{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KAREN K NEWELL","gend":1,"currentgend":"","add":"1372 N 550 RD","city":"BALDWIN CITY","state":"KS","zip":"66006","age":"","mstatus":"","insh":"K44008617","cliId":"","pno":"7852441404","cno":"","email":"karenknewell@gmail.com","ename":"","eno":"","pphy":"ANGELA TREANOR","ppno":"7858615880","pcpadd":"5120 SW 28TH ST","pcpcity":"TOPEKA","pcpstate":"KS","pcpzip":"66604-1231","pcpcounty":"","pcpid":"","pcpname":"RICKS ADVANCED DERMATOLOGY","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1992350888","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44008617","medicareid":"8VQ2NY4TP11","medicaidid":"8VQ2NY4TP11","pcpFlag":"","dob":"1954-11-29"},{"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":["M25512","Z7689","I10","E0590","R1033","Z7901","Z79899","Z87891","Z5181","F339","D6859","E7800","M5450","Z79891","Z780","N182","M25551","M25511","L821","D1801","Z1283","Z85828","M67442","R1013","I639","R2232","K5732","K4090","K439","Z90710"],"date":["2026-01-19","2026-05-19","2025-11-14","2025-11-14","2025-11-14","2026-05-19","2026-03-31","2026-05-19","2025-01-24","2025-02-06","2026-05-19","2025-11-14","2025-02-06","2026-03-31","2025-12-10","2026-03-23","2025-05-28","2026-03-31","2026-01-14","2026-01-14","2026-01-14","2026-01-14","2026-03-31","2026-03-31","2026-05-19","2026-04-14","2026-05-13","2026-05-13","2026-05-19","2026-05-19"],"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":[["","","SPIKEVAX COVID-19 VACCINE\/2025-26","","","Select","Select",""],["","","FLUAD 2025-2026","","","Select","Select",""],["","","AMLODIPINE BESYLATE","10 MG","","Select","Select",""],["","","LISINOPRIL","40 MG","","Select","Select",""],["","","BISOPROLOL FUMARATE","5 MG","","Select","Select",""],["","","ATORVASTATIN CALCIUM","20 MG","","Select","Select",""],["","","ELIQUIS","5 MG","","Select","Select",""],["","","METHIMAZOLE","5 MG","","Select","Select",""],["","","METHOCARBAMOL","750 MG","","Select","Select",""],["","","ONDANSETRON ODT","4 MG","","Select","Select",""],["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","325 MG","","Select","Select",""],["","","WARFARIN SODIUM","5 MG","","Select","Select",""],["","","OXYCODONE HYDROCHLORIDE","5 MG","","Select","Select",""],["","","Hydroco\/Apap Tab 10-325Mg","","","Select","Select",""],["","","Methimazole Tab","5 MG","","Select","Select",""],["","","Fluad Inj 2025-26","","","Select","Select",""],["","","Ondansetron Tab","4 MG","","Select","Select",""],["","","Warfarin Tab","5 MG","","Select","Select",""],["","","Methocarbam Tab","750 MG","","Select","Select",""],["","","Lisinopril Tab","40 MG","","Select","Select",""],["","","Spikevax Inj 2025-26","","","Select","Select",""],["","","Amlodipine Tab","10 MG","","Select","Select",""],["","","Eliquis Tab","5 MG","","Select","Select",""],["","","Atorvastatin Tab","20 MG","","Select","Select",""],["","","Bisoprol Fum Tab","5 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":""}]}]}