{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LARRY D DOWELL","gend":0,"currentgend":"","add":"2811 SE 61st St","city":"Berryton","state":"KS","zip":"66409","age":"","mstatus":"","insh":"K44007107","cliId":"","pno":"7852248391","cno":"","email":"lddowell@mail.com","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"COTTON O NEIL","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1790534360","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44007107","medicareid":"4XP3AN5GH76","medicaidid":"4XP3AN5GH76","pcpFlag":"","dob":"1955-08-07"},{"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":["I4519","I517","I459","N2889","I214","E782","R040","Z952","I442","Z006","Z950","I452","I350","Z953","I2510","E039","Z85528","Z712","N184","D649","N401","R079","F17210","Z01818","I209","Z01810","Q2381","I493","I4510","R001","I444","K5730","K8020","R100","I2542","Z7982","Z7902","I77819","R030","R1084","R7309","R7401","R7989","R944","Z720","I3139","I080","C641","E785","Z45018","Z886","Z880","I25118","F17290","E6609","E66811","R54","R072","Z6828","R1033","R110","C649","N200","Z905","Z0000","D631"],"date":["2025-06-04","2025-06-04","2025-06-04","2025-06-23","2025-06-23","2026-06-18","2025-06-23","2026-05-26","2026-06-18","2025-06-18","2026-06-18","2025-06-19","2025-09-23","2025-06-20","2025-08-07","2026-05-26","2025-08-13","2025-08-25","2026-05-26","2025-11-24","2026-02-06","2025-02-10","2025-08-07","2025-05-28","2025-05-23","2025-05-28","2025-06-03","2025-05-28","2025-06-10","2025-06-10","2025-05-26","2025-06-03","2026-02-04","2025-06-03","2025-06-05","2025-06-03","2025-08-07","2025-06-02","2026-04-22","2025-06-02","2025-06-02","2025-06-02","2025-06-02","2025-06-02","2025-06-04","2025-06-04","2025-06-04","2026-05-26","2025-08-07","2025-08-07","2025-08-07","2025-08-07","2025-03-24","2026-05-26","2025-06-03","2025-06-03","2025-06-03","2025-06-03","2025-06-03","2025-06-03","2025-06-03","2026-02-04","2026-02-04","2026-02-04","2026-05-26","2026-05-26"],"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":[["","","LEVOTHYROXINE SODIUM","100 MCG","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","CHLORHEXIDINE GLUCONATE","0.12%","","Select","Select",""],["","","CLOPIDOGREL","75 MG","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","325 MG","","Select","Select",""],["","","Nitroglycern Sub","0.4 MG","","Select","Select",""],["","","Levothyroxin Tab","100 MCG","","Select","Select",""],["","","Cephalexin Cap","500 MG","","Select","Select",""],["","","Chlorhex Glu Sol 0.12%","","","Select","Select",""],["","","Hydroco\/Apap Tab 5-325Mg","","","Select","Select",""],["","","Clopidogrel Tab","75 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":""}]}]}