{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STEPHEN L GRIFFETH","gend":0,"currentgend":"","add":"883 E 1264 ROAD","city":"LAWRENCE","state":"KS","zip":"660479461","dob":"1948-11-29","age":"","mstatus":"","insh":"K44009585","cliId":"","pno":"7852189380","cno":"","email":"sgriffeth1@gmail.com","ename":"","eno":"","pphy":"CAITLIN ELMORE","ppno":"7855055070","pcpadd":"6265 ROCK CHALK DR","pcpcity":"LAWRENCE","pcpstate":"KS","pcpzip":"66049-5232","pcpcounty":"","pcpid":"","pcpname":"LMH HEALTH PRIMARY CARE - WEST CAMPUS","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1063909711","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44009585","medicareid":"1VN9RJ2KJ36","medicaidid":"1VN9RJ2KJ36","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z79890","E291","R42","N1831","I2510","K760","E7849","I452","R2681","R110","G252","Z955","M4712","I6502","F32A","M5030","M5412","W19XXXA","M4306","Z7689","M5116","R45851","F339","M5416","M5450","M47816","M4316","M48061","R7303","G450","R232","R197","D751","H8113","I4510","E034","K219","D72820","H539","R269","R112","R4781","F332","Z8673","Z87820","F321","A881","H903","I959","Z7902","I951","E785","Z8249","Z98890","I444","I10","E7800","Z6826","E039","M4802","I672","M4186","M4807","Z9181","K7581","G4733","E063","Z7951","Z79899","M4726","M47814","M4804","M4317","R7989","S069XAA","R262","F411","F6081","R194","K824","K5730","Z789","Z8719","Z800","H43393","H524","R198","M4800","R0789","R030","D126","K2950","R195","I779","I517","R9431","K5140","M48062","M47892","M47812","G8929","R350","Z125","K589","Z9189","K635","E663","Z6825","E559"],"date":["2026-03-09","2025-09-09","2025-12-11","2025-07-03","2026-05-28","2026-05-28","2025-07-03","2026-05-21","2025-07-16","2025-07-03","2025-07-03","2026-05-28","2026-01-28","2025-08-14","2025-09-09","2025-09-29","2026-04-28","2025-09-09","2025-09-18","2026-05-21","2025-10-13","2025-09-18","2025-09-18","2025-09-17","2025-10-15","2026-06-10","2026-06-10","2025-10-13","2026-05-28","2026-01-28","2025-11-14","2025-11-14","2025-12-05","2025-11-19","2025-11-19","2025-11-19","2025-11-19","2025-11-19","2025-11-24","2025-11-24","2025-12-05","2025-12-05","2026-01-14","2026-05-21","2026-01-14","2026-05-28","2025-12-11","2025-12-11","2025-01-22","2026-05-28","2026-05-28","2026-05-21","2026-05-21","2026-05-21","2025-03-19","2026-05-28","2026-05-28","2025-05-28","2025-05-28","2026-06-10","2025-08-14","2026-06-10","2025-09-18","2025-09-29","2026-05-13","2026-01-14","2026-05-28","2026-05-28","2026-05-28","2025-10-15","2026-06-10","2025-10-15","2026-06-10","2025-11-04","2025-12-05","2026-06-12","2026-06-08","2026-06-08","2026-05-28","2026-05-13","2026-05-28","2026-05-08","2026-05-28","2026-05-13","2026-01-22","2026-01-22","2026-05-21","2026-04-28","2026-05-21","2026-05-21","2026-05-28","2026-05-28","2026-05-28","2026-05-21","2026-05-21","2026-05-21","2026-05-28","2026-05-13","2026-05-13","2026-06-17","2026-06-17","2026-04-03","2026-04-03","2026-05-13","2026-05-13","2026-05-28","2026-05-28","2026-05-28","2026-05-28"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"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":[["","","FLUAD 2025-2026","","","Select","Select",""],["","","COMIRNATY 2025-26","3 ML","","Select","Select",""],["","","DIAZEPAM","5 MG","","Select","Select",""],["","","TESTOSTERONE ENANTHATE","200 MG","","Select","Select",""],["","","MONTELUKAST SODIUM","10 MG","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40 MG","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40 MG","","Select","Select",""],["","","BUPROPION HYDROCHLORIDE","75 MG","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","112 MCG","","Select","Select",""],["","","MIRTAZAPINE","15 MG","","Select","Select",""],["","","CLOPIDOGREL","75 MG","","Select","Select",""],["","","PREDNISONE","10 MG","","Select","Select",""],["","","PROPRANOLOL HYDROCHLORIDE","40 MG","","Select","Select",""],["","","CITALOPRAM HYDROBROMIDE","40 MG","","Select","Select",""],["","","BUPROPION HYDROCHLORIDE ER (SR)","150 MG","","Select","Select",""],["","","TESTOSTERONE","1.62%","","Select","Select",""],["","","AMLODIPINE BESYLATE","10 MG","","Select","Select",""],["","","Comirnaty Inj 30\/.3Ml","","","Select","Select",""],["","","Levothyroxin Tab","112 MCG","","Select","Select",""],["","","Nitroglycern Sub","0.4 MG","","Select","Select",""],["","","Bupropion Tab","100 MG","","Select","Select",""],["","","Testost Enan Inj","200 MG","","Select","Select",""],["","","Propranolol Tab","10 MG","","Select","Select",""],["","","Fluad Inj 2025-26","","","Select","Select",""],["","","Mirtazapine Tab","7.5 MG","","Select","Select",""],["","","Montelukast Tab","10 MG","","Select","Select",""],["","","Diazepam Tab","5 MG","","Select","Select",""],["","","Citalopram Tab","40 MG","","Select","Select",""],["","","Testosterone Gel 1.62%","","","Select","Select",""],["","","Clopidogrel Tab","75 MG","","Select","Select",""],["","","Pantoprazole Tab","40 MG","","Select","Select",""],["","","Atorvastatin Tab","40 MG","","Select","Select",""],["","","Prednisone Tab","10 MG","","Select","Select",""],["","","Amlodipine Tab","10 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":""}]}]}