{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Richard O'Connell","gend":0,"currentgend":"","add":"861 Mango Ln # 7302","city":"Ellijay","state":"GA","zip":30540,"dob":"1962-03-11","age":"","mstatus":"","insh":"0009040274001","cliId":"","pno":4046615475,"cno":"","email":"richard_v_oconnell@hotmail.com","ename":"","eno":"","pphy":"Gregory Rainwater","ppno":7066922437,"pcpadd":"1020 J L WHITE DR STE 170","pcpcity":"JASPER","pcpstate":"GA","pcpzip":30143,"pcpcounty":"","pcpid":"","pcpname":"1020 J L WHITE DR STE 170","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"861 Mango Ln # 7302","madd2":"","madd3":"","mcity":"Ellijay","mstate":"GA","mzip":30540,"pcpfaxno":"","pcpnpi":1972668200,"currentgendcomment":"","pphycomment":"","uniqueid":472257,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C34.90","M76.821","M21.41","Q74.2","M21.42","E11.9","I10","K59.09","E29.1","G47.33","Z96.41","E11.69","K21.9","Z87.891","J43.9","M79.671","M79.672","Z99.89","G47.34","E66.9","Z68.35"],"date":["2025-10-06","2026-01-05","2026-01-05","2026-01-05","2026-01-05","2026-01-21","2026-01-21","2026-01-21","2026-01-21","2026-01-21","2026-01-21","2025-09-02","2025-09-02","2025-09-15","2025-09-15","2025-11-18","2025-11-18","2025-09-10","2025-09-10","2025-09-15","2025-09-15"],"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",""],["","","Linzess","","","Select","Select",""],["","","Esomeprazole","20 MG","","Select","Select",""],["","","Mounjaro","","","Select","Select",""],["","","Olmesartan Medoxomil","40 MG","","Select","Select",""],["","","Testosterone Cypionate","","","Select","Select",""],["","","Flucelvax 2025-2026","","","Select","Select",""],["","","Comirnaty 2025-26","","","Select","Select",""],["","","Ciprofloxacin","500 MG","","Select","Select",""],["","","Dexcom G7 Sensor","","","Select","Select",""],["","","Rosuvastatin Calcium","5 MG","","Select","Select",""],["","","{21 Methylprednisolone","4 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":""}]}]}