{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Parvez Pattharwala","gend":0,"currentgend":"","add":"306 Coolwater Trce","city":"Carrollton","state":"GA","zip":"30117","dob":"1969-01-21","age":"","mstatus":"","insh":"0009066121001","cliId":"","pno":"6789733786","cno":"6789733786","email":"","ename":"","eno":"","pphy":"Emily Rooks","ppno":"7708125831","pcpadd":"706 DIXIE ST STE 350","pcpcity":"CARROLLTON","pcpstate":"GA","pcpzip":"30117","pcpcounty":"","pcpid":"","pcpname":"706 DIXIE ST STE 350","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"306 Coolwater Trce","madd2":"","madd3":"","mcity":"Carrollton","mstate":"GA","mzip":"30117","pcpfaxno":"7708125832","pcpnpi":"1619144722","currentgendcomment":"","pphycomment":"","uniqueid":"411959","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":["J18.9","R07.89","I10","M54.2","R07.9","B02.29","Z13.89","J45.50","K64.8","M54.50","S39.012","Z86.711","M54.12","M25.511","R05.8","R50.9","R06.02","Z79.899","B02.9","B02.7","M94.0","I70.0","E78.2","Z68.26","R94.39","J98.6","R10.A0","R79.1","K57.30","K62.5"],"date":["2026-03-24","2026-04-09","2026-04-09","2026-03-24","2026-04-09","2026-08-17","2026-08-17","2026-06-02","2026-02-05","2026-02-20","2026-06-13","2026-04-08","2026-02-20","2026-02-20","2026-01-07","2026-01-07","2026-06-13","2026-06-13","2026-06-18","2026-06-25","2026-05-15","2026-02-20","2026-04-08","2026-04-08","2026-04-09","2026-06-13","2026-06-13","2026-06-13","2026-02-05","2026-02-05"],"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":[["","","PREDNISONE","20000 MG","","Select","Select",""],["","","AZITHROMYCIN","250000 MG","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE DENTAL PASTE","100 %","","Select","Select",""],["","","NAPROXEN","500000 MG","","Select","Select",""],["","","METHOCARBAMOL","500000 MG","","Select","Select",""],["","","METHYLPREDNISOLONE DOSE PACK","4000 MG","","Select","Select",""],["","","PREGABALIN","75000 MG","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40000 MG","","Select","Select",""],["","","FLUTICASONE PROPIONATE\/SALMETEROL DISKUS","0","","Select","Select",""],["","","MONTELUKAST SODIUM","10000 MG","","Select","Select",""],["","","ACETAMINOPHEN\/CODEINE PHOSPHATE","0","","Select","Select",""],["","","TRAMADOL HYDROCHLORIDE","50000 MG","","Select","Select",""],["","","ORPHENADRINE CITRATE ER","100000 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","50000 MG","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100000 MG","","Select","Select",""],["","","JOURNAVX","50000 MG","","Select","Select",""],["","","ALBUTEROL SULFATE","83 %","","Select","Select",""],["","","BREZTRI AEROSPHERE","0","","Select","Select",""],["","","VALACYCLOVIR HYDROCHLORIDE","1000 GM","","Select","Select",""],["","","DULOXETINE HYDROCHLORIDE DR","30000 MG","","Select","Select",""],["","","AMITRIPTYLINE HYDROCHLORIDE","25000 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":""}]}]}