{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"APRIL D PARFITT","gend":1,"currentgend":"","add":"5121 CONGRESSIONAL CIR","city":"LAWRENCE","state":"KS","zip":"66049","age":"","mstatus":"","insh":"K44010749","cliId":"","pno":"7856159113","cno":"","email":"aprilparfitt@att.net","ename":"","eno":"","pphy":"LUKE MUELLER","ppno":"7858417297","pcpadd":"1803 W 6TH ST","pcpcity":"LAWRENCE","pcpstate":"KS","pcpzip":"66044-1368","pcpcounty":"","pcpid":"","pcpname":"HEARTLAND MEDICAL CLINIC INC","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"APT C107","add3":"","madd1":"5121 CONGRESSIONAL CIR","madd2":"APT C107","madd3":"","mcity":"LAWRENCE","mstate":"KS","mzip":"66049","pcpfaxno":"7858560375","pcpnpi":"1578945713","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44010749","medicareid":"5VN8UV6VG64","medicaidid":"5VN8UV6VG64","pcpFlag":"","dob":"1960-03-09"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["S61451A","W540XXA","Z7689","Z7982","Z950","Z9884","Z17411","I10","I495","C50812","I6523","I2510","Z79899","Z7985","E1165","Z01818","F331","E782","Z6831","Z713","Z7182","Z23","N6325","Z170","Z1379","Z803","Z808","Z1501","Z9189","R92321","I4519","I252","R9431","Z79811","Z9013","Z800","I959","R519","I444","I4589","R55","I119","E6601","Z6833","Z95818","Z4509","H25013","H2513","H524","R42","M79604","M7989","Z043","M25511","W1830XA","W010XXA","S199XXA","S0003XA","S0990XA","W06XXXA","E119","S61250A","E7800","N6489","N281","Z1721","G250","K219","F418","K760","Z853","Z6830","N6001","N641","M85852","Z794","F419","I455","Z6834","G4733","F32A","Z6832","E860","E669","Z03818","M79662","S161XXA","M25551","W19XXXA","I358","R21","N650","R079","R072","E11649","Z90710","R7401","M1611","Z1509","R011","R5383","R112","D649","R6889","E785","K824","K5900","Z98890","Z9049","Z8719"],"date":["2025-06-13","2025-06-13","2026-06-09","2026-06-01","2026-04-09","2026-05-30","2025-07-10","2026-05-06","2026-04-09","2026-01-21","2025-07-17","2026-06-01","2026-06-01","2025-09-04","2026-05-04","2025-07-16","2026-05-04","2026-05-04","2026-05-04","2026-05-04","2026-05-04","2025-07-16","2025-07-10","2026-01-21","2025-07-21","2025-09-17","2025-08-08","2026-01-21","2025-08-14","2025-08-14","2025-09-04","2025-09-04","2026-05-06","2026-01-21","2026-04-10","2026-01-21","2025-09-04","2025-06-08","2025-03-10","2025-03-10","2025-04-09","2025-03-28","2025-04-09","2025-05-29","2025-03-28","2025-04-08","2025-04-17","2025-04-17","2025-04-17","2026-05-06","2025-05-05","2025-05-05","2025-05-05","2025-05-05","2025-05-05","2025-05-13","2025-06-08","2025-06-08","2025-06-08","2025-06-08","2026-06-01","2025-06-13","2025-06-13","2025-06-27","2025-08-27","2025-09-03","2025-09-04","2025-09-04","2025-09-04","2026-06-02","2026-05-06","2026-03-17","2025-11-07","2025-11-07","2025-12-18","2025-03-10","2025-04-09","2025-04-02","2025-04-09","2025-04-09","2025-04-09","2025-06-08","2025-04-19","2025-06-08","2025-04-19","2025-05-05","2025-06-08","2026-01-21","2026-01-21","2026-03-16","2026-04-10","2026-04-10","2026-04-10","2026-04-09","2026-05-06","2026-05-30","2026-05-06","2026-01-21","2026-01-21","2026-04-09","2026-05-06","2026-05-06","2026-05-06","2026-05-06","2026-05-06","2026-06-02","2026-06-01","2026-06-01","2026-06-01","2026-06-01"],"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":[["","","OZEMPIC","2 MG","","Select","Select",""],["","","ATORVASTATIN CALCIUM","40 MG","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","LOSARTAN POTASSIUM","25 MG","","Select","Select",""],["","","FLUOXETINE HYDROCHLORIDE","20 MG","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","Select","Select",""],["","","MNEXSPIKE COVID-19 VACCINE\/2025-26","","","Select","Select",""],["","","AMOXICILLIN\/CLAVULANATE POTASSIUM","","","Select","Select",""],["","","GABAPENTIN","100 MG","","Select","Select",""],["","","ANASTROZOLE","1 MG","","Select","Select",""],["","","ONDANSETRON HYDROCHLORIDE","4 MG","","Select","Select",""],["","","OXYCODONE HYDROCHLORIDE","5 MG","","Select","Select",""],["","","ENOXAPARIN SODIUM","40\/0.4 ML","","Select","Select",""],["","","METHOCARBAMOL","500 MG","","Select","Select",""],["","","HYDROCORTISONE","2.50%","","Select","Select",""],["","","PREDNISONE","20 MG","","Select","Select",""],["","","Enoxaparin Inj","40\/0.4 ML","","Select","Select",""],["","","Cephalexin Cap","500 MG","","Select","Select",""],["","","Fluzone Hd Inj 2025-26","","","Select","Select",""],["","","Anastrozole Tab","1 MG","","Select","Select",""],["","","Fluoxetine Cap","20 MG","","Select","Select",""],["","","Oxycodone Tab","5 MG","","Select","Select",""],["","","Gabapentin Cap","100 MG","","Select","Select",""],["","","Ozempic Inj","2 MG","","Select","Select",""],["","","Atorvastatin Tab","40 MG","","Select","Select",""],["","","Mnexspike Inj 2025-26","","","Select","Select",""],["","","Amox\/K Clav Tab 875-125","","","Select","Select",""],["","","Ondansetron Tab","4 MG","","Select","Select",""],["","","Losartan Pot Tab","25 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":""}]}]}