{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BYRON T MURPHY","gend":0,"currentgend":"","add":"816 Peyton St","city":"Emporia","state":"KS","zip":"66801","age":"","mstatus":"","insh":"K44004626","cliId":"","pno":"7858170372","cno":"","email":"","ename":"","eno":"","pphy":"CHRISTOPHER STUBBS","ppno":"7852569560","pcpadd":"1119 SW GAGE BLVD","pcpcity":"TOPEKA","pcpstate":"KS","pcpzip":"66604-1774","pcpcounty":"","pcpid":"","pcpname":"CHRISTOPHER STUBBS MD PA","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"900 SW Lindenwood Ave","madd2":"","madd3":"","mcity":"Topeka","mstate":"KS","mzip":"66606","pcpfaxno":"","pcpnpi":"1942645478","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44004626","medicareid":"8VD2FX6CW98","medicaidid":"8VD2FX6CW98","pcpFlag":"","dob":"1952-05-16"},{"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":["E785","R430","R481","M5450","E782","I160","H8110","B351","G5603","L921","R000","M6088","M7088","R82998","Z6834","L291","E1142","R8291","S29011A","S99811A","M7061","I10","Z79899","E1140","M25562","H2513","H2620","H04123","H01006","H01003","E119","H5703","G629","Z23","R5383","Z13228","Z130","R0602","Z0283","Z0000","Z1331","Z1389","Z1329","M5431","M25561","R059","J45909","M25512","M25511","J449","G8929","M25612","M170","R2689","E669","Z87891"],"date":["2025-12-16","2024-10-22","2024-10-22","2024-05-04","2024-05-06","2024-05-06","2024-05-06","2025-10-21","2024-05-06","2024-05-06","2024-05-06","2024-05-06","2024-05-06","2024-05-06","2024-06-07","2024-05-06","2024-06-07","2024-05-06","2024-05-04","2024-07-07","2024-06-07","2026-06-03","2024-06-07","2026-06-10","2026-02-23","2025-11-14","2025-11-14","2025-11-14","2025-11-14","2025-11-14","2026-02-05","2025-11-19","2025-09-22","2025-09-22","2025-12-16","2025-12-16","2025-12-16","2025-12-22","2025-10-27","2025-12-22","2025-12-22","2025-12-22","2025-03-10","2025-03-10","2026-02-23","2025-03-31","2025-03-31","2026-03-12","2026-02-23","2026-05-20","2026-03-29","2026-03-29","2026-04-21","2026-04-21","2026-05-20","2026-03-25"],"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":[["","","GLIPIZIDE ER","10 MG","","Select","Select",""],["","","DICLOFENAC POTASSIUM","50 MG","","Select","Select",""],["","","LISINOPRIL","40 MG","","Select","Select",""],["","","METFORMIN HYDROCHLORIDE","1000 MG","","Select","Select",""],["","","VENTOLIN HFA","","","Select","Select",""],["","","OMEPRAZOLE","40 MG","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","20 MG","","Select","Select",""],["","","SHINGRIX","50\/0.5 ML","","Select","Select",""],["","","BOOSTRIX","","","Select","Select",""],["","","PREDNISONE","50 MG","","Select","Select",""],["","","MELOXICAM","15 MG","","Select","Select",""],["","","AREXVY","120 MCG","","Select","Select",""],["","","GABAPENTIN","300 MG","","Select","Select",""],["","","KETOROLAC TROMETHAMINE","0.50%","","Select","Select",""],["","","TWINRIX","","","Select","Select",""],["","","TRELEGY ELLIPTA","100 MCG","","Select","Select",""],["","","PREDNISOLONE ACETATE","1%","","Select","Select",""],["","","MOXIFLOXACIN HYDROCHLORIDE","0.50%","","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":""}]}]}