{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Gerald E Gerber","gend":0,"currentgend":"","add":"2606 E Hillview Dr","city":"Dalton","state":"GA","zip":30721,"dob":"1963-10-30","age":"","mstatus":"","insh":"AS1004896002","cliId":"","pno":7064635731,"cno":7064635731,"email":"ngerber218@gmail.com","ename":"","eno":"","pphy":"Stanford Voegele","ppno":7062263139,"pcpadd":"914 VISTA DR","pcpcity":"DALTON","pcpstate":"GA","pcpzip":30721,"pcpcounty":"","pcpid":"","pcpname":"914 VISTA DR","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"2606 E Hillview Dr","madd2":"","madd3":"","mcity":"Dalton","mstate":"GA","mzip":30721,"pcpfaxno":7062786606,"pcpnpi":1831143304,"currentgendcomment":"","pphycomment":"","uniqueid":313434,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I70.92","I70.8","I10","I73.00","F17.210","I70.212","R23.4","Z85.49","I25.10","J44.9","F17.200","G47.33","D75.1","Z99.89","R00.2","R07.9","Z79.51","Z20.822","E78.2","Z79.02","Z79.82","J43.9","I70.211","R59.1","J37.0","J98.4","R07.89","R06.09","I73.9","Z53.20","E78.5","Z72.0","M25.50","R59.9","M47.892","R06.02","I20.9","I26.99","I25.83","I70.213","Z00.00","M75.42","R07.2","R06.00","I35.1","I73.89","T82.856","D07.4","L03.012","Z23","R59.0","C60.9","Z12.5","R49.0","L57.0","L82.0","D48.9","L57.8","L82.1","M16.0","M25.551","M25.552","E66.3","D22.9","D18.01","I70.239","N48.29"],"date":["2023-04-21","2023-04-21","2026-02-05","2025-09-30","2026-01-22","2025-09-30","2025-04-03","2025-09-30","2025-09-30","2026-02-05","2023-08-16","2023-07-27","2026-02-05","2023-02-14","2023-07-27","2023-03-27","2023-01-22","2023-01-22","2025-09-30","2023-05-11","2023-05-11","2023-02-13","2023-05-11","2025-03-19","2023-08-16","2025-03-31","2023-03-27","2023-04-20","2026-02-05","2024-12-23","2026-02-05","2026-02-05","2025-06-23","2023-07-26","2023-07-26","2023-07-27","2023-07-27","2023-02-14","2023-03-27","2026-01-22","2026-02-05","2025-09-04","2023-01-22","2023-01-22","2023-01-22","2023-08-22","2025-09-30","2025-04-03","2024-06-14","2024-06-14","2023-07-27","2025-04-03","2025-06-23","2023-07-27","2024-11-12","2024-11-12","2024-11-12","2024-11-12","2024-11-12","2023-06-02","2023-06-02","2023-06-02","2023-06-02","2024-08-29","2024-08-29","2023-10-11","2025-04-03"],"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":[["","","Hydrochlorothiazide","12.5 MG","","Select","Select",""],["","","Symbicort 160-4.5 Mcg Inhaler","","","Select","Select",""],["","","Nda021457 200 Actuat Albuterol","0.09 MG","","Select","Select",""],["","","Nitroglycerin","0.4 MG","","Select","Select",""],["","","Trelegy Ellipta 100-62.5-25","","","Select","Select",""],["","","Clopidogrel","75 MG","","Select","Select",""],["","","Rosuvastatin Calcium","20 MG","","Select","Select",""],["","","Breztri Aerosphere Inhaler","","","Select","Select",""],["","","Metoclopramide Hydrochloride","","","Select","Select",""],["","","Nystatin 100000 Unt\/Ml \/ Triamcinolone Acetonide","1 MG","","Select","Select",""],["","","Meloxicam","15 MG","","Select","Select",""],["","","Breztri Aerosphere","","","Select","Select",""],["","","Oxycodone Hydrochloride","5 MG","","Select","Select",""],["","","Oxycodone Hcl Ir","5 MG","","Select","Select",""],["","","Cefuroxime","500 MG","","Select","Select",""],["","","Valsartan\/Hydrochlorothiazide","","","Select","Select",""],["","","Diazepam","","","Select","Select",""],["","","Tramadol Hydrochloride","50 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":""}]}]}