{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Jeannie Owens-Christie","gend":1,"currentgend":"","add":"102 Cherry Ln","city":"Athens","state":"GA","zip":"30601","dob":"1967-01-13","age":"","mstatus":"","insh":"0009060708002","cliId":"","pno":"7062150570","cno":"7062150570","email":"","ename":"","eno":"","pphy":"Grace Olatunji","ppno":"7063538700","pcpadd":"120 HAWTHORNE PARK","pcpcity":"ATHENS","pcpstate":"GA","pcpzip":"30606","pcpcounty":"","pcpid":"","pcpname":"120 HAWTHORNE PARK","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"102 Cherry Ln","madd2":"","madd3":"","mcity":"Athens","mstate":"GA","mzip":"30601","pcpfaxno":"","pcpnpi":"1497324131","currentgendcomment":"","pphycomment":"","uniqueid":"502971","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":["R42","E11.9","E78.5","R47.9","D72.829","Z86.73","Z79.899","F90.9","E66.812","Z68.37","M54.16","M54.2","M54.50","R94.5","E66.09","Z82.49","E78.2","K76.0","R19.7","R11.0","M41.85","M41.86","M47.816","G45.9","I63.9","R10.A1","M85.88","I62.9","D50.0","R07.9","I10","R73.03","E07.9","E55.9","S32.000","M79.18","M53.80","K57.30","N20.0","K44.9","L28.1","Z13.6","R47.81","R26.81","B97.89","Z11.52","M81.0","R11.2","R53.82","G47.33","Z83.49","G93.32","D64.9","R13.10","K22.4","M48.061","K21.9","S22.000","F32.A","D50.9","R47.1","R47.01","R26.89","J06.9"],"date":["2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-30","2026-02-13","2026-03-17","2026-05-28","2026-05-28","2026-05-28","2026-05-28","2026-05-28","2026-05-28","2026-05-28","2026-03-21","2026-03-21","2026-03-21","2026-06-19","2026-06-19","2026-03-16","2026-04-30","2026-06-17","2026-05-28","2026-06-17","2026-06-17","2026-05-19","2026-05-19","2026-05-19","2026-03-17","2026-06-02","2026-06-02","2026-03-16","2026-03-16","2026-03-16","2026-06-16","2026-06-18","2026-06-18","2026-06-18","2026-05-09","2026-05-09","2026-04-30","2026-05-19","2026-05-19","2026-05-19","2026-05-19","2026-04-22","2026-04-22","2026-04-22","2026-04-22","2026-04-22","2026-05-11","2026-04-22","2026-04-22","2026-05-11","2026-06-17","2026-06-17","2026-06-17","2026-05-09"],"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":[["","","VITAMIN D","1250 MG","","Select","Select",""],["","","CELECOXIB","200000 MG","","Select","Select",""],["","","OMEPRAZOLE","40000 MG","","Select","Select",""],["","","FLUTICASONE PROPIONATE","50000 MCG\/ACT","","Select","Select",""],["","","CICLOPIROX NAIL LACQUER","8000 %","","Select","Select",""],["","","PREGABALIN","300000 MG","","Select","Select",""],["","","BETAMETHASONE DIPROPIONATE AUGMENTED","50 %","","Select","Select",""],["","","METHOCARBAMOL","500000 MG","","Select","Select",""],["","","DICLOFENAC SODIUM DR","75000 MG","","Select","Select",""],["","","TIZANIDINE HCL","2000 MG","","Select","Select",""],["","","BUTALBITAL\/ACETAMINOPHEN\/CAFFEINE","0","","Select","Select",""],["","","LOSARTAN POTASSIUM\/HYDROCHLOROTHIAZIDE","0","","Select","Select",""],["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","0","","Select","Select",""],["","","TOPIRAMATE","25000 MG","","Select","Select",""],["","","ESCITALOPRAM OXALATE","20000 MG","","Select","Select",""],["","","METFORMIN HYDROCHLORIDE","500000 MG","","Select","Select",""],["","","MELOXICAM","15000 MG","","Select","Select",""],["","","CLOPIDOGREL","75000 MG","","Select","Select",""],["","","NEMLUVIO","30000 MG","","Select","Select",""],["","","PREVIDENT","1100 %","","Select","Select",""],["","","OMEPRAZOLE DR","40000 MG","","Select","Select",""],["","","METHYLPREDNISOLONE DOSE PACK","4000 MG","","Select","Select",""],["","","ACETAMINOPHEN\/CODEINE PHOSPHATE","0","","Select","Select",""],["","","ONDANSETRON ODT","4000 MG","","Select","Select",""],["","","CLINDAMYCIN PHOSPHATE","1000 %","","Select","Select",""],["","","ATORVASTATIN CALCIUM","80000 MG","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40000 MG","","Select","Select",""],["","","CLOBETASOL PROPIONATE","50 %","","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":""}]}]}