{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SCOTT G DAVIS","gend":0,"currentgend":"","add":"105 ELM ST","city":"OVERBROOK","state":"KS","zip":"66524","dob":"1953-06-16","age":73,"mstatus":"","insh":"K44007508","cliId":"","pno":"7858174959","cno":"","email":"","ename":"","eno":"","pphy":"JAYDA RUPP","ppno":"7853548518","pcpadd":"2200 SW 6TH AVE","pcpcity":"TOPEKA","pcpstate":"KS","pcpzip":"66606-1707","pcpcounty":"","pcpid":"","pcpname":"KANSAS MEDICAL CLINIC PA","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"LOT 9","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1063892677","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44007508","medicareid":"2YX4E55AU62","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R918","R0600","Z87891","Z452","Z5112","C3412","D6481","T451X5A","D6959","R1314","R42","M79602","R791","R911","R5383","M5412","M542","M50223","M25519","M4802","K5900","K219","Z860100","Z800","Z9884","M1711","R519","N189","I480","I129","I2510","K7460","E611","E538","Z79899","Z951","E782","Z8679","N1831","E042","I4891","L719","R238","I8393","D229","L219","Z86018","I10","Z125","I878","I4892","R160","J309","R569","E785","Z7982","J189","D649","R1310","Z95828","I130","I5030","G629","D696","M25512","M7989","R739","M19012","K9509","C3490","D72829","K3189","Z85118","Z85820","Z9841","Z9842","Z880","Z91040","T8189XA","Z923","E0590","Z08","R21","I119","Z9221","E0580","R748","C771","C3492","R9389","R161","N281","H43813","M47812","E162","G4736","G4734","G4733","Z981","K8020","D630","K660","I4510","Z95818","E039","N400","M4800","K5904","M48062","M4712","N1830","Z91048","I1310","D509","L814","H9190","E041","R590","E669","Z6831","Z792","Z7951"],"date":["2026-01-28","2026-01-28","2026-05-18","2026-03-18","2026-01-26","2026-05-18","2026-06-15","2026-06-15","2026-01-26","2025-07-28","2025-11-03","2025-08-04","2025-08-04","2025-08-04","2025-08-11","2025-08-15","2025-08-15","2025-08-30","2025-08-30","2026-05-18","2026-04-01","2026-05-05","2026-03-25","2025-09-18","2026-04-02","2026-05-05","2026-05-05","2025-10-14","2026-05-05","2026-05-05","2026-05-18","2026-05-05","2025-11-03","2025-11-03","2026-06-15","2026-05-18","2026-04-24","2026-04-24","2026-05-05","2026-01-06","2026-05-18","2026-04-02","2025-03-20","2025-03-20","2026-04-02","2025-03-20","2026-04-02","2026-05-18","2025-04-17","2025-04-17","2025-04-17","2025-05-20","2025-05-23","2025-05-27","2026-05-18","2026-04-01","2026-04-20","2026-05-18","2026-04-01","2026-05-18","2025-08-11","2025-08-11","2025-10-06","2026-06-15","2025-08-11","2025-08-11","2025-08-11","2025-10-06","2025-10-14","2026-03-25","2025-10-14","2025-10-14","2026-04-17","2026-02-27","2025-10-14","2025-10-14","2025-10-14","2025-10-14","2025-10-22","2026-04-20","2026-06-15","2025-10-06","2026-04-20","2025-11-03","2026-02-27","2026-04-20","2025-05-20","2025-05-27","2025-06-06","2026-01-26","2026-06-15","2026-01-23","2026-01-29","2026-01-27","2026-02-11","2026-02-21","2026-05-26","2026-05-05","2026-04-01","2026-04-17","2026-04-20","2026-05-05","2026-04-24","2026-04-24","2026-05-18","2026-05-18","2026-05-18","2026-03-25","2026-02-27","2026-04-01","2026-02-27","2026-02-27","2026-04-01","2026-04-01","2026-04-01","2026-04-01","2026-04-01","2026-03-18","2026-04-01","2026-03-18","2026-04-01","2026-04-01"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","",""],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"arr":[],"comment":[]},{"a":{"indx":["","",""],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":["","",""],"comment":["","",""],"score":[0,0,0,0]}},{"a":[]},{"a":[{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":[]},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[["","",""],["","",""],["","",""],["","",""],["","",""],["","",""]]}]},{"t":"Medical History","q":[{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"index":-1,"comment":"","sub":[]},{"a":[{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","","","",""],"comment":["","","","","",""],"sub":[]}]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","",""],"comment":["","","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","","",""],"comment":["","","","","","",""],"sub":[]}}]},{"t":"Family History","q":[{"index":-1,"comment":"","sub":[]}]},{"t":"Preventive Care","q":[{"a":[["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],["",""],{"comment":""}]},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"comment":"","sub":[["","","PANTOPRAZOLE SODIUM","40 MG","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","20 MG","","Select","Select",""],["","","SOTALOL HYDROCHLORIDE","80 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM\/HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40 MG","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","DULOXETINE HYDROCHLORIDE DR","20 MG","","Select","Select",""],["","","METHOCARBAMOL","750 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","50 MG","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","12.5 MG","","Select","Select",""],["","","DEXAMETHASONE","4 MG","","Select","Select",""],["","","OXYCODONE HYDROCHLORIDE","5 MG","","Select","Select",""],["","","FUROSEMIDE","20 MG","","Select","Select",""],["","","VALACYCLOVIR HYDROCHLORIDE","500 MG","","Select","Select",""],["","","PROCHLORPERAZINE MALEATE","10 MG","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","0.10%","","Select","Select",""],["","","METHIMAZOLE","5 MG","","Select","Select",""],["","","CLINDAMYCIN HYDROCHLORIDE","300 MG","","Select","Select",""],["","","ENULOSE","10 GM","","Select","Select",""],["","","FLUCONAZOLE","200 MG","","Select","Select",""],["","","POTASSIUM CHLORIDE ER","20 MEQ","","Select","Select",""],["","","DESONIDE","0.05%","","Select","Select",""],["","","LIDOCAINE HYDROCHLORIDE VISCOUS","2%","","Select","Select",""]]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[]},{"a":[]}]},{"t":"Assessment of Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}],"phq":[{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","","","",""],"comment":["","","","","","",""]},{"indx":["","","","","",false],"comment":[""]}]}]}},{"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":{"indx":["","","","",""],"comment":["","","","",""],"score":[0,0,0,0]}},{"a":[]},{"a":[""]},{"a":[]},{"a":[]},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":[]},{"a":[""]},{"arr":[],"comment":[]},{"a":{"indx":["","","","","","","","","","",""],"comment":["","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"2026-09-18T13:30","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"","a12":"","a13":"","a14":"","a16":"","a18":"","a19":"","a20":"","a21":""}]}]}