{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LINDA G PATTERSON","gend":1,"currentgend":"","add":"6557 50th Street","city":"Meriden","state":"KS","zip":"66512","age":"","mstatus":"","insh":"K44005179","cliId":"","pno":"7852463191","cno":"7852303575","email":"","ename":"","eno":"","pphy":"KELCIE STRECKER","ppno":"7857763322","pcpadd":"505 S PLUMMER AVE","pcpcity":"CHANUTE","pcpstate":"KS","pcpzip":"66502-3381","pcpcounty":"","pcpid":"","pcpname":"KANSAS MEDICAL CLINIC PA","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"6557 50th Street","madd2":"","madd3":"","mcity":"Meriden","mstate":"KS","mzip":"66512","pcpfaxno":"","pcpnpi":"1336572940","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44005179","medicareid":"8J49H83XM32","medicaidid":"8J49H83XM32","pcpFlag":"","dob":"1946-12-29"},{"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":["L821","D1800","L814","Z08","K589","Z86010","Z98890","S99922A","M25572","M79672","M7989","M7742","M7672","M2012","M24872","M722","M7732","M24572","Z1159","E782","C9110","Z131","R92333","Z90710","Z90721","L570","Z85828","Z719","D801","R92323","L578","Z860100","G43101","R011","R591","C8301","M25462","K219","M25562","M79605","F0781","M79604","S80812A","R519","M25561","F32A","R7309","D72829","R82998","V0310XA","Y929","R590","S0990XA","R112","J3489","G939","C8591","Z79899","J340","S72402A","V0909XA","Z8572","M79662","S82142A","E785","G44309","R0781","D485","S82302S","S82402D","S72402D","S82142D","I10","G43909","T380X5A","K5900","M79661","Z7409","Z9181","Z880","Z881","Z882","Z885","Z8571","Z7982"],"date":["2026-05-07","2024-04-08","2026-04-09","2026-04-09","2026-06-12","2024-05-28","2024-07-02","2024-11-07","2024-11-07","2025-02-03","2026-02-05","2025-02-03","2025-02-03","2025-02-03","2025-02-03","2025-02-03","2025-02-03","2025-02-03","2026-06-16","2026-02-24","2026-03-06","2024-12-12","2024-12-18","2024-07-02","2024-07-02","2025-10-09","2026-04-09","2026-04-09","2026-04-23","2025-12-19","2025-04-08","2025-05-28","2025-06-12","2026-02-23","2026-02-23","2026-02-11","2026-02-09","2026-03-20","2026-02-11","2026-02-08","2026-02-12","2026-02-08","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-12","2026-02-05","2026-02-05","2026-02-05","2026-02-11","2026-02-06","2026-02-23","2026-02-06","2026-02-06","2026-02-12","2026-02-12","2026-02-24","2026-02-24","2026-02-06","2026-03-20","2026-02-05","2026-05-27","2026-03-20","2026-02-24","2026-02-23","2026-04-09","2026-04-23","2026-03-20","2026-05-27","2026-05-27","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-02-12","2026-03-20"],"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":[["","","ATORVASTATIN CALCIUM","20 MG","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40 MG","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","MNEXSPIKE COVID-19 VACCINE\/2025-26","","","Select","Select",""],["","","SHINGRIX","50\/0.5 ML","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","FLUOROURACIL","5%","","Select","Select",""],["","","NURTEC","75 MG","","Select","Select",""],["","","COMIRNATY 2024-25","","","Select","Select",""],["","","CLINDAMYCIN PHOSPHATE","1%","","Select","Select",""],["","","DICYCLOMINE HYDROCHLORIDE","10 MG","","Select","Select",""],["","","BOOSTRIX","","","Select","Select",""],["","","Clindamycin Lot 1%","","","Select","Select",""],["","","Comirnaty Inj 2024-25","","","Select","Select",""],["","","Fluzone Hd Inj 2025-26","","","Select","Select",""],["","","Nurtec Tab","75 MG","","Select","Select",""],["","","Fluorouracil Cre 5%","","","Select","Select",""],["","","Dicyclomine Cap","10 MG","","Select","Select",""],["","","Pantoprazole Tab","40 MG","","Select","Select",""],["","","Boostrix Inj","","","Select","Select",""],["","","Azithromycin Tab","250 MG","","Select","Select",""],["","","Mnexspike Inj 2025-26","","","Select","Select",""],["","","Atorvastatin Tab","20 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":""}]}]}