{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Linda Miller","gend":1,"currentgend":"","add":"231 Riley Cir","city":"Dawsonville","state":"GA","zip":"30534","dob":"1978-07-25","age":"","mstatus":"","insh":"0009048886001","cliId":"","pno":"7069731103","cno":"","email":"lindamiller1978.lm@gmail.com","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"231 Riley Cir","madd2":"","madd3":"","mcity":"Dawsonville","mstate":"GA","mzip":"30534","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"485438","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":["I50.43","J96.01","R57.0","I13.0","D86.85","I5A","D84.821","Z79.01","E66.01","N18.30","I34.0","J45.909","Z68.42","N17.9","E87.3","E87.1","I42.2","I48.19","Z95.810","Z86.73","E78.5","R00.0","R82.81","I50.42","G72.81","E87.20","N39.0","R65.20","G70.9","N18.31","E66.813","E03.9","I69.30","I42.5","I48.0","I11.0","I47.20","E78.2","G47.33","I42.8","R25.2","I49.9","I51.9","I48.92","Z98.890","Z79.899","R06.02","J96.21","E87.4","F32.A","I95.9","E87.6","R73.9","I95.81","Z79.85","Z79.60","Z79.890","Z87.891","Z01.419","Z12.4","I50.22","R65.10","R57.9","R57.8","I50.41","R65.11","N17.8","Z99.11","J81.0","I48.91","I47.19","N92.4","I10","I50.9","J44.9","D64.9","D50.9","R10.9","I31.39","J45.998","K21.9","R11.0","J81.1","I21.4","I49.5","Z68.1","I44.0","I49.3","I44.4","I45.4","I50.32","I48.4","N20.9","Z48.812","E27.2","E55.9","Q21.12","E72.11","Z86.79","G43.009","R41.3","J18.9","R53.1","Z12.31","Z68.41","K56.7","Z95.818","Z15.89","Z99.89","R53.81","D72.829","R07.9","R91.8","I48.3","N30.30","A41.9","Z92.25","F51.01","Z76.89","Z09","J18.0","G47.30","E66.9","G47.00","Z46.59","N18.9","E87.29","R74.8","K52.9","Z30.430","Z32.02","B37.2","B37.0","I36.1","Z45.02","M54.30","I51.7","I44.30","I95.0","R55","I47.29","N93.9","I51.89","I25.5","E86.1","I63.9","K42.9","E87.21","R09.89","I50.21","R21","E53.8","G47.09","L29.9","J98.4","F51.04","Z30.431","I50.20","R79.89","N20.0","I12.9"],"date":["2026-08-10","2026-08-06","2026-08-06","2026-08-06","2026-08-17","2026-08-06","2026-08-06","2026-08-10","2026-08-10","2026-08-06","2026-08-10","2026-08-06","2026-08-06","2026-08-17","2026-08-06","2026-08-06","2026-08-10","2026-08-06","2026-08-10","2026-08-06","2026-08-19","2026-08-06","2026-08-06","2026-08-17","2026-07-19","2026-07-19","2026-08-01","2026-07-19","2026-07-19","2026-07-19","2026-08-04","2026-08-19","2026-07-19","2026-07-19","2026-08-17","2026-08-17","2026-08-17","2026-07-21","2026-08-10","2026-07-16","2026-04-29","2026-08-03","2026-08-01","2026-08-13","2026-08-06","2026-08-05","2026-07-12","2026-03-26","2026-03-26","2026-03-26","2026-07-31","2026-03-26","2026-03-26","2026-03-26","2026-08-10","2026-07-21","2026-03-26","2026-05-02","2026-03-25","2026-03-25","2026-08-10","2026-07-19","2026-07-09","2026-07-12","2026-08-04","2026-07-09","2026-07-15","2026-07-11","2026-08-03","2026-08-19","2026-08-05","2026-04-28","2026-07-19","2026-07-17","2026-05-30","2026-05-30","2026-05-30","2026-03-17","2026-07-08","2026-01-19","2026-08-19","2026-02-17","2026-08-04","2026-08-04","2026-08-04","2026-08-04","2026-01-13","2026-01-13","2026-01-13","2026-07-09","2026-01-13","2026-08-05","2026-07-11","2026-06-04","2026-06-04","2026-01-09","2026-01-09","2026-01-09","2026-08-10","2026-01-09","2026-01-09","2026-08-21","2026-07-06","2026-05-18","2026-08-17","2026-07-12","2026-06-28","2026-03-27","2026-03-02","2026-03-02","2026-07-06","2026-08-01","2026-07-11","2026-07-07","2026-07-13","2026-07-10","2026-07-10","2026-04-16","2026-04-16","2026-08-19","2026-08-19","2026-08-19","2026-08-19","2026-08-19","2026-07-11","2026-07-17","2026-07-09","2026-07-12","2026-07-09","2026-05-28","2026-05-28","2026-05-20","2026-05-04","2026-07-09","2026-07-02","2026-02-17","2026-07-12","2026-07-06","2026-03-28","2026-03-31","2026-08-06","2026-03-17","2026-03-27","2026-03-02","2026-07-07","2026-04-15","2026-07-06","2026-03-26","2026-07-11","2026-08-03","2026-05-02","2026-04-06","2026-04-06","2026-05-20","2026-07-10","2026-04-09","2026-06-25","2026-05-07","2026-07-06","2026-07-06","2026-07-06"],"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":[["","","AZITHROMYCIN","250000 MG","","Select","Select",""],["","","MONTELUKAST SODIUM","10000 MG","","Select","Select",""],["","","VALACYCLOVIR HYDROCHLORIDE","1000 GM","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","108000 MCG\/ACT","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","40000 MG","","Select","Select",""],["","","CLOPIDOGREL","75000 MG","","Select","Select",""],["","","LANSOPRAZOLE","30000 MG","","Select","Select",""],["","","SPIRONOLACTONE","25000 MG","","Select","Select",""],["","","TORSEMIDE","20000 MG","","Select","Select",""],["","","ELIQUIS","5000 MG","","Select","Select",""],["","","PREDNISONE","20000 MG","","Select","Select",""],["","","MYCOPHENOLIC ACID DR","360000 MG","","Select","Select",""],["","","FLUCONAZOLE","150000 MG","","Select","Select",""],["","","MIRTAZAPINE","15000 MG","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","75000 MCG","","Select","Select",""],["","","JARDIANCE","10000 MG","","Select","Select",""],["","","METOPROLOL SUCCINATE ER","25000 MG","","Select","Select",""],["","","SACUBITRIL\/VALSARTAN","0","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40000 MG","","Select","Select",""],["","","BUTALBITAL\/ACETAMINOPHEN\/CAFFEINE","0","","Select","Select",""],["","","OMEPRAZOLE DR","40000 MG","","Select","Select",""],["","","ALBUTEROL SULFATE","83 %","","Select","Select",""],["","","OXYCODONE\/ACETAMINOPHEN","0","","Select","Select",""],["","","ONDANSETRON ODT","4000 MG","","Select","Select",""],["","","POTASSIUM CHLORIDE ER","10000 MEQ","","Select","Select",""],["","","TRAZODONE HYDROCHLORIDE","50000 MG","","Select","Select",""],["","","HYDROXYZINE HYDROCHLORIDE","25000 MG","","Select","Select",""],["","","AMIODARONE HYDROCHLORIDE","200000 MG","","Select","Select",""],["","","KLOR-CON M","20000 MEQ","","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":""}]}]}