{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Dave E Mckinney","gend":0,"currentgend":"","add":"453 Rivermist Dr","city":"Dahlonega","state":"GA","zip":30533,"dob":"1967-10-08","age":"","mstatus":"","insh":"AS1002865001","cliId":"","pno":7062190035,"cno":7062190035,"email":"smcknny1@gmail.com","ename":"","eno":"","pphy":"Mark Moers","ppno":7068643323,"pcpadd":"134 ANSLEY DR STE 400","pcpcity":"DAHLONEGA","pcpstate":"GA","pcpzip":30533,"pcpcounty":"","pcpid":"","pcpname":"134 ANSLEY DR STE 400","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"453 Rivermist Dr","madd2":"","madd3":"","mcity":"Dahlonega","mstate":"GA","mzip":30533,"pcpfaxno":7068644484,"pcpnpi":1962495234,"currentgendcomment":"","pphycomment":"","uniqueid":195168,"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":["Z00.00","Z68.26","Z95.2","Z79.01","R07.9","I50.42","I82.C11","I11.0","Q23.81","I48.92","E78.2","I45.2","I35.2","Z87.891","Z79.899","Z80.3","Z82.49","I25.10","I49.9","R00.1","R53.83","R06.02","Z68.25","I11.9","I44.30","E78.5","G89.29","M54.9","Z95.0","Z88.1","Z88.5","Z88.0","Z88.8","I05.9","I44.1","I10","I35.1","I36.1","I77.810","Z12.5","Z01.811","I44.39","I44.2","Z09","I35.9","L03.012","Z51.81","Z01.810","M54.6","I27.20","Z77.011","I34.0","Z01.818","I35.8","E66.3","I49.3","R00.2","I35.0","Z45.2","Z45.018","R78.71","I38","I65.23","Z13.88","R93.1","N17.9","R63.8","I49.5","I50.9","R57.9","I42.9","J90","H17.829"],"date":["2026-02-03","2026-02-03","2026-03-16","2026-03-13","2025-08-15","2025-08-21","2025-08-21","2025-10-13","2025-12-16","2026-03-16","2026-03-16","2025-08-21","2025-08-21","2025-11-28","2026-03-16","2025-08-21","2025-08-21","2025-08-21","2025-08-20","2025-12-16","2025-08-14","2025-08-14","2025-09-11","2026-03-16","2025-11-21","2025-11-21","2025-11-21","2025-11-21","2026-02-17","2025-11-21","2025-11-21","2025-11-21","2025-11-21","2025-07-30","2025-08-14","2025-11-20","2026-03-16","2025-08-15","2026-03-16","2026-01-19","2025-11-05","2026-02-17","2026-03-16","2025-09-11","2025-12-16","2023-05-19","2025-11-28","2025-08-19","2025-01-27","2025-01-27","2026-02-03","2024-03-18","2025-11-13","2026-03-16","2025-07-30","2025-12-16","2025-12-16","2025-08-18","2025-08-20","2025-11-18","2025-01-31","2025-08-19","2025-08-20","2024-01-16","2025-12-16","2025-08-19","2023-05-09","2025-11-18","2025-08-18","2025-11-20","2025-08-21","2025-11-21","2025-11-21"],"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":[["","","24 Hr Metoprolol Succinate","50 MG","","Select","Select",""],["","","Losartan Potassium","100 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","10 MG","","Select","Select",""],["","","Eliquis","","","Select","Select",""],["","","Amlodipine","5 MG","","Select","Select",""],["","","Warfarin Sodium","5 MG","","Select","Select",""],["","","Tramadol Hydrochloride","50 MG","","Select","Select",""],["","","0.8 Ml Enoxaparin Sodium","100 MG","","Select","Select",""],["","","Metoprolol Tartrate","","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","Metoprolol Succinate Er","","","Select","Select",""],["","","Mupirocin","","","Select","Select",""],["","","Aspirin Low Dose","","","Select","Select",""],["","","Pregabalin","75 MG","","Select","Select",""],["","","Furosemide","40 MG","","Select","Select",""],["","","Microencapsulated Potassium Chloride","20 MEQ","","Select","Select",""],["","","Amiodarone Hydrochloride","400 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":""}]}]}