{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Kynard Mccray","gend":0,"currentgend":"","add":"922 W Broad Ave","city":"Albany","state":"GA","zip":"31701","dob":"1972-07-21","age":"","mstatus":"","insh":"0009048135001","cliId":"","pno":"2295188067","cno":"","email":"","ename":"","eno":"","pphy":"DeAnna Pettit","ppno":"2294834537","pcpadd":"118 ROBERT B LEE DR","pcpcity":"LEESBURG","pcpstate":"GA","pcpzip":"31763","pcpcounty":"","pcpid":"","pcpname":"118 ROBERT B LEE DR","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"922 W Broad Ave","madd2":"","madd3":"","mcity":"Albany","mstate":"GA","mzip":"31701","pcpfaxno":"","pcpnpi":"1770361206","currentgendcomment":"","pphycomment":"","uniqueid":"484284","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":["M75.121","M75.81","Z13.1","I10","Z11.3","Z12.5","R06.09","F17.210","J45.909","J45.40","J30.1","J30.89","Z91.018","R09.81","F41.1","M25.511","B00.9","J98.4","S46.011","G89.29","M79.641","Z72.0","J30.2","Z71.2","G70.9","R07.89","E66.01"],"date":["2026-05-08","2026-03-16","2026-01-06","2026-07-16","2026-02-18","2026-07-16","2026-04-17","2026-04-17","2026-06-25","2026-08-12","2026-08-12","2026-08-12","2026-08-12","2026-08-12","2026-01-06","2026-06-01","2026-03-28","2026-03-28","2026-06-01","2026-06-01","2026-02-13","2026-06-25","2026-06-25","2026-05-08","2026-02-19","2026-07-16","2026-07-16"],"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":[["","","CELECOXIB","100000 MG","","Select","Select",""],["","","MUPIROCIN","2000 %","","Select","Select",""],["","","TACROLIMUS","100 %","","Select","Select",""],["","","LOSARTAN POTASSIUM","50000 MG","","Select","Select",""],["","","FLUTICASONE PROPIONATE","50000 MCG\/ACT","","Select","Select",""],["","","WIXELA INHUB","0","","Select","Select",""],["","","MONTELUKAST SODIUM","10000 MG","","Select","Select",""],["","","FLUTICASONE PROPIONATE\/SALMETEROL","0","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","108000 MCG\/ACT","","Select","Select",""],["","","IPRATROPIUM BROMIDE\/ALBUTEROL SULFATE","0","","Select","Select",""],["","","LEVOCETIRIZINE DIHYDROCHLORIDE","5000 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":""}]}]}