{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Ryder A Littleton","gend":0,"currentgend":"","add":"84 Rebel Ln","city":"Chatsworth","state":"GA","zip":30705,"dob":"2023-08-15","age":"","mstatus":"","insh":"AS1004996004","cliId":"","pno":"","cno":"","email":"","ename":"","eno":"","pphy":"Kevin Mounce","ppno":4236344226,"pcpadd":"900 EAST THIRD STREET","pcpcity":"CHATTANOOGA","pcpstate":"TN","pcpzip":37403,"pcpcounty":"","pcpid":"","pcpname":"900 EAST THIRD STREET","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"84 Rebel Ln","madd2":"","madd3":"","mcity":"Chatsworth","mstate":"GA","mzip":30705,"pcpfaxno":4236344222,"pcpnpi":1508809617,"currentgendcomment":"","pphycomment":"","uniqueid":397830,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":{"0":{"a":{"diag":["R14.0","Z45.2","P28.5","Z46.82","Z05.5","J98.4","P07.03","P22.0","S22.31X","P61.0","P27.1","P23.9","P52.0","P28.10","P61.2","P74.8","Q25.0","Q21.12","P83.30","P28.40","P39.3","Z05.1","P70.4","Q14.1","P00.0","P59.0","P74.22","P29.89","P92.09","Z46.59","R63.30","P07.26","Z00.129","Z13.31","Z00.121","Z23","Z13.88","F82","G80.9","R13.10","K21.9","Z13.0","Z29.3","Z13.42","R63.6","E03.1","K40.90","H35.103","R62.0","R63.32","R13.11","M62.838","G80.0","R25.2","H54.7","Z91.89","N39.0","R11.10","E03.9","Z11.59","R29.3","M62.81","Z78.9","P27.9","R10.9","R91.8","R50.9","R10.83","K00.7","R05.1","P92.8","R45.1","J96.10","R13.12","K59.09","R62.51","P92.9","R56.9","R00.0","R25.1","J06.9","H35.113","M25.532","I61.5","G93.89","N47.1","G89.18","Z79.890","Z79.899","Z03.89","Z68.51","R62.50","B34.9","G40.909","R40.4","F80.2","H35.131","H35.122","Q21.19","R90.82","F88","D72.829","Z29.11","J98.09","R63.39","P22.9","G80.3","H35.89","P59.8","P28.89","Z38.01","R93.0","R63.4","J11.1","R09.02","N47.5","R63.31","R93.7","H35.123","R79.89","T17.908","R68.12","P96.89","P07.14","G47.30","R06.83","K13.79","R23.3"],"date":["2023-10-08","2023-10-01","2023-11-15","2023-11-02","2023-09-09","2023-10-20","2026-02-11","2023-11-03","2023-08-15","2023-11-29","2025-06-13","2023-08-15","2023-08-15","2023-08-15","2023-11-29","2023-08-15","2024-09-04","2023-11-28","2023-08-15","2023-08-15","2023-11-28","2023-08-15","2023-08-15","2023-08-15","2023-08-15","2023-08-15","2023-08-15","2023-08-15","2023-08-15","2023-10-04","2025-07-02","2024-05-28","2026-03-04","2024-02-21","2024-02-21","2026-03-04","2026-03-04","2025-03-07","2025-06-27","2025-03-07","2025-11-03","2024-11-01","2026-03-04","2026-03-04","2024-11-01","2025-10-07","2024-04-17","2025-03-07","2026-03-11","2026-02-11","2026-02-11","2024-10-19","2025-11-03","2024-10-19","2024-10-19","2023-12-19","2025-04-08","2025-04-08","2025-04-08","2025-04-08","2026-03-11","2026-03-11","2025-03-03","2023-11-28","2023-12-13","2024-01-04","2026-01-28","2024-01-29","2025-06-27","2024-01-29","2024-12-11","2024-05-21","2024-03-01","2025-07-02","2025-11-03","2025-11-03","2024-12-17","2025-04-08","2025-04-08","2025-04-08","2024-02-02","2024-08-16","2023-10-14","2023-10-14","2023-10-14","2024-04-17","2024-04-17","2025-03-03","2025-10-07","2023-10-29","2026-03-04","2025-07-02","2025-05-21","2025-04-08","2025-04-08","2026-03-11","2023-11-23","2023-11-23","2023-08-29","2024-10-21","2024-10-21","2025-05-17","2024-11-22","2024-02-02","2024-05-01","2023-10-25","2025-09-17","2023-11-29","2023-11-29","2023-08-18","2023-08-15","2023-08-22","2023-12-08","2026-01-28","2024-02-02","2023-12-29","2024-01-09","2023-11-02","2023-11-10","2023-09-20","2023-12-11","2024-03-01","2024-04-09","2024-05-21","2024-01-04","2024-01-04","2025-06-27","2025-01-08"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},"1":{"a":[]},"3":{"a":{"indx":["1",""],"comment":["",""],"sub":[]}}}},{"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":[["","","Lactulose","10 GM","","Select","Select",""],["","","Levothyroxine","25 MCG","","Select","Select",""],["","","Baclofen","10 MG","","Select","Select",""],["","","Levothyroxine Sodium","0.025 MG","","Select","Select",""],["","","Amoxicillin","50 MG","","Select","Select",""],["","","0.5 Ml Diazepam","5 MG","","Select","Select",""],["","","Levetiracetam","100 MG","","Select","Select",""],["","","2 Ml Diazepam","5 MG","","Select","Select",""],["","","Omeprazole","2 MG","","Select","Select",""],["","","Ondansetron Hcl","","","Select","Select",""],["","","Famotidine","40 MG","","Select","Select",""],["","","Oseltamivir Phosphate","","","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":""}]}]}