{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Anthony Ogles","gend":0,"currentgend":"","add":"1116 Mount Vernon Rd","city":"Tunnel Hill","state":"GA","zip":"30755","dob":"1981-07-16","age":"","mstatus":"","insh":"0009086079001","cliId":"","pno":"7062809252","cno":"7623249756","email":"pathfinder2381@gmail.com","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","plan":"Alliant","program":"ACA","lob":"","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"1116 Mount Vernon Rd","madd2":"","madd3":"","mcity":"Tunnel Hill","mstate":"GA","mzip":"30755","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"193315","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":["K74.69","R57.0","I10","L40.8","J90","N17.0","R65.11","D73.5","I24.89","E87.20","I13.0","I50.42","N18.32","F15.10","D64.9","E66.9","I47.20","T43.651","R91.1","M79.89","Z86.711","I50.43","Z79.01","F19.11","L97.321","N17.8","I42.8","I25.111","I87.2","Z86.718","Z87.891","Z88.1","Z82.49","N14.19","I11.0","I36.1","I50.23","I51.7","I34.1","I95.9","R55","F19.10","R10.9","R91.8","K76.89","F17.210","I47.29","R93.89","R10.33","R94.31","I27.89","R00.0","N17.9","N18.9","I50.9","I42.9","R06.02","I23.1","Z13.6","I82.4Y9"],"date":["2026-06-30","2026-05-07","2026-06-30","2026-05-07","2026-06-26","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-04-30","2026-04-28","2026-06-26","2026-04-28","2026-04-28","2026-06-26","2026-04-28","2026-04-28","2026-04-28","2026-06-27","2026-06-30","2026-06-30","2026-06-26","2026-06-26","2026-06-26","2026-06-29","2026-06-26","2026-06-26","2026-06-27","2026-06-26","2026-06-26","2026-06-26","2026-06-26","2026-06-30","2026-06-27","2026-06-28","2026-06-27","2026-06-27","2026-04-30","2026-04-27","2026-06-30","2026-04-27","2026-04-27","2026-04-27","2026-06-30","2026-06-29","2026-04-28","2026-04-28","2026-06-27","2026-06-27","2026-06-27","2026-04-30","2026-04-30","2026-06-26","2026-06-26","2026-06-26","2026-04-30","2026-04-30","2026-06-26"],"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":[["","","FUROSEMIDE","40000 MG","","Select","Select",""],["","","METOPROLOL SUCCINATE ER","50000 MG","","Select","Select",""],["","","LISINOPRIL","2500 MG","","Select","Select",""],["","","DIGOXIN","125000 MCG","","Select","Select",""],["","","BUMETANIDE","1000 MG","","Select","Select",""],["","","SPIRONOLACTONE","25000 MG","","Select","Select",""],["","","VALSARTAN","40000 MG","","Select","Select",""],["","","ELIQUIS","5000 MG","","Select","Select",""],["","","JARDIANCE","10000 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":""}]}]}