{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAVID A SCHERER BARRETO","gend":0,"currentgend":"","add":"1324 W 1st St","city":"Coffeyville","state":"ks","zip":"67337","age":"","mstatus":"","insh":"K44008245","cliId":"","pno":"8169295923","cno":"","email":"","ename":"","eno":"","pphy":"BRIDGET VARGAS","ppno":"6202511200","pcpadd":"1400 W 4TH ST","pcpcity":"COFFEYVILLE","pcpstate":"KS","pcpzip":"67337-3306","pcpcounty":"","pcpid":"","pcpname":"COFFEYVILLE REGIONAL MED CTR","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1902403801","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44008245","medicareid":"7CU8GV9XX22","medicaidid":"7CU8GV9XX22","pcpFlag":"","dob":"1962-03-20"},{"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":["M1711","M4802","M542","R202","Z0130","G8929","R0602","K31A11","K2100","M19012","Z01812","Z7901","E119","E6601","E785","E669","I2510","I480","I10","K2970","K319","K2090","M14679","I4891","Z23","G5602","G894","M47816","Z79899","S4992XA","M14671","M14672","Z9682","M519","M25512","M869","A419","R6520","E43","M009","M86272","L03116","M65072","E1142","E1165","K7290","N400","M109","Z789","R531","M8610","Z89512","F17210","R2242","Z794","J449","D75838","R197","Z89432","R0789","K649","F17200","M19011","G5601","G5621","E11610","M5416","G2581","B9561","E66813","Z6839","Z951","Z7982","Z792","Z7985"],"date":["2025-06-06","2025-08-27","2025-08-27","2025-08-27","2025-08-27","2025-09-03","2025-11-19","2025-10-07","2025-10-07","2026-06-11","2025-09-02","2025-09-02","2026-04-06","2026-04-06","2026-04-06","2025-09-22","2026-04-06","2026-03-31","2026-04-06","2025-10-07","2025-10-07","2025-10-07","2026-04-06","2026-02-23","2025-11-05","2025-12-11","2026-02-20","2025-06-25","2026-03-06","2025-07-02","2025-03-05","2026-02-20","2025-03-05","2025-03-05","2025-06-06","2026-02-15","2026-02-20","2026-02-20","2026-03-31","2026-03-31","2026-02-20","2026-02-20","2026-02-20","2026-03-31","2026-02-20","2026-03-31","2026-03-31","2026-03-31","2026-02-23","2026-02-23","2026-02-17","2026-04-06","2026-03-31","2026-02-19","2026-02-19","2026-03-31","2026-02-19","2026-02-19","2026-02-19","2026-03-06","2026-03-06","2026-03-06","2026-05-06","2026-05-06","2026-05-06","2026-03-31","2026-03-31","2026-03-31","2026-03-31","2026-03-31","2026-03-31","2026-03-31","2026-03-31","2026-03-31","2026-03-31"],"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":[["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","325 MG","","Select","Select",""],["","","METOPROLOL SUCCINATE ER","50 MG","","Select","Select",""],["","","SUCRALFATE","1 GM","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","30 MG","","Select","Select",""],["","","AMLODIPINE BESYLATE","5 MG","","Select","Select",""],["","","ROPINIROLE HCL","0.5 MG","","Select","Select",""],["","","GABAPENTIN","800 MG","","Select","Select",""],["","","CYCLOBENZAPRINE HYDROCHLORIDE","5 MG","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40 MG","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","0.50%","","Select","Select",""],["","","TAMSULOSIN HYDROCHLORIDE","0.4 MG","","Select","Select",""],["","","OMEPRAZOLE","40 MG","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","12.5 MG","","Select","Select",""],["","","LISINOPRIL","10 MG","","Select","Select",""],["","","ALLOPURINOL","100 MG","","Select","Select",""],["","","PREDNISONE","50 MG","","Select","Select",""],["","","AMOXICILLIN","500 MG","","Select","Select",""],["","","CEFDINIR","300 MG","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100 MG","","Select","Select",""],["","","COLCHICINE","0.6 MG","","Select","Select",""],["","","SULFAMETHOXAZOLE\/TRIMETHOPRIM DS","","","Select","Select",""],["","","OXYCODONE\/ACETAMINOPHEN","325 MG","","Select","Select",""],["","","Sucralfate Tab","1 GM","","Select","Select",""],["","","Prednisone Tab","50 MG","","Select","Select",""],["","","Hydroco\/Apap Tab 10-325Mg","","","Select","Select",""],["","","Colchicine Tab","0.6 MG","","Select","Select",""],["","","Smz\/Tmp Ds Tab 800-160","","","Select","Select",""],["","","Triamcinolon Cre 0.5%","","","Select","Select",""],["","","Isosorb Mono Tab","30 MG","","Select","Select",""],["","","Allopurinol Tab","100 MG","","Select","Select",""],["","","Cyclobenzapr Tab","5 MG","","Select","Select",""],["","","Ropinirole Tab","0.5 MG","","Select","Select",""],["","","Metoprol Suc Tab","50 MG","","Select","Select",""],["","","Lisinopril Tab","20 MG","","Select","Select",""],["","","Hydrochlorot Tab","25 MG","","Select","Select",""],["","","Cefdinir Cap","300 MG","","Select","Select",""],["","","Gabapentin Tab","800 MG","","Select","Select",""],["","","Amlodipine Tab","5 MG","","Select","Select",""],["","","Tamsulosin Cap","0.4 MG","","Select","Select",""],["","","Atorvastatin Tab","40 MG","","Select","Select",""],["","","Omeprazole Cap","40 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":""}]}]}