{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARBARA G MORGENSTERN","gend":1,"currentgend":"","add":"1700 Massachusetts St","city":"Lawrence","state":"KS","zip":"66044","dob":"1937-06-02","age":"","mstatus":"","insh":"K44000763","cliId":"","pno":"5613589326","cno":"","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"LMH HEALTH PRIMARY CARE","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1700 MASSACHUSETTS ST","madd2":"APT 402","madd3":"","mcity":"LAWRENCE","mstate":"KS","mzip":"660444976","pcpfaxno":"","pcpnpi":"1497718357","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44000763","medicareid":"1PV6VT2FX43","medicaidid":"1PV6VT2FX43","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":["I10","Z85850","Z853","M8580","M5412","M9902","I83813","N1830","E039","E785","Z961","H26491","H04123","R519","Z9181","G4730","N393","M25562","L989","F329","F0670","I519","R42","G319","Z780","C50919","M8589","M4186","Z7689","S8992XA","M25552","E210","G43709","G8929","T8484XA","G4733","F0671","I8311","R4189","L680","Z79899","H5203","E212","D1801","L853","L820","L570","R110","R197","M85852","J329","N1832","I129","I872","J300","M25512","E0590","M1612","M47816","Z96652","M85869","E213","Z9989","Z789","R92341","Z170","E890","N2581","R590","Z17411","I679","Z9229","Z7189","Z1379","I4891","I6789","I63512","R1310","C50911","I119","Z7901","Z8673","C50411","I1310","E8352","R1312","K5900","Z515","E7849","R531","R351","R9230","N6311","I6381","G8191","I4720","I480","R54","Z96653","R29810","R4781","Z604","Z66","Z923","I69351","E66811","Z6831","Z602","G4700","F3131","E211","E663","Z556","Z6830","I639","R350","N390","R52","R5381","K449"],"date":["2026-04-23","2026-04-28","2026-04-28","2026-06-05","2024-12-09","2024-12-09","2026-06-05","2026-04-23","2025-04-16","2026-06-05","2024-08-12","2025-10-21","2025-10-21","2026-06-11","2024-08-13","2024-09-12","2024-11-22","2025-09-02","2024-09-12","2025-09-30","2026-04-28","2024-11-22","2026-06-11","2024-08-20","2024-12-26","2024-12-26","2024-12-26","2024-12-26","2026-05-28","2025-09-02","2025-09-02","2025-08-15","2026-06-05","2025-08-15","2025-08-15","2026-06-05","2025-08-15","2025-08-15","2025-08-15","2025-09-30","2026-06-05","2025-10-21","2025-11-12","2025-01-14","2025-01-14","2025-01-14","2025-01-14","2025-02-10","2025-02-10","2025-04-11","2025-05-12","2026-06-05","2026-06-05","2025-05-07","2025-05-09","2025-07-22","2025-08-15","2025-09-02","2025-09-02","2025-09-02","2025-04-16","2025-05-12","2026-02-02","2026-02-02","2026-03-19","2026-04-28","2026-04-28","2026-04-15","2026-04-03","2026-04-03","2026-04-24","2026-04-06","2026-04-06","2026-04-06","2026-06-05","2026-05-08","2026-05-15","2026-05-15","2026-06-05","2026-05-28","2026-06-05","2026-05-28","2026-04-28","2026-04-28","2026-06-05","2026-04-28","2026-04-28","2026-04-28","2026-04-23","2026-04-23","2026-06-05","2026-03-19","2026-04-03","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-06-05","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-04-28","2026-06-05","2026-04-28","2026-04-28","2026-04-28","2026-06-05","2026-06-05","2026-06-05","2026-06-05","2026-06-05","2026-06-05","2026-06-05","2026-06-11","2026-06-11","2026-06-11","2026-06-11"],"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":[["","","FLUTICASONE PROPIONATE","50 MCG","","Select","Select",""],["","","AMOXICILLIN\/CLAVULANATE POTASSIUM","","","Select","Select",""],["","","ANASTROZOLE","1 MG","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","20 MG","","Select","Select",""],["","","AMLODIPINE BESYLATE","5 MG","","Select","Select",""],["","","MEMANTINE HYDROCHLORIDE","10 MG","","Select","Select",""],["","","DULOXETINE HYDROCHLORIDE DR","20 MG","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","88 MCG","","Select","Select",""],["","","METOPROLOL SUCCINATE ER","50 MG","","Select","Select",""],["","","ESTRADIOL","0.01%","","Select","Select",""],["","","XARELTO","15 MG","","Select","Select",""],["","","NITROFURANTOIN MONOHYDRATE","100 MG","","Select","Select",""],["","","PREDNISONE","20 MG","","Select","Select",""],["","","DULOXETINE HYDROCHLORIDE","20 MG","","Select","Select",""],["","","IPRATROPIUM BROMIDE","0.06%","","Select","Select",""],["","","MNEXSPIKE COVID-19 VACCINE\/2025-26","","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","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":""}]}]}