{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LARRY R ALLISON","gend":0,"currentgend":"","add":"5058 CR 5550","city":"CHERRYVALE","state":"KS","zip":"67335","dob":"1948-11-11","age":"","mstatus":"","insh":"K44009704","cliId":"","pno":"6202525049","cno":"6203303285","email":"jenny_dale0@yahoo.com","ename":"","eno":"","pphy":"MARC HOFFMEISTER","ppno":"6203363255","pcpadd":"116 N MAPLE ST","pcpcity":"CHERRYVALE","pcpstate":"KS","pcpzip":"67335-1729","pcpcounty":"","pcpid":"","pcpname":"LCMC PHYSICIANS GROUP","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"         ","pcpfaxno":"","pcpnpi":"1003815119","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44009704","medicareid":"3NG3X74VP15","medicaidid":"3NG3X74VP15","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":["I480","R1084","Z1331","I429","E782","Z79899","W01198A","Y93F9","Y92012","Z7901","S50812A","S60812A","I10","E7800","E032","R040","Z743","I255","K5901","R269","L723","G629","G4700","K4020","R238","L720","R339","D649","R600","R0609","Z98890","Z8719","N529","R5381","Z713","D1801","L821","L814","D485","L570","E538","R042","H9193","E860","R059","R9431","I340","I361","I2510","Z955","R001","L309","Z7982","E785","Z87891","Z888","M79661","D176","I4891","Z960","I2720","R079","M2042","B351","L600","M79674","M79675","M6259","R0602","R635","Z789","R351","L728","D692","I447","R42","I350"],"date":["2026-04-27","2025-06-20","2026-01-13","2026-04-27","2026-04-27","2026-01-19","2025-06-13","2025-06-13","2025-06-13","2025-10-15","2025-06-13","2025-06-13","2026-04-27","2025-12-12","2026-01-13","2025-07-17","2025-06-13","2026-06-12","2025-11-03","2025-09-11","2025-10-15","2025-09-29","2025-12-16","2025-12-12","2025-10-14","2025-10-15","2025-10-20","2026-02-17","2025-11-03","2025-10-20","2025-11-13","2025-11-13","2025-11-13","2025-11-13","2026-06-12","2026-05-14","2025-11-10","2025-11-10","2025-11-10","2026-05-14","2026-06-12","2025-12-12","2025-12-16","2026-06-12","2026-01-13","2025-03-13","2025-03-03","2025-03-03","2026-01-19","2025-03-17","2026-05-12","2025-04-16","2025-06-12","2025-06-12","2025-06-12","2025-06-12","2025-10-20","2025-10-15","2025-10-15","2025-10-16","2025-02-28","2026-01-19","2026-01-15","2026-01-15","2026-01-15","2026-01-15","2026-01-15","2026-02-17","2026-03-09","2026-03-12","2026-03-12","2026-04-13","2026-05-14","2026-05-14","2026-04-27","2026-06-12","2026-02-26"],"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":[["","","TAMSULOSIN HYDROCHLORIDE","0.4 MG","","Select","Select",""],["","","IPRATROPIUM BROMIDE","0.06%","","Select","Select",""],["","","SPIRONOLACTONE","25 MG","","Select","Select",""],["","","AMIODARONE HYDROCHLORIDE","200 MG","","Select","Select",""],["","","TRAZODONE HYDROCHLORIDE","50 MG","","Select","Select",""],["","","METOPROLOL SUCCINATE ER","25 MG","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40 MG","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","75 MCG","","Select","Select",""],["","","WARFARIN SODIUM","5 MG","","Select","Select",""],["","","SACUBITRIL\/VALSARTAN","51 MG","","Select","Select",""],["","","FLUTICASONE PROPIONATE","50 MCG","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","0.10%","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","325 MG","","Select","Select",""],["","","SILDENAFIL","25 MG","","Select","Select",""],["","","Levothyroxin Tab","88 MCG","","Select","Select",""],["","","Cephalexin Cap","500 MG","","Select","Select",""],["","","Triamcinolon Cre 0.1%","","","Select","Select",""],["","","Fluticasone Spr","50 MCG","","Select","Select",""],["","","Sildenafil Tab","25 MG","","Select","Select",""],["","","Warfarin Tab","5 MG","","Select","Select",""],["","","Hydroco\/Apap Tab 5-325Mg","","","Select","Select",""],["","","Metoprol Suc Tab","25 MG","","Select","Select",""],["","","Ipratropium Spr 0.06%","","","Select","Select",""],["","","Sacub\/Valsar Tab 49-51Mg","","","Select","Select",""],["","","Trazodone Tab","50 MG","","Select","Select",""],["","","Tamsulosin Cap","0.4 MG","","Select","Select",""],["","","Spironolact Tab","25 MG","","Select","Select",""],["","","Atorvastatin Tab","40 MG","","Select","Select",""],["","","Amiodarone Tab","200 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":""}]}]}