{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAVID J ROHR","gend":0,"currentgend":"","add":"332 SW Watson Ave","city":"Topeka","state":"KS","zip":"66606","dob":"1951-03-23","age":"","mstatus":"","insh":"K44002920","cliId":"","pno":"7853791429","cno":"7852342368","email":"","ename":"","eno":"","pphy":"JAMAL AKHTAR","ppno":"7852716000","pcpadd":"1101 SW 29TH","pcpcity":"TOPEKA","pcpstate":"KS","pcpzip":"66611-1200","pcpcounty":"","pcpid":"","pcpname":"TOPEKA PHYSICIAN GROUP LLC","plan":"BCBSKS","program":"Medicare","lob":"001","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"332 SW Watson Ave","madd2":"","madd3":"","mcity":"Topeka","mstate":"KS","mzip":"66606","pcpfaxno":"7853792457","pcpnpi":"1336692953","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44002920","medicareid":"4FK6TA4AQ49","medicaidid":"","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","E7800","E890","E119","Z125","B028","D649","K219","F419","R809","N1831","R1011","Z86010","K317","Z1211","K648","K5730","K635","E039","D123","D509","D125","G510","Z85850","E611","E538","N179","Z982","D175","N132","Z860100","D500","K5900","Z8719","R609","E669","I129","N189","Q8503","E785","K148","N400","G4733","M1990","H9192","Z6839","Z87442","Z9049","Z888","Z79890","Z7984","Z79899","Z860101","K922","E1122","E063","Z6841","Z87891","M792","D122","Z23","R270"],"date":["2025-11-17","2025-11-17","2025-11-17","2025-11-17","2025-06-05","2024-05-08","2025-06-05","2025-06-11","2025-11-17","2025-06-02","2025-06-02","2024-05-17","2024-05-22","2024-05-22","2024-05-22","2024-12-11","2024-12-11","2025-06-11","2024-05-22","2024-12-18","2024-06-04","2024-05-22","2025-06-02","2024-06-15","2025-06-05","2024-07-10","2024-07-10","2025-06-02","2024-10-18","2025-06-11","2024-12-11","2024-12-18","2024-05-22","2024-06-13","2024-06-13","2024-12-17","2024-12-17","2024-06-13","2024-06-13","2025-11-25","2024-06-13","2024-12-17","2024-06-13","2024-12-17","2024-12-17","2024-06-13","2024-06-13","2024-06-13","2024-12-17","2024-06-13","2025-11-25","2024-12-17","2025-06-11","2024-12-17","2025-11-25","2024-12-17","2024-12-17","2024-12-17","2024-12-17","2025-06-11","2025-06-02","2025-06-02"],"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":[["","","ATENOLOL","50 MG","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","150 MCG","","Select","Select",""],["","","OMEPRAZOLE","40 MG","","Select","Select",""],["","","EZETIMIBE","10 MG","","Select","Select",""],["","","GEMFIBROZIL","600 MG","","Select","Select",""],["","","AMLODIPINE BESYLATE","10 MG","","Select","Select",""],["","","SIMVASTATIN","20 MG","","Select","Select",""],["","","OMEPRAZOLE DR","40 MG","","Select","Select",""],["","","ESCITALOPRAM OXALATE","20 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","25 MG","","Select","Select",""],["","","GLIPIZIDE ER","2.5 MG","","Select","Select",""],["","","JANUMET","","","Select","Select",""],["","","JARDIANCE","10 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":""}]}]}