{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Marc Wayne Limbaugh","gend":0,"currentgend":"","add":"101 Ferndale Rd","city":"Carrollton","state":"GA","zip":"30117","dob":"1953-12-06","age":"","mstatus":"","insh":"0009075537001","cliId":"","pno":"4049063548","cno":"4049063548","email":"marcandjanlimbaugh@gmail.com","ename":"","eno":"","pphy":"James Prempeh","ppno":"7708369666","pcpadd":"705 DIXIE ST","pcpcity":"CARROLLTON","pcpstate":"GA","pcpzip":"30117","pcpcounty":"","pcpid":"","pcpname":"705 DIXIE ST","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"101 Ferndale Rd","madd2":"","madd3":"","mcity":"Carrollton","mstate":"GA","mzip":"30117","pcpfaxno":"","pcpnpi":"1619136629","currentgendcomment":"","pphycomment":"","uniqueid":"522851","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","D64.9","Z98.890","I12.9","N18.4","F03.90","Z86.718","Z87.440","Z79.01","Z79.899","R41.3","R53.83","N39.0","R31.9","R60.0","M79.652","M79.605","Z97.8","S24.109","G82.20","F03.A0","E78.2","N31.9","R80.1","D63.1","N25.81","N17.8","G92.8","K68.3","E87.20","E44.0","B96.5","B96.6","T36.1X5","R21","E87.5","Z68.26","I10","Z13.89","Z68.28","G47.33","R53.81","G93.41","S24.104","E11.9","L89.152","R41.82","N20.0","K80.20","K44.9","S37.011","L89.159","D62","A41.9","R00.0","R44.3","R65.10","Z01.818","Z00.00","H61.21","N17.0","S37.021","E87.21","D50.9","E55.9","G93.40","R22.42","K66.1","G47.09","R82.71","E78.49","D72.829","B96.1","L27.0","F05","E83.51","R65.21","R58","R53.1","Z96.0","Z45.2","R91.8","K57.30","N28.1","R41.0","E87.22"],"date":["2026-08-13","2026-06-11","2026-06-11","2026-08-21","2026-08-21","2026-06-11","2026-06-22","2026-06-11","2026-07-05","2026-06-11","2026-08-13","2026-02-04","2026-08-07","2026-07-21","2026-02-04","2026-02-04","2026-02-04","2026-02-04","2026-06-05","2026-08-07","2026-02-04","2026-06-25","2026-08-21","2026-08-21","2026-08-21","2026-08-21","2026-08-21","2026-07-05","2026-07-08","2026-07-05","2026-07-05","2026-07-05","2026-07-05","2026-07-08","2026-07-05","2026-07-21","2026-07-05","2026-08-13","2026-05-21","2026-05-05","2026-06-08","2026-08-07","2026-08-07","2026-08-07","2026-08-07","2026-08-13","2026-07-08","2026-07-05","2026-07-16","2026-06-10","2026-06-22","2026-06-18","2026-06-22","2026-06-22","2026-06-22","2026-06-22","2026-06-22","2026-06-05","2026-06-05","2026-06-05","2026-06-25","2026-06-25","2026-06-25","2026-06-25","2026-06-25","2026-06-25","2026-02-04","2026-07-21","2026-06-21","2026-06-21","2026-06-21","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-19","2026-06-20","2026-07-05","2026-07-05","2026-08-11","2026-07-07","2026-07-07","2026-07-16","2026-07-16","2026-07-08","2026-07-21"],"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":[["","","FOSFOMYCIN TROMETHAMINE","3000 GM","","Select","Select",""],["","","TRAMADOL HYDROCHLORIDE","50000 MG","","Select","Select",""],["","","HYDRALAZINE HYDROCHLORIDE","100000 MG","","Select","Select",""],["","","AMLODIPINE BESYLATE","10000 MG","","Select","Select",""],["","","ELIQUIS","5000 MG","","Select","Select",""],["","","OSELTAMIVIR PHOSPHATE","75000 MG","","Select","Select",""],["","","BACLOFEN","10000 MG","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","10000 MG","","Select","Select",""],["","","CLOTRIMAZOLE\/BETAMETHASONE DIPROPIONATE","0","","Select","Select",""],["","","CEPHALEXIN","250000 MG","","Select","Select",""],["","","CIPROFLOXACIN HYDROCHLORIDE","500000 MG","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40000 MG","","Select","Select",""],["","","SEVELAMER CARBONATE","800000 MG","","Select","Select",""],["","","OLANZAPINE","10000 MG","","Select","Select",""],["","","NYSTOP","100000000 UNIT\/GM","","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":""}]}]}