{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Lamberto Vega Preciado","gend":0,"currentgend":"","add":"900 Autumn Ct Apt 4","city":"Dalton","state":"GA","zip":"30721","dob":"1968-09-17","age":"","mstatus":"","insh":"0009065150001","cliId":"","pno":"7622313647","cno":"7622313647","email":"vegalamberto29@gmail.com","ename":"","eno":"","pphy":"Windsor Pamphile","ppno":"9126956090","pcpadd":"1200 MEMORIAL DR","pcpcity":"DALTON","pcpstate":"GA","pcpzip":"30720","pcpcounty":"","pcpid":"","pcpname":"1200 MEMORIAL DR","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"APTO 4","add3":"","madd1":"900 Autumn Ct Apt 4","madd2":"APTO 4","madd3":"","mcity":"Dalton","mstate":"GA","mzip":"30721","pcpfaxno":"","pcpnpi":"1700048188","currentgendcomment":"","pphycomment":"","uniqueid":"509180","medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["Spanish"]],"comment":[[]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z99.2","N25.81","D63.1","E11.22","Z23","Z11.1","D50.9","N17.9","N18.5","I50.43","R79.89","J18.9","D69.1","I13.2","E87.20","E83.39","E83.51","I27.20","E11.65","E87.1","T82.838","E79.0","E87.70","N18.6","I50.9","E78.00","Z79.84","Z79.899","R91.8","I45.2","I21.29","I12.0","I50.41","I10","E11.21","E87.22","J96.00","Z91.198","R94.31","I23.1","I44.4","E55.9","J90","J98.11","B02.39","J81.0","E11.69","I34.1","I36.1","I35.1"],"date":["2026-06-01","2026-03-20","2026-03-20","2026-03-30","2026-03-20","2026-03-20","2026-03-20","2026-03-17","2026-03-17","2026-03-16","2026-03-15","2026-03-17","2026-03-17","2026-03-12","2026-03-07","2026-03-07","2026-03-17","2026-03-07","2026-03-16","2026-03-09","2026-03-07","2026-03-07","2026-03-17","2026-06-01","2026-03-07","2026-03-07","2026-03-07","2026-03-07","2026-03-07","2026-03-12","2026-03-07","2026-03-30","2026-03-17","2026-03-17","2026-03-17","2026-03-17","2026-03-17","2026-03-17","2026-03-12","2026-03-12","2026-03-12","2026-03-08","2026-03-16","2026-03-16","2026-03-30","2026-03-07","2026-03-30","2026-03-08","2026-03-08","2026-03-08"],"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",""],["","","VALACYCLOVIR HYDROCHLORIDE","1000 GM","","Select","Select",""],["","","ERYTHROMYCIN","5000 MG\/GM","","Select","Select",""],["","","SEVELAMER CARBONATE","800000 MG","","Select","Select",""],["","","FERRIC CITRATE","210000 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":""}]}]}