{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Ryan M Reed","gend":0,"currentgend":"","add":"3182 Old Federal Road South","city":"Chatsworth","state":"GA","zip":30705,"dob":"1971-01-06","age":"","mstatus":"","insh":"AS0003684001","cliId":"","pno":7066188892,"cno":7066188892,"email":"ryanreed71@hotmail.com","ename":"","eno":"","pphy":"Saresh Akmal","ppno":7065293245,"pcpadd":"800 GI MADDOX PKWY","pcpcity":"CHATSWORTH","pcpstate":"GA","pcpzip":30705,"pcpcounty":"","pcpid":"","pcpname":"800 GI MADDOX PKWY","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"3182 Old Federal Road South","madd2":"","madd3":"","mcity":"Chatsworth","mstate":"GA","mzip":30705,"pcpfaxno":7062726077,"pcpnpi":1972130243,"currentgendcomment":"","pphycomment":"","uniqueid":217268,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G82.54","R60.0","Z87.2","M15.0","R31.0","M54.2","Z80.0","N30.01","D48.5","L57.0","L82.1","M62.81","Z79.899","R97.20","R53.83","E78.00","G82.50","S14.104","N52.9","G90.4","Z96.0","Z87.440","Z88.0","L82.0","L57.8","Z00.00","R73.09","N46.01","Z31.41","Z13.29","Z11.4","Z11.3","Z01.812","Z11.59","D22.71","D64.9","E29.1","L90.5","N39.0","L98.8","R30.0","D18.01","N30.00","R09.89","M47.892","S29.9XX","I86.1","N28.1","N46.9","N31.8","R39.15","T28.0XX","M26.79","J34.3"],"date":["2025-11-12","2025-11-12","2025-11-12","2025-11-12","2024-05-22","2024-05-29","2024-05-22","2024-08-08","2025-12-05","2025-09-10","2025-09-10","2025-10-16","2026-02-25","2026-02-25","2025-11-19","2025-11-19","2023-12-01","2023-12-01","2023-12-01","2023-12-01","2023-12-01","2023-12-01","2023-12-01","2024-09-09","2024-09-09","2023-10-31","2026-02-25","2023-12-01","2023-11-20","2023-11-20","2023-11-20","2023-11-20","2023-11-20","2023-11-20","2025-12-05","2026-02-25","2023-09-13","2025-12-05","2024-08-19","2024-08-19","2024-07-25","2024-09-09","2025-02-18","2024-05-23","2024-05-23","2024-05-23","2023-12-01","2024-08-20","2023-09-13","2024-08-08","2024-08-20","2025-07-07","2025-07-07","2025-07-07"],"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":[["","","Acetaminophen","325 MG","","Select","Select",""],["","","Ciprofloxacin","500 MG","","Select","Select",""],["","","Nitrofurantoin, Macrocrystals","25 MG","","Select","Select",""],["","","Tolterodine Tartrate","2 MG","","Select","Select",""],["","","Sulfamethoxazole","800 MG","","Select","Select",""],["","","Doxycycline Hyclate","100 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":""}]}]}