{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Vincent J Riley","gend":0,"currentgend":"","add":"1803 Maxwell St Apt B","city":"Americus","state":"GA","zip":"31719","dob":"1962-09-23","age":"","mstatus":"","insh":"0009068780001","cliId":"","pno":"2293145461","cno":"2293145461","email":"","ename":"","eno":"","pphy":"Ekei Tanifum","ppno":"9124356965","pcpadd":"126 US HIGHWAY 280 W","pcpcity":"AMERICUS","pcpstate":"GA","pcpzip":"31719","pcpcounty":"","pcpid":"","pcpname":"126 US HIGHWAY 280 W","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"1803 Maxwell St Apt B","madd2":"","madd3":"","mcity":"Americus","mstate":"GA","mzip":"31719","pcpfaxno":"","pcpnpi":"1629186614","currentgendcomment":"","pphycomment":"","uniqueid":"514638","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":["I69.354","E78.5","I10","E87.6","E83.42","Z79.82","R29.90","Z74.09","R09.89","I63.9","S06.9XA","K56.7","Z13.6","J18.9","J69.0","G93.40","E87.1","G81.94","R13.12","R26.2","R47.81","Z79.899","Z87.820","R29.707","K59.00","R11.2","K21.9","R47.01","R62.7","T17.308","R13.19","Z43.1","N39.0","L24.9","I69.391","D64.9","M62.81","I63.89","K52.9","G93.89","R29.898","G31.9","R29.818","R13.10","E78.2","R45.1","G89.29","Z86.73","F41.1","Z12.11","Z76.0","Z93.1","R51.9","R69","Z74.3","R91.8","K63.89","R06.02","N28.1","R10.9","R58","R41.82","G45.9","R04.0","R53.1","Z87.828","T17.990"],"date":["2026-05-21","2026-06-13","2026-06-13","2026-03-21","2026-03-21","2026-04-03","2026-04-29","2026-03-21","2026-04-29","2026-06-13","2026-04-29","2026-04-30","2026-04-02","2026-04-03","2026-06-13","2026-04-03","2026-05-21","2026-04-03","2026-05-05","2026-04-03","2026-04-03","2026-04-03","2026-05-21","2026-04-03","2026-05-05","2026-04-03","2026-04-03","2026-05-21","2026-04-09","2026-04-21","2026-04-10","2026-05-05","2026-05-21","2026-05-05","2026-07-21","2026-05-21","2026-07-27","2026-05-05","2026-04-29","2026-03-20","2026-03-20","2026-03-20","2026-04-02","2026-05-21","2026-01-26","2026-01-26","2026-01-26","2026-04-10","2026-01-26","2026-01-26","2026-01-26","2026-05-21","2026-05-21","2026-07-31","2026-07-31","2026-05-02","2026-05-02","2026-05-02","2026-04-12","2026-04-12","2026-05-23","2026-05-23","2026-04-03","2026-05-23","2026-05-23","2026-05-23","2026-04-24"],"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":[["","","LOSARTAN POTASSIUM\/HYDROCHLOROTHIAZIDE","0","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40000 MG","","Select","Select",""],["","","ASPIRIN LOW DOSE","81000 MG","","Select","Select",""],["","","ONDANSETRON ODT","4000 MG","","Select","Select",""],["","","CLOPIDOGREL","75000 MG","","Select","Select",""],["","","HYDROXYZINE HYDROCHLORIDE","25000 MG","","Select","Select",""],["","","LEVOFLOXACIN","500000 MG","","Select","Select",""],["","","SERTRALINE HYDROCHLORIDE","25000 MG","","Select","Select",""],["","","LACTULOSE","10000 GM\/15ML","","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":""}]}]}