{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RICHARD L ROWLAND","gend":0,"currentgend":"","add":"221 E 1100 Rd","city":"Baldwin City","state":"KS","zip":"66006","age":"","mstatus":"","insh":"K44009538","cliId":"","pno":"7854183649","cno":"","email":"","ename":"","eno":"","pphy":"KEVIN HUGHES","ppno":"7855055404","pcpadd":"406 AMES ST","pcpcity":"BALDWIN CITY","pcpstate":"KS","pcpzip":"66006-3099","pcpcounty":"","pcpid":"","pcpname":"LMH HEALTH PRIMARY CARE-BALDWIN CITY","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"7855055270","pcpnpi":"1538147772","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44009538","medicareid":"7DC0ER6PW17","medicaidid":"7DC0ER6PW17","pcpFlag":"","dob":"1960-10-23"},{"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":["Z7689","J329","J339","N400","F5104","R030","R21","F17210","J321","J322","J320","J330","G4733","E119","I10","E785","R7303","R42","K5792","M6289","R350","K635","R109","R140","R634","K5000","D125","K5289","Z860101","K5730","R1030","K648","J3489","R7301","Z125","J310","E7849","F32A","E663","Z6826","K589","G4700","Z981","Z7952","Z79899","F1290","R5383","M47816","G4730","R509","J189","R059","L03317","M19012","M19011","R7989","L0291"],"date":["2026-05-19","2025-08-19","2025-08-19","2025-08-19","2025-08-19","2025-08-19","2025-08-19","2026-01-26","2025-10-02","2025-10-02","2025-09-19","2025-09-19","2025-09-19","2026-05-19","2026-05-19","2025-12-29","2025-12-29","2025-10-20","2025-10-20","2025-02-21","2025-03-04","2025-03-27","2025-03-27","2025-03-27","2025-04-15","2025-04-15","2025-04-15","2025-04-15","2025-04-15","2025-04-15","2025-04-15","2025-04-15","2025-08-18","2025-09-19","2025-08-19","2025-09-19","2025-09-19","2025-09-19","2025-09-19","2025-09-19","2025-09-19","2025-09-19","2025-09-19","2025-09-19","2026-01-26","2025-09-19","2025-03-04","2025-03-20","2025-04-15","2026-01-26","2026-01-26","2026-01-26","2026-01-26","2026-05-19","2026-05-19","2026-05-19","2026-01-23"],"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":[["","","AMLODIPINE BESYLATE","5 MG","","Select","Select",""],["","","CLINDAMYCIN HYDROCHLORIDE","300 MG","","Select","Select",""],["","","TAMSULOSIN HYDROCHLORIDE","0.4 MG","","Select","Select",""],["","","TEMAZEPAM","30 MG","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","AMOXICILLIN\/CLAVULANATE POTASSIUM","","","Select","Select",""],["","","DEPO-TESTOSTERONE","100 MG","","Select","Select",""],["","","TESTOSTERONE CYPIONATE","100 MG","","Select","Select",""],["","","PREDNISONE","10 MG","","Select","Select",""],["","","METRONIDAZOLE","500 MG","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","CIPROFLOXACIN HYDROCHLORIDE","500 MG","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","20 MG","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100 MG","","Select","Select",""],["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","325 MG","","Select","Select",""],["","","CEFDINIR","300 MG","","Select","Select",""],["","","FLUTICASONE PROPIONATE","50 MCG","","Select","Select",""],["","","AMOXICILLIN","875 MG","","Select","Select",""],["","","Metronidazol Tab","500 MG","","Select","Select",""],["","","Temazepam Cap","30 MG","","Select","Select",""],["","","Clindamycin Cap","300 MG","","Select","Select",""],["","","Ciprofloxacn Tab","500 MG","","Select","Select",""],["","","Fluticasone Spr","50 MCG","","Select","Select",""],["","","Doxycycl Hyc Cap","100 MG","","Select","Select",""],["","","Hydroco\/Apap Tab 5-325Mg","","","Select","Select",""],["","","Amoxicillin Tab","875 MG","","Select","Select",""],["","","Cefdinir Cap","300 MG","","Select","Select",""],["","","Rosuvastatin Tab","20 MG","","Select","Select",""],["","","Amlodipine Tab","5 MG","","Select","Select",""],["","","Tamsulosin Cap","0.4 MG","","Select","Select",""],["","","Prednisone Tab","10 MG","","Select","Select",""],["","","Albuterol Aer Hfa","","","Select","Select",""],["","","Azithromycin Tab","250 MG","","Select","Select",""],["","","Amox\/K Clav Tab 875-125","","","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":""}]}]}