{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Brandy Mcatee","gend":1,"currentgend":"","add":"143 Townsend Rd","city":"Rocky Face","state":"GA","zip":30740,"dob":"1979-05-10","age":"","mstatus":"","insh":"AS1003619001","cliId":"","pno":7069341392,"cno":7069341392,"email":"brandynicole0510@yahoo.com","ename":"","eno":"","pphy":"Megan Brown","ppno":7069654060,"pcpadd":"45 COLLEGE PARK DR STE A","pcpcity":"RINGGOLD","pcpstate":"GA","pcpzip":30736,"pcpcounty":"","pcpid":"","pcpname":"45 COLLEGE PARK DR STE A","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"143 Townsend Rd","madd2":"","madd3":"","mcity":"Rocky Face","mstate":"GA","mzip":30740,"pcpfaxno":7069654080,"pcpnpi":1790065233,"currentgendcomment":"","pphycomment":"","uniqueid":302732,"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":["K21.9","Z68.26","R13.10","R11.2","R19.8","R10.9","K64.0","K62.89","K29.50","K62.1","K20.0","K44.9","K52.9","Z86.16","F17.210","Z88.1","Z91.040","Z90.710","Z90.722","Z79.899","M79.675","S90.122","G40.109","R42","I60.9","I67.1","G43.019","G44.86","Z12.31","Z12.11","K20.80","K63.5","K22.89","R51.9","F17.200","R20.0","Z01.419","Z13.31","N95.1","E66.3","E78.2","R56.9","R55","S29.9XX","F17.290","T14.8XX","R40.242","V47.5XX","M54.16","M79.10","M54.12","S89.92X","S89.91X","Z88.8","R07.9","M75.102","M48.02","M50.20","M50.30","Z71.9","G40.909","F32.9","F41.1","Z79.82","Z79.02","I63.9","M19.90","Z59.86","Z90.721","R10.84","R11.10","D35.01","E87.6","R10.13","E78.5","G43.909","Z88.3","M54.2","M47.896","M79.18","R68.82","R10.11","D35.00","S16.1XX","M75.02","F41.9","E78.00","F32.A","G47.00","G40.802","M47.892","R94.31","Z13.6","R93.0","S39.92X","S19.9XX","Z95.828","R79.1","S06.6X9","G40.919","E27.9","R10.811","R10.816","R19.7","S39.91X","S39.93X","R45.89","G43.001","R73.9","S06.6XA","K59.09","K59.04","D72.829","R00.0","R20.2","V89.2XX","Y92.410","V49.00X","S09.90X","K22.9","A08.4","R07.89","S06.6X0","K63.89","M47.812","M48.03","L30.9","I78.1","D22.9","L82.1","Z71.6","K59.00","Z86.010","Z87.891","M47.9","N95.8"],"date":["2026-03-06","2024-04-10","2024-07-09","2026-02-19","2024-04-10","2024-04-10","2024-07-09","2024-07-09","2024-07-09","2024-07-09","2024-07-09","2025-08-28","2026-02-19","2025-09-15","2026-03-06","2024-07-09","2026-03-06","2026-02-17","2025-09-15","2025-12-18","2025-09-02","2025-09-02","2026-02-12","2025-09-10","2026-02-12","2026-03-12","2025-12-12","2025-08-05","2025-04-09","2024-07-09","2024-07-09","2024-07-09","2024-07-09","2025-06-28","2025-09-15","2025-09-15","2025-03-26","2025-03-26","2026-03-19","2023-12-21","2025-12-18","2025-09-05","2024-02-16","2025-09-04","2026-02-19","2025-09-04","2025-09-04","2025-09-04","2024-10-03","2024-10-02","2024-10-02","2025-09-05","2025-09-05","2023-11-16","2023-06-22","2023-01-20","2023-12-21","2023-12-21","2023-12-21","2023-10-26","2026-03-06","2026-03-06","2026-03-06","2026-03-06","2026-03-06","2025-09-15","2026-03-06","2025-09-15","2026-02-17","2026-02-17","2026-02-17","2026-02-12","2024-01-12","2024-01-12","2026-03-06","2026-03-06","2026-03-06","2025-09-04","2024-10-03","2024-02-28","2025-09-25","2026-02-19","2025-12-12","2023-02-07","2023-02-07","2025-12-18","2025-08-08","2025-12-18","2025-12-18","2025-09-25","2023-11-01","2026-02-18","2024-03-18","2026-03-06","2025-09-04","2025-09-04","2026-03-12","2023-11-16","2025-09-05","2025-09-05","2025-12-26","2026-02-19","2026-02-19","2026-02-19","2025-09-04","2025-09-04","2025-09-25","2025-09-25","2025-09-25","2025-09-04","2025-06-26","2025-04-28","2025-08-08","2026-02-18","2025-09-15","2025-09-15","2025-09-15","2025-09-05","2025-09-04","2024-07-09","2024-01-12","2023-06-22","2025-09-05","2026-02-17","2023-08-04","2023-08-04","2025-08-28","2025-08-28","2025-08-28","2025-08-28","2025-05-22","2025-08-28","2025-08-28","2025-08-28","2025-04-17","2025-04-17"],"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":[["","","Alprazolam","0.5 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Cyclobenzaprine Hydrochloride","10 MG","","Select","Select",""],["","","Rimegepant","75 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Qulipta","60 MG","","Select","Select",""],["","","Lacosamide","200 MG","","Select","Select",""],["","","Pantoprazole","40 MG","","Select","Select",""],["","","Pregabalin","25 MG","","Select","Select",""],["","","Sertraline","50 MG","","Select","Select",""],["","","Linzess","","","Select","Select",""],["","","Methocarbamol","750 MG","","Select","Select",""],["","","Triamcinolone Acetonide","0.001 MG","","Select","Select",""],["","","Rizatriptan","10 MG","","Select","Select",""],["","","Dicyclomine","20 MG","","Select","Select",""],["","","Eletriptan","40 MG","","Select","Select",""],["","","Frovatriptan","2.5 MG","","Select","Select",""],["","","{21 Prednisone","5 MG","","Select","Select",""],["","","Hydroxyzine Pamoate","","","Select","Select",""],["","","Trazodone Hydrochloride","50 MG","","Select","Select",""],["","","Varenicline","0.5 MG","","Select","Select",""],["","","Buspirone Hydrochloride","","","Select","Select",""],["","","Buspirone Hcl","","","Select","Select",""],["","","Zolpidem Tartrate","5 MG","","Select","Select",""],["","","Levetiracetam","500 MG","","Select","Select",""],["","","Oxycodone Hydrochloride","","","Select","Select",""],["","","Clopidogrel","75 MG","","Select","Select",""],["","","Perampanel","4 MG","","Select","Select",""],["","","Rosuvastatin Calcium","10 MG","","Select","Select",""],["","","Promethazine Hydrochloride","25 MG","","Select","Select",""],["","","Compro","","","Select","Select",""],["","","Amitriptyline Hydrochloride","25 MG","","Select","Select",""],["","","Midazolam","50 MG","","Select","Select",""],["","","Zonisamide","100 MG","","Select","Select",""],["","","Dexamethasone","","","Select","Select",""],["","","Aspirin Low Dose","","","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":""}]}]}