{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ARVILLA L HEKMATI","gend":1,"currentgend":"","add":"900 Delaware Street","city":"Lawrence","state":"KS","zip":"66044","dob":"1942-07-18","age":"","mstatus":"","insh":"1CW8M00YW43","cliId":"","pno":"7853386765","cno":"","email":"alhekmati@yahoo.com","ename":"","eno":"","pphy":"KEVIN HUGHES","ppno":7855055404,"pcpadd":"406 AMES ST","pcpcity":"BALDWIN CITY","pcpstate":"KS","pcpzip":"66006-3099","pcpcounty":"","pcpid":"","pcpname":"LMH HEALTH PRIMARY CARE-BALDWIN CITY","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"Apt 110","add3":"","madd1":"900 Delaware Street","madd2":"Apt 110","madd3":"","mcity":"Lawrence","mstate":"KS","mzip":"66044","pcpfaxno":"","pcpnpi":1538147772,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"1CW8M00YW43","medicaidid":"1CW8M00YW43","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":[]},{"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":[["","","Tamoxifen Tab","20 MG","","Select","Select",""],["","","Fluad Inj 2025-26","","","Select","Select",""],["","","Escitalopram Tab","5 MG","","Select","Select",""],["","","Serevent Dis Aer","50 MCG","","Select","Select",""],["","","Venlafaxine Cap 37.5 Er","","","Select","Select",""],["","","Ipratropium\/ Sol Albuter","","","Select","Select",""],["","","Sertraline Tab","25 MG","","Select","Select",""],["","","Buspirone Tab","5 MG","","Select","Select",""],["","","Spikevax Inj 2025-26","","","Select","Select",""],["","","Pantoprazole Tab","40 MG","","Select","Select",""],["","","Carb\/Levo Tab 25-100Mg","","","Select","Select",""],["","","Ventolin Hfa Aer","","","Select","Select",""],["","","Ondansetron Tab","4 MG","","Select","Select",""],["","","Ibuprofen Tab","400 MG","","Select","Select",""],["","","Carb\/Levo Er Tab 25-100Mg","","","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":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"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":""}]}]}