{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Johnny Hester","gend":0,"currentgend":"","add":"5270 Rogers Rd","city":"Lizella","state":"GA","zip":"31052","dob":"1962-02-03","age":"","mstatus":"","insh":"0009064596001","cliId":"","pno":"4788410830","cno":"4788410830","email":"hestersiding5@gmail.com","ename":"","eno":"","pphy":"Carmeka Scarborough","ppno":"4787884007","pcpadd":"4226 HARTLEY BRIDGE RD STE 103","pcpcity":"MACON","pcpstate":"GA","pcpzip":"31216","pcpcounty":"","pcpid":"","pcpname":"4226 HARTLEY BRIDGE RD STE 103","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"5270 Rogers Rd","madd2":"","madd3":"","mcity":"Lizella","mstate":"GA","mzip":"31052","pcpfaxno":"4787885070","pcpnpi":"1063588614","currentgendcomment":"","pphycomment":"","uniqueid":"508431","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":["N17.9","E86.0","R79.89","Z53.29","I25.118","I25.2","Z95.5","E78.49","Z68.26","K40.91","I25.10","I10","R07.89","R93.1","E78.00","Z79.899","Z12.5","Z00.01","K40.90","R41.3","Z68.25","R07.2","R06.02","H10.11","I11.9","R03.1","R07.1","R07.9","Z01.810","Z68.27","Z12.11","N50.812","R10.32","Z13.31","Z09","Z87.19","K59.01","R73.09","F51.04","K59.00","R09.89","N52.9","Z68.24","I21.9","Z87.891","Z01.812","F41.9","R94.31","K62.1","K64.0","E87.20","K63.5","K64.9","R53.83","R03.0"],"date":["2026-05-12","2026-05-12","2026-05-12","2026-03-18","2026-06-15","2026-08-06","2026-06-15","2026-06-15","2026-06-15","2026-05-06","2026-08-11","2026-07-17","2026-07-17","2026-07-17","2026-08-06","2026-08-06","2026-02-10","2026-02-10","2026-05-18","2026-04-30","2026-05-18","2026-03-18","2026-03-19","2026-07-30","2026-08-06","2026-04-01","2026-06-09","2026-06-09","2026-03-26","2026-02-25","2026-08-11","2026-02-10","2026-02-10","2026-08-06","2026-05-18","2026-05-18","2026-05-18","2026-05-18","2026-08-06","2026-08-06","2026-08-10","2026-08-06","2026-08-06","2026-05-06","2026-05-06","2026-04-29","2026-05-01","2026-05-01","2026-08-11","2026-08-11","2026-05-12","2026-08-11","2026-08-11","2026-05-01","2026-05-01"],"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":[["","","TRAZODONE HYDROCHLORIDE","100000 MG","","Select","Select",""],["","","OLMESARTAN MEDOXOMIL","20000 MG","","Select","Select",""],["","","OXYCODONE\/ACETAMINOPHEN","0","","Select","Select",""],["","","PREDNISONE","20000 MG","","Select","Select",""],["","","HYDROXYZINE HYDROCHLORIDE","25000 MG","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","100 %","","Select","Select",""],["","","TOBRAMYCIN\/DEXAMETHASONE","0","","Select","Select",""],["","","TADALAFIL","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":""}]}]}