{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOSEPH H PINEIRO","gend":0,"currentgend":"","add":"311 S Grand Ave","city":"Saint Marys","state":"KS","zip":"66536","age":"","mstatus":"","insh":"K44004572","cliId":"","pno":"7853200873","cno":"","email":"","ename":"","eno":"","pphy":"DAVID JONES","ppno":"7854372105","pcpadd":"515 W BERTRAND AVE","pcpcity":"SAINT MARYS","pcpstate":"KS","pcpzip":"66536-1618","pcpcounty":"","pcpid":"","pcpname":"ST MARYS FAMILY PRACTICE PA","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"311 S GRAND AVE","madd2":"APT 3","madd3":"","mcity":"SAINT MARYS","mstate":"KS","mzip":"665361758","pcpfaxno":"","pcpnpi":"1982684411","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44004572","medicareid":"5DH5E74HR50","medicaidid":"5DH5E74HR50","pcpFlag":"","dob":"1946-05-17"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":{"0":{"a":{"diag":["R5383","Z79890","R6882","J441","U099","Z1589","I10","E1142","E782","Z6829","J200","J432","F17218","H6123","Z2911","Z6825","R42","E291","N1831","I25810","Z79899","J449","Z6824","L905","L2989","B078","R7303","G6289","H61893","H9202","M10071","I252","L298","E871","R680","Q845","B351","R683","M65332","R5382","Z125","R7401","E7989","I129","L603","D751","I771","I6521","Z8673","I658","R2689","F17210","R351","R109","N401","T887XXA","R194","Z91130","G5621","J8489","Q161","H9393","M6208","Z7901","G5601","Z1610","R002","Z7902","N3000","R350","M1010","N201","R82993","R3912","M1831","G459","I160","G311","I6503","R29818","R944","N3943","I2589","Z951","I6529","G9389","I69398","I2510","Z5986","Z635","Z955","Z87440"],"date":["2025-06-26","2025-06-26","2025-06-26","2025-01-15","2025-06-26","2025-06-26","2025-05-30","2025-01-18","2025-06-26","2025-03-28","2024-09-26","2025-06-20","2025-06-26","2024-11-07","2024-09-20","2025-06-26","2025-05-30","2025-06-26","2025-06-20","2025-06-20","2025-05-30","2025-06-26","2024-11-22","2024-11-07","2024-11-07","2024-11-07","2024-11-15","2024-11-15","2024-01-16","2024-01-11","2025-05-15","2024-01-11","2024-01-16","2025-05-30","2024-04-25","2024-04-25","2024-04-25","2025-05-29","2024-08-16","2024-09-06","2024-08-16","2024-10-15","2024-09-06","2025-06-20","2025-01-17","2025-06-20","2025-06-20","2025-06-20","2025-06-20","2025-06-20","2025-05-30","2025-06-27","2025-06-04","2025-01-11","2025-06-04","2025-04-09","2025-04-09","2025-04-09","2025-04-09","2025-04-09","2025-04-09","2025-04-09","2025-03-28","2025-05-30","2025-05-29","2025-05-29","2025-06-09","2025-06-09","2025-06-04","2025-06-04","2025-01-10","2025-01-18","2025-01-18","2025-01-15","2025-05-15","2025-05-23","2025-05-30","2025-05-31","2025-05-30","2025-05-30","2025-05-30","2025-06-04","2025-05-23","2025-06-01","2025-06-27","2025-05-30","2025-05-30","2025-05-30","2025-05-30","2025-05-30","2025-05-30","2025-05-30"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},"1":{"a":[]},"3":{"a":{"indx":["1",""],"comment":["",""],"sub":[]}}}},{"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":[["","","LOSARTAN POTASSIUM","25 MG","","Select","Select",""],["","","CLOPIDOGREL","75 MG","","Select","Select",""],["","","PROBENECID\/COLCHICINE","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40 MG","","Select","Select",""],["","","SULFAMETHOXAZOLE\/TRIMETHOPRIM DS","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","40 MG","","Select","Select",""],["","","ALLOPURINOL","300 MG","","Select","Select",""],["","","TAMSULOSIN HYDROCHLORIDE","0.4 MG","","Select","Select",""],["","","CIPROFLOXACIN HYDROCHLORIDE","500 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":""}]}]}