{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Sherrie Witt","gend":1,"currentgend":"","add":"2948 Clairmont Ave","city":"Macon","state":"GA","zip":31204,"dob":"1965-12-06","age":"","mstatus":"","insh":"AS9013853001","cliId":"","pno":1727831562,"cno":7278315624,"email":"sherriebaby65@yahoo.com","ename":"","eno":"","pphy":"Freddy Gaton","ppno":4788362819,"pcpadd":"420 LAMAR RD N","pcpcity":"MACON","pcpstate":"GA","pcpzip":31210,"pcpcounty":"","pcpid":"","pcpname":"420 LAMAR RD N","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"2948 Clairmont Ave","madd2":"","madd3":"","mcity":"Macon","mstate":"GA","mzip":31204,"pcpfaxno":4788362823,"pcpnpi":1003896416,"currentgendcomment":"","pphycomment":"","uniqueid":398080,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E78.2","Z79.899","R42","D64.9","R53.82","Z74.09","Z78.9","Z68.25","R07.89","I26.93","S23.8XX","S23.41X","Z79.01","I10","G47.8","Z86.711","Z96.642","M25.552","Z00.01","Q85.01","G47.00","E78.5","M25.511","Z12.31","I26.99","J21.8","R05.3","Z77.22","R06.2","Z68.26","M62.838","R30.0","D50.9","S72.002","Z68.24","R10.2","G89.29","F41.9","Q85.00","M54.32","M85.851","M85.852","D50.0","R53.1","S32.599","Z12.11","M85.80","L29.9","M79.605","Z79.1","Z78.0","R05.1","J40","R29.898","Z68.27","S32.592","S32.412","R26.9","R93.89","Z71.9","Z91.89","S32.512","R26.2","Z12.12","Z87.81","E53.8","Z51.81","M85.89","M54.2","M47.812"],"date":["2026-01-29","2025-10-09","2026-01-29","2025-09-16","2025-09-16","2025-09-16","2025-09-16","2025-09-16","2025-10-08","2025-10-09","2023-11-16","2023-11-16","2026-01-29","2026-01-29","2026-01-29","2026-01-29","2025-06-18","2026-01-29","2024-11-21","2025-10-09","2025-10-09","2025-10-09","2025-10-09","2024-10-16","2025-10-29","2024-09-11","2024-09-11","2024-11-21","2024-09-11","2024-11-21","2026-01-29","2026-01-29","2026-01-29","2026-01-29","2026-01-29","2025-07-30","2025-06-06","2025-06-06","2025-11-06","2025-06-16","2025-06-16","2025-06-16","2025-03-13","2025-03-13","2025-09-10","2025-06-15","2024-11-21","2024-11-21","2024-11-21","2024-11-21","2024-12-03","2024-08-26","2024-08-26","2025-03-13","2025-03-13","2025-09-10","2025-07-30","2025-08-27","2025-11-06","2025-08-27","2025-11-06","2025-06-05","2025-09-18","2025-06-15","2025-10-29","2025-10-29","2025-10-29","2024-12-03","2025-11-06","2025-11-06"],"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":[["","","Lisinopril","5 MG","","Select","Select",""],["","","Trazodone Hydrochloride","50 MG","","Select","Select",""],["","","{6 Azithromycin","250 MG","","Select","Select",""],["","","Fluconazole","150 MG","","Select","Select",""],["","","Prednisone","10 MG","","Select","Select",""],["","","Diclofenac Sodium","75 MG","","Select","Select",""],["","","Hydroxyzine Hydrochloride","10 MG","","Select","Select",""],["","","Atropine Sulfate","0.025 MG","","Select","Select",""],["","","Atorvastatin","40 MG","","Select","Select",""],["","","Folic Acid","1 MG","","Select","Select",""],["","","Gabapentin","100 MG","","Select","Select",""],["","","Ibuprofen","800 MG","","Select","Select",""],["","","Meclizine Hydrochloride","25 MG","","Select","Select",""],["","","Eliquis","","","Select","Select",""],["","","Benzonatate","100 MG","","Select","Select",""],["","","Amoxicillin","875 MG","","Select","Select",""],["","","Albuterol Hfa","90 MCG","","Select","Select",""],["","","Acetaminophen","325 MG","","Select","Select",""],["","","Oxycodone Hydrochloride","5 MG","","Select","Select",""],["","","Eliquis Starter Pack","","","Select","Select",""],["","","Nitrofurantoin, Macrocrystals","25 MG","","Select","Select",""],["","","Tizanidine","4 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":""}]}]}