{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Sherita Freeman","gend":1,"currentgend":"","add":"2405 W Gordon Ave","city":"Albany","state":"GA","zip":"31707","dob":"1975-10-12","age":"","mstatus":"","insh":"0009078455001","cliId":"","pno":"2293764780","cno":"2293764780","email":"sheritaythornton@yahoo.com","ename":"","eno":"","pphy":"Shaun Franklin","ppno":"9129200214","pcpadd":"417 W 3RD AVE","pcpcity":"ALBANY","pcpstate":"GA","pcpzip":"31701","pcpcounty":"","pcpid":"","pcpname":"417 W 3RD AVE","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"2405 W Gordon Ave","madd2":"","madd3":"","mcity":"Albany","mstate":"GA","mzip":"31707","pcpfaxno":"9129212004","pcpnpi":"1063451656","currentgendcomment":"","pphycomment":"","uniqueid":"526606","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":["D84.81","N17.9","N18.4","I96","L02.511","M65.149","I10","Z79.84","S69.90X","Z68.35","I12.9","E11.22","E11.43","K31.84","E78.5","B95.2","B96.5","E83.42","K59.00","K76.0","E11.42","E66.01","E11.65","R74.01","K59.09","L08.9","L03.011","M65.841","S61.401","G89.18","Z79.899","L76.82","L98.A31","Z79.2","Z79.4","Z79.891","Z79.85","Z79.1","N89.8","R23.2","R09.81","M72.6","M65.141","M79.644","S69.81X","Z48.89","E11.40","M79.89","T82.898","E87.8","E11.9","N20.0","R16.0","S69.91X","X58.XXX","R00.2","M65.041","M65.131","L03.111"],"date":["2026-02-07","2026-02-07","2026-03-02","2026-02-13","2026-02-12","2026-02-07","2026-05-13","2026-06-24","2026-02-07","2026-02-07","2026-03-02","2026-03-02","2026-02-07","2026-02-07","2026-02-07","2026-02-07","2026-02-07","2026-02-12","2026-02-07","2026-02-07","2026-02-07","2026-02-07","2026-07-13","2026-03-13","2026-02-23","2026-03-02","2026-02-06","2026-03-01","2026-02-17","2026-02-19","2026-06-24","2026-06-24","2026-03-16","2026-06-24","2026-07-13","2026-06-24","2026-06-24","2026-06-24","2026-08-02","2026-05-13","2026-05-13","2026-03-13","2026-02-26","2026-02-01","2026-02-01","2026-05-04","2026-06-24","2026-02-05","2026-06-24","2026-02-25","2026-02-11","2026-03-02","2026-03-02","2026-02-03","2026-02-03","2026-04-14","2026-02-14","2026-02-10","2026-02-06"],"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":[["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","0","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40000 MG","","Select","Select",""],["","","AMLODIPINE BESYLATE","5000 MG","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","25000 MG","","Select","Select",""],["","","DEXCOM G","0","","Select","Select",""],["","","AMOXICILLIN\/CLAVULANATE POTASSIUM","0","","Select","Select",""],["","","TRULICITY","4500 MG\/0.5ML","","Select","Select",""],["","","FLUCONAZOLE","150000 MG","","Select","Select",""],["","","TRESIBA FLEXTOUCH","100000 UNIT\/ML","","Select","Select",""],["","","DULOXETINE HYDROCHLORIDE DR","60000 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","100000 MG","","Select","Select",""],["","","METFORMIN HYDROCHLORIDE ER","500000 MG","","Select","Select",""],["","","IBUPROFEN","800000 MG","","Select","Select",""],["","","SULFAMETHOXAZOLE\/TRIMETHOPRIM DS","0","","Select","Select",""],["","","SPIRONOLACTONE","25000 MG","","Select","Select",""],["","","ESTRADIOL","25 MG\/24HR","","Select","Select",""],["","","BD PEN NEEDLE\/ORIGINAL\/ULTRA-FINE\/","0","","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":""}]}]}