{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Melissa Lee Murphy","gend":1,"currentgend":"","add":"135 Joyce Rd","city":"Sylvester","state":"GA","zip":"31791","dob":"1981-11-26","age":"","mstatus":"","insh":"0009061800001","cliId":"","pno":"2292066122","cno":"2292066122","email":"","ename":"","eno":"","pphy":"Candace Smith","ppno":"2292762286","pcpadd":"1329 N 5TH STREET EXT","pcpcity":"CORDELE","pcpstate":"GA","pcpzip":"31015","pcpcounty":"","pcpid":"","pcpname":"1329 N 5TH STREET EXT","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"135 Joyce Rd","madd2":"","madd3":"","mcity":"Sylvester","mstate":"GA","mzip":"31791","pcpfaxno":"","pcpnpi":"1013149574","currentgendcomment":"","pphycomment":"","uniqueid":"504435","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":["E11.65","K21.9","Z20.822","F17.210","R94.31","J02.0","J10.1","R05.1","J02.9","J01.40","Z87.891","Z13.31","Z68.32","Z30.09","Z13.9","Z71.3","Z71.82","L02.31","K13.79","R09.81","R50.9","J01.00","Z68.33","K52.9","R11.2","R07.0","L05.01","L02.32","R73.09","F32.9","F41.1","R03.0","Z11.3","J01.90","R05.8","R11.0","R00.0","Z76.0","R05.9","R42","H53.8","R55","R07.89","Z72.0","Z79.84","Z79.899","Z79.4","F17.200","R07.9","T81.31X","E11.622","B96.4","I21.3","E11.9","R79.89","Z82.49","Z79.85"],"date":["2026-08-10","2026-04-02","2026-04-02","2026-08-09","2026-08-10","2026-01-01","2026-02-12","2026-01-01","2026-07-07","2026-01-01","2026-07-07","2026-07-07","2026-07-07","2026-07-07","2026-07-07","2026-07-07","2026-07-07","2026-04-27","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-06-26","2026-07-07","2026-07-07","2026-07-01","2026-05-21","2026-04-23","2026-04-23","2026-06-26","2026-06-26","2026-06-26","2026-06-26","2026-05-27","2026-05-27","2026-01-21","2026-01-21","2026-01-21","2026-08-09","2026-08-09","2026-08-09","2026-08-10","2026-08-10","2026-08-10","2026-08-10","2026-08-10","2026-08-10","2026-08-09","2026-08-10","2026-05-04","2026-05-04","2026-05-04","2026-04-02","2026-08-09","2026-08-09","2026-08-09","2026-08-09"],"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":[["","","MECLIZINE HYDROCHLORIDE","25000 MG","","Select","Select",""],["","","JARDIANCE","25000 MG","","Select","Select",""],["","","PREDNISONE","20000 MG","","Select","Select",""],["","","ORPHENADRINE CITRATE ER","100000 MG","","Select","Select",""],["","","VRAYLAR","3000 MG","","Select","Select",""],["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","0","","Select","Select",""],["","","ACETAMINOPHEN\/CODEINE PHOSPHATE","0","","Select","Select",""],["","","NEBIVOLOL HYDROCHLORIDE","5000 MG","","Select","Select",""],["","","CEFDINIR","300000 MG","","Select","Select",""],["","","FLUCONAZOLE","150000 MG","","Select","Select",""],["","","NYSTATIN","100000000 UNIT\/ML","","Select","Select",""],["","","ONDANSETRON ODT","8000 MG","","Select","Select",""],["","","GLIPIZIDE","5000 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","25000 MG","","Select","Select",""],["","","BUSPIRONE HYDROCHLORIDE","10000 MG","","Select","Select",""],["","","AMOXICILLIN\/CLAVULANATE POTASSIUM","0","","Select","Select",""],["","","CLONAZEPAM","500 MG","","Select","Select",""],["","","IBUPROFEN","800000 MG","","Select","Select",""],["","","AZITHROMYCIN","250000 MG","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40000 MG","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","100000 MG","","Select","Select",""],["","","CIPROFLOXACIN HYDROCHLORIDE","500000 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":""}]}]}