{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LINDA S KENTCH","gend":1,"currentgend":"","add":"203 S Nicholas St","city":"Scranton","state":"KS","zip":"66537","age":"","mstatus":"","insh":"K44007511","cliId":"","pno":"7852217600","cno":"","email":"","ename":"","eno":"","pphy":"ANGELA REA","ppno":"7852346300","pcpadd":"823 SW MULVANE ST","pcpcity":"TOPEKA","pcpstate":"KS","pcpzip":"66606-1663","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":"1336115229","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44007511","medicareid":"6FK1GW0MP28","medicaidid":"","pcpFlag":"","dob":"1951-06-08"},{"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":["S066XAA","S0083XA","S01511A","S01112A","S0232XA","S022XXA","S12500A","S42302A","S42301A","S0592XA","S01111A","H40052","Z8669","Z98890","I10","M10272","M7989","H44812","Z8781","F419","S42301D","T07XXXD","H40053","Z8739","M109","M79605","V877XXS","E039","R52","S42351S","S064X9S","S12591S","S0532XD","G5631","Z09","S0522XA","H4311","S01102A","H33031","S42291D","Z0389","H33051","H2701","H31001","S065X0D","S066X0D","S42352D","S42292D","L918","L089","R9389","M85812","Z0000","T8522XA","F418","F32A","Z7409","E669","S0181XA","S299XXA","J9811","S43005A","S3993XA","S0993XA","S42351A","S0532XA","S058X1A","I609","I6200","D72829","V476XXA","Y929","M79601","I110","I509","E7800","H40051","S0511XA","S0512XA","H33022","S0591XA","S4992XA","V471XXA","E785","V877XXA","S12591D","S0542XA","D62","T07XXXA","S42351D","S42202A","R29898","R2242","M7732","S064X0D","S12590D","S022XXD","S0232XD","S02842D","S0240DD","S0522XD","S058X1D","H33001","H40059","M21331","V476XXD","M10071","M10072","D509","M5416","E6601","Z6839","S42251D","S43005D","M19012","S42251A","D649","K219","Z79899","E790","E876","R7401","R7309","Z87891","Z23","S12500D","S42302D","Z6841","S0240DG","N179","E890","G4730","G4700","S065XAD","S42252D","E66813","S064XAD","S066XAD","H02402","R339","H18231"],"date":["2025-02-25","2025-02-25","2025-02-25","2025-02-25","2025-02-25","2025-02-25","2025-02-25","2025-03-28","2025-03-28","2025-02-25","2025-02-25","2025-04-04","2025-04-24","2025-05-16","2025-12-16","2025-04-24","2025-05-07","2025-04-04","2025-05-16","2025-06-26","2025-07-07","2025-04-24","2025-04-24","2025-05-16","2025-12-16","2025-05-07","2025-05-07","2025-07-14","2025-05-16","2025-05-20","2025-05-20","2025-05-20","2025-05-20","2025-11-04","2025-05-20","2025-02-26","2025-02-26","2025-02-26","2025-02-26","2025-07-07","2025-07-07","2026-05-27","2026-05-26","2025-07-10","2025-06-26","2025-06-26","2025-09-08","2025-12-16","2025-12-19","2025-12-19","2025-12-16","2025-12-16","2025-12-15","2025-12-15","2025-12-15","2025-12-15","2025-01-08","2025-01-08","2025-02-25","2025-02-25","2025-02-25","2025-03-24","2025-02-25","2025-02-25","2025-03-24","2025-02-25","2025-02-25","2025-02-25","2025-02-25","2025-03-11","2025-02-25","2025-02-25","2025-04-22","2025-02-19","2025-02-19","2025-03-31","2025-03-25","2025-03-20","2025-03-20","2025-03-20","2025-03-28","2025-02-25","2025-02-25","2025-05-01","2025-03-28","2025-04-18","2025-03-11","2025-03-11","2025-04-30","2025-05-12","2025-05-12","2025-05-09","2025-05-14","2025-05-14","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-06-26","2025-03-24","2025-03-24","2025-03-24","2025-03-24","2025-04-02","2025-04-28","2025-04-10","2025-04-07","2025-02-25","2025-02-25","2025-02-25","2025-02-25","2025-02-25","2025-05-01","2025-05-01","2025-05-01","2025-05-01","2025-05-01","2025-05-01","2025-05-01","2025-05-01","2025-03-10","2025-03-10","2025-03-10","2025-03-10","2025-03-10","2025-03-10","2025-03-10","2026-05-27"],"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":[["","","LATANOPROST","0.01%","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","112 MCG","","Select","Select",""],["","","TRAZODONE HYDROCHLORIDE","50 MG","","Select","Select",""],["","","AMLODIPINE BESYLATE","10 MG","","Select","Select",""],["","","CARVEDILOL","6.25 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","100 MG","","Select","Select",""],["","","ACETAZOLAMIDE","250 MG","","Select","Select",""],["","","TIMOLOL MALEATE","0.50%","","Select","Select",""],["","","OXYCODONE HYDROCHLORIDE","5 MG","","Select","Select",""],["","","PREDNISOLONE ACETATE","1%","","Select","Select",""],["","","SIMBRINZA","0.20%","","Select","Select",""],["","","OFLOXACIN","0.30%","","Select","Select",""],["","","KETOROLAC TROMETHAMINE","0.50%","","Select","Select",""],["","","ALLOPURINOL","100 MG","","Select","Select",""],["","","LORAZEPAM","0.5 MG","","Select","Select",""],["","","CEPHALEXIN","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":""}]}]}