{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICIA K FRANCE","gend":1,"currentgend":"","add":"2235 S CREST","city":"WICHITA","state":"KS","zip":"67207","dob":"1949-02-14","age":"","mstatus":"","insh":"K44002313","cliId":"","pno":"3162624084","cno":"3162958535","email":"PATRICIAFRANCE14@GMAIL.COM","ename":"","eno":"","pphy":"LUKE RECORDS","ppno":"3167883741","pcpadd":"1410 N WOODLAWN BLVD","pcpcity":"DERBY","pcpstate":"KS","pcpzip":"67037-2953","pcpcounty":"","pcpid":"","pcpname":"KANSAS MEDICAL CENTER LLC","plan":"BCBSKS","program":"Medicare","lob":"007","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1336580406","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44002313","medicareid":"5DG4UV5AQ06","medicaidid":"5DG4UV5AQ06","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":["R5383","I4891","R509","R1110","R0789","R002","M542","J309","M25511","M25611","Z4789","R079","I2510","R0602","L989","H6590","S0990XA","W01198A","M79632","M25532","M940","W010XXA","Z13820","Z1239","L578","Z743","S299XXA","S52232A","M25521","S43084A","M19021","S59901A","W19XXXA","Z6832","S43421A","I10","E785","S43431A","S46211A","M7521","M85811","M19011","S46112A","M8580","X58XXXA","G8918","S0083XA","G40909","Z7901","E669","Z885","Z79899","Z96649","M810","G43909","Z8249","Z1283","R202","S52202A","L814","L570"],"date":["2026-03-17","2026-05-12","2024-01-08","2024-01-08","2024-02-27","2025-08-21","2024-10-07","2026-05-12","2025-07-29","2025-07-29","2025-12-24","2026-03-27","2026-02-16","2025-08-21","2025-10-31","2025-10-31","2025-12-03","2025-12-03","2025-12-08","2025-12-08","2025-12-09","2025-12-09","2025-12-09","2025-12-09","2025-11-21","2025-12-03","2025-12-03","2025-12-03","2025-01-17","2025-01-14","2025-01-14","2025-01-17","2025-01-17","2025-12-11","2025-02-03","2026-03-17","2026-03-27","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-03-13","2025-12-03","2025-12-03","2025-12-11","2025-12-11","2025-12-11","2025-12-11","2025-01-13","2026-03-27","2026-05-12","2026-03-27","2026-03-27","2026-04-07","2026-04-07","2026-05-19","2026-05-19"],"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":[["","","SOTALOL HYDROCHLORIDE","80 MG","","Select","Select",""],["","","WARFARIN SODIUM","5 MG","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","AMOXICILLIN","500 MG","","Select","Select",""],["","","OXYCODONE\/ACETAMINOPHEN","325 MG","","Select","Select",""],["","","ENOXAPARIN SODIUM","80\/0.8 ML","","Select","Select",""],["","","SOTALOL HCL","80 MG","","Select","Select",""],["","","ONDANSETRON ODT","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":["",""],"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":""}]}]}