{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATHRYN A HIGHFILL","gend":1,"currentgend":"","add":"921 W 28th Terrace","city":"Lawrence","state":"KS","zip":"66046","age":"","mstatus":"","insh":"K44009368","cliId":"","pno":"7853930580","cno":"","email":"khkhighfill@gmail.com","ename":"","eno":"","pphy":"WALTER FARRELL","ppno":"7855055888","pcpadd":"1112 W 6TH ST","pcpcity":"LAWRENCE","pcpstate":"KS","pcpzip":"66044-2249","pcpcounty":"","pcpid":"","pcpname":"LMH HEALTH PRIMARY CARE - FREE STATE","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1750375663","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44009368","medicareid":"6AV7UQ7PM64","medicaidid":"6AV7UQ7PM64","pcpFlag":"","dob":"1943-03-24"},{"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":["I739","M7742","Z7689","M8589","Z85828","Z1283","L570","D235","L814","R011","I119","E782","Z7901","Z79899","I10","I480","Z23","Z0000","N390","R8271","Z87440","H5203","H52223","Z961","I351","I340","I361","R9082","N8110","R413","Z0130","Z7189","E538","L821","L989","L602","G479","N952","R350"],"date":["2026-05-21","2026-04-20","2026-05-04","2025-09-22","2026-04-29","2026-04-29","2026-04-29","2026-04-29","2026-04-29","2025-11-11","2025-11-11","2025-11-11","2025-12-10","2026-04-27","2025-12-10","2025-12-10","2025-12-15","2025-12-15","2025-12-15","2025-04-02","2026-06-01","2025-06-09","2025-06-09","2025-06-09","2025-12-18","2025-12-18","2025-12-18","2025-12-22","2026-01-26","2026-04-21","2026-04-29","2026-04-08","2026-04-27","2026-04-27","2026-04-27","2026-05-21","2026-05-04","2026-06-01","2026-05-21"],"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":[["","","ELIQUIS","5 MG","","Select","Select",""],["","","PRAVASTATIN SODIUM","40 MG","","Select","Select",""],["","","METHENAMINE HIPPURATE","1 GM","","Select","Select",""],["","","METOPROLOL SUCCINATE ER","50 MG","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","12.5 MG","","Select","Select",""],["","","GEMTESA","75 MG","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","Select","Select",""],["","","MNEXSPIKE COVID-19 VACCINE\/2025-26","","","Select","Select",""],["","","SCOPOLAMINE","1 MG","","Select","Select",""],["","","CIPROFLOXACIN HYDROCHLORIDE","500 MG","","Select","Select",""],["","","ESTRADIOL","0.01%","","Select","Select",""],["","","CEPHALEXIN","250 MG","","Select","Select",""],["","","MYRBETRIQ","25 MG","","Select","Select",""],["","","Methenam Hip Tab","1 GM","","Select","Select",""],["","","Ciprofloxacn Tab","500 MG","","Select","Select",""],["","","Pravastatin Tab","40 MG","","Select","Select",""],["","","Fluzone Hd Inj 2025-26","","","Select","Select",""],["","","Hydrochlorot Cap","12.5 MG","","Select","Select",""],["","","Scopolamine Dis","1 MG","","Select","Select",""],["","","Gemtesa Tab","75 MG","","Select","Select",""],["","","Metoprol Suc Tab","50 MG","","Select","Select",""],["","","Mnexspike Inj 2025-26","","","Select","Select",""],["","","Eliquis 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":""}]}]}