500 MG","","Select","Select",""],["","","24 Hr Nicotine","0.875 MG","","Select","Select",""],["","","Albuterol","0.833 MG","","Select","Select",""],["","","Cephalexin","500 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":""}]}]}