{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Tessie Evone Armstead","gend":1,"currentgend":"","add":"754 Great Oak Pl","city":"Villa Rica","state":"GA","zip":"30180","dob":"1971-10-15","age":"","mstatus":"","insh":"0009072110001","cliId":"","pno":"6787395411","cno":"6787395411","email":"messietarks@icloud.com","ename":"","eno":"","pphy":"Eberechukwu Mosieri","ppno":"7703821530","pcpadd":"601 DALLAS HWY","pcpcity":"VILLA RICA","pcpstate":"GA","pcpzip":"30180","pcpcounty":"","pcpid":"","pcpname":"601 DALLAS HWY","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"754 Great Oak Pl","madd2":"","madd3":"","mcity":"Villa Rica","mstate":"GA","mzip":"30180","pcpfaxno":"","pcpnpi":"1851775605","currentgendcomment":"","pphycomment":"","uniqueid":"518788","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":["I50.32","E11.22","Z13.89","J44.9","I33.0","S81.801","S81.802","N18.31","Z79.4","B95.62","I87.313","L97.211","J96.21","J44.1","Z45.2","I13.0","I50.33","N18.32","D86.0","G47.33","I27.20","E66.01","Z68.35","I25.10","R00.0","E11.42","F41.9","E11.610","K58.1","K80.20","I25.2","E78.5","E55.9","N39.0","D50.0","E78.2","G93.40","A49.02","G93.41","L03.115","L03.116","N17.9","Z68.41","D86.9","E11.40","E11.65","J44.89","R65.20","R33.9","Z79.01","Z79.52","Z86.711","D64.9","E10.22","N18.30","E10.40","S82.891","R79.89","R07.89","S71.112","S09.90X","Z91.138","Z99.81","Z98.61","Z86.73","R07.9","R06.2","I35.8","I26.99","R50.9","I48.91","R09.02","L97.222","L97.212","A41.02","J96.11","I87.2","L97.319","I35.0","J98.11","J47.9","R51.9","F40.01","Z88.5","Z87.891","R53.1","R53.81","I50.30","J81.0","Z11.52","Z79.899","Z79.82","I27.82","J84.9","L97.819","E66.9","M97.21X","T50.2X5","R79.82","R74.8","R70.0","L97.221","Z79.2","R23.8","D63.1","E86.0","Z03.89","I51.7","I35.1","A41.9","R27.9","I10","Z53.20","G89.4","R78.81","E66.09","E66.812","R06.02","T30.0","J96.10","M25.571","G89.29","N18.9","L97.918","R22.41","I50.9","J18.9","N17.0","M14.671","Z13.31","Z68.38","I35.2","L97.919","I13.2","Z82.49","Z83.3","S91.001","R41.82","R91.8","M54.2","J81.1","R19.5","I86.8","R09.89","I34.0","I36.1","E87.70","R79.1","R06.00","I12.9","N25.81","E11.69","M86.9"],"date":["2026-03-10","2026-07-28","2026-04-22","2026-08-06","2026-02-19","2026-02-19","2026-04-24","2026-02-19","2026-07-03","2026-06-11","2026-06-11","2026-06-11","2026-06-11","2026-07-03","2026-06-11","2026-07-17","2026-07-17","2026-07-28","2026-07-17","2026-07-17","2026-07-17","2026-06-11","2026-06-11","2026-07-17","2026-06-11","2026-06-11","2026-07-17","2026-06-11","2026-07-17","2026-06-11","2026-07-17","2026-06-11","2026-07-28","2026-06-02","2026-07-17","2026-07-28","2026-03-09","2026-05-13","2026-03-18","2026-02-09","2026-02-09","2026-07-17","2026-07-03","2026-06-05","2026-07-17","2026-07-17","2026-07-17","2026-02-28","2026-03-18","2026-08-06","2026-07-03","2026-02-28","2026-05-04","2026-02-05","2026-04-22","2026-01-23","2026-05-31","2026-05-29","2026-08-06","2026-08-06","2026-08-06","2026-08-06","2026-08-06","2026-08-06","2026-08-06","2026-08-06","2026-03-10","2026-05-31","2026-05-31","2026-02-09","2026-07-17","2026-02-09","2026-05-26","2026-05-26","2026-03-24","2026-07-28","2026-07-17","2026-07-17","2026-07-17","2026-07-17","2026-07-17","2026-06-05","2026-02-28","2026-02-28","2026-06-05","2026-08-03","2026-08-03","2026-08-03","2026-03-05","2026-06-05","2026-06-05","2026-07-03","2026-07-03","2026-07-03","2026-07-03","2026-07-03","2026-07-03","2026-07-03","2026-04-13","2026-05-04","2026-05-11","2026-04-17","2026-04-17","2026-03-18","2026-07-28","2026-05-04","2026-01-21","2026-05-30","2026-03-02","2026-02-28","2026-08-06","2026-04-22","2026-04-22","2026-04-22","2026-04-22","2026-04-22","2026-04-22","2026-07-07","2026-02-28","2026-07-06","2026-04-24","2026-04-24","2026-02-09","2026-02-04","2026-05-30","2026-02-04","2026-01-14","2026-01-12","2026-07-24","2026-04-22","2026-04-22","2026-05-30","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-03-03","2026-02-28","2026-06-05","2026-01-02","2026-03-09","2026-01-02","2026-01-19","2026-01-08","2026-01-22","2026-01-22","2026-07-03","2026-03-10","2026-01-08","2026-06-02","2026-06-02","2026-01-26","2026-01-26"],"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":[["","","HYDROXYZINE PAMOATE","25000 MG","","Select","Select",""],["","","TORSEMIDE","100000 MG","","Select","Select",""],["","","PREDNISONE","5000 MG","","Select","Select",""],["","","INSULIN GLARGINE-YFGN","100000 UNIT\/ML","","Select","Select",""],["","","OXYCODONE\/ACETAMINOPHEN","0","","Select","Select",""],["","","ELIQUIS","5000 MG","","Select","Select",""],["","","ONDANSETRON ODT","4000 MG","","Select","Select",""],["","","CALCITRIOL","250 MCG","","Select","Select",""],["","","AMLODIPINE BESYLATE","5000 MG","","Select","Select",""],["","","BREZTRI AEROSPHERE","0","","Select","Select",""],["","","VITAMIN D","1250 MG","","Select","Select",""],["","","CARVEDILOL","25000 MG","","Select","Select",""],["","","AMOXICILLIN\/CLAVULANATE POTASSIUM","0","","Select","Select",""],["","","AZITHROMYCIN","250000 MG","","Select","Select",""],["","","BUMETANIDE","2000 MG","","Select","Select",""],["","","ACETAMINOPHEN\/CODEINE PHOSPHATE","0","","Select","Select",""],["","","CHLORTHALIDONE","25000 MG","","Select","Select",""],["","","EZETIMIBE","10000 MG","","Select","Select",""],["","","EQ ASPIRIN LOW DOSE","81000 MG","","Select","Select",""],["","","CEPHALEXIN","500000 MG","","Select","Select",""],["","","LUBIPROSTONE","8000 MCG","","Select","Select",""],["","","ALBUTEROL SULFATE","83 %","","Select","Select",""],["","","NORTRIPTYLINE HYDROCHLORIDE","75000 MG","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","108000 MCG\/ACT","","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":""}]}]}