{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Stefanie Hollis","gend":1,"currentgend":"","add":"240 Forest Park Rd","city":"Americus","state":"GA","zip":"31719","dob":"1973-06-10","age":"","mstatus":"","insh":"0009057216001","cliId":"","pno":"2293310134","cno":"2293310134","email":"stefaniehollis2022@yahoo.com","ename":"","eno":"","pphy":"Kelly Garretson","ppno":"4787411208","pcpadd":"304 MARGIE DR","pcpcity":"WARNER ROBINS","pcpstate":"GA","pcpzip":"31088","pcpcounty":"","pcpid":"","pcpname":"304 MARGIE DR","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"240 Forest Park Rd","madd2":"","madd3":"","mcity":"Americus","mstate":"GA","mzip":"31719","pcpfaxno":"","pcpnpi":"1538675863","currentgendcomment":"","pphycomment":"","uniqueid":"497886","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":["I26.99","E66.01","Z79.01","E11.65","E55.9","M79.672","I82.412","Z76.0","I10","I49.3","I49.9","J45.998","L20.82","M54.16","Z79.4","M79.605","E78.2","Z79.899","Z79.84","R55","Z86.718","E11.9","Z68.41","M79.652","R10.84","K59.00","R60.0","Z86.711","M79.609","Z79.85","J06.9","Z98.890","I82.419","I82.402","E66.9","N76.0","I82.512","E11.329","I82.812","M79.662","I34.0","I36.1","I37.1","I51.7","I49.1"],"date":["2026-04-27","2026-07-13","2026-04-27","2026-05-26","2026-05-26","2026-05-12","2026-06-10","2026-05-22","2026-06-16","2026-06-16","2026-05-22","2026-05-22","2026-05-22","2026-05-22","2026-05-22","2026-04-13","2026-03-02","2026-03-10","2026-03-02","2026-06-16","2026-06-16","2026-02-16","2026-02-16","2026-06-10","2026-06-10","2026-06-10","2026-04-13","2026-07-13","2026-07-13","2026-07-13","2026-01-09","2026-05-12","2026-02-04","2026-04-27","2026-04-27","2026-03-10","2026-03-02","2026-04-08","2026-03-02","2026-03-02","2026-02-16","2026-02-16","2026-02-16","2026-02-16","2026-02-16"],"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":[["","","METOPROLOL SUCCINATE ER","25000 MG","","Select","Select",""],["","","FLUCONAZOLE","200000 MG","","Select","Select",""],["","","GABAPENTIN","400000 MG","","Select","Select",""],["","","ELIQUIS","5000 MG","","Select","Select",""],["","","AMLODIPINE BESYLATE","10000 MG","","Select","Select",""],["","","JARDIANCE","10000 MG","","Select","Select",""],["","","GLIPIZIDE ER","10000 MG","","Select","Select",""],["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","0","","Select","Select",""],["","","LOSARTAN POTASSIUM\/HYDROCHLOROTHIAZIDE","0","","Select","Select",""],["","","OZEMPIC","8000 MG\/3ML","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","100 %","","Select","Select",""],["","","CLOTRIMAZOLE\/BETAMETHASONE DIPROPIONATE","0","","Select","Select",""],["","","TRUEPLUS LANCETS","0","","Select","Select",""],["","","ACETAMINOPHEN\/CODEINE PHOSPHATE","0","","Select","Select",""],["","","FLECAINIDE ACETATE","50000 MG","","Select","Select",""],["","","ACCU-CHEK SOFTCLIX LANCETS","0","","Select","Select",""],["","","MELOXICAM","15000 MG","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","108000 MCG\/ACT","","Select","Select",""],["","","TOPIRAMATE","100000 MG","","Select","Select",""],["","","MOUNJARO","7500 MG\/0.5ML","","Select","Select",""],["","","AZITHROMYCIN","250000 MG","","Select","Select",""],["","","MECLIZINE HYDROCHLORIDE","25000 MG","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40000 MG","","Select","Select",""],["","","DULOXETINE HYDROCHLORIDE DR","60000 MG","","Select","Select",""],["","","DICLOFENAC SODIUM DR","50000 MG","","Select","Select",""],["","","NALTREXONE HYDROCHLORIDE","50000 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":""}]}]}