{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICIA J ALEXANDER","gend":1,"currentgend":"","add":"206 W Hickory St","city":"Independence","state":"KS","zip":"67301","age":"","mstatus":"","insh":"K44013250","cliId":"","pno":"6209261448","cno":"6209261448","email":"","ename":"","eno":"","pphy":"DAWN MCCAFFERY","ppno":"6203322000","pcpadd":"510 N PETER PAN RD","pcpcity":"INDEPENDENCE","pcpstate":"KS","pcpzip":"67301-7301","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":"1568556074","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44013250","medicareid":"4PC5YP4CC81","medicaidid":"4PC5YP4CC81","pcpFlag":"","dob":"1946-01-13"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K219","E1165","R42","I10","Z794","R079","H8110","Z79899","E559","R739","R109","R10A0","K7581","R1085","Z955","E119","E785","K7031","E118","I8510","E6601","Z7901","D509","E538","R0789","R5383","R059","Z8489","Z0000","Z961","Z803"],"date":["2026-01-02","2026-05-11","2026-01-12","2026-05-18","2026-02-26","2026-01-11","2026-01-11","2026-01-11","2026-05-11","2026-02-09","2026-02-09","2026-02-11","2026-05-18","2026-05-11","2026-02-16","2026-05-18","2026-05-18","2026-02-26","2026-02-26","2026-02-26","2026-02-26","2026-03-09","2026-05-11","2026-05-11","2026-01-26","2026-05-11","2026-05-11","2026-05-18","2026-05-18","2026-05-06","2026-05-29"],"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":[["","","SPIRONOLACTONE","25 MG","","Select","Select",""],["","","SUCRALFATE","1 GM","","Select","Select",""],["","","CLOPIDOGREL","75 MG","","Select","Select",""],["","","LANSOPRAZOLE","30 MG","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","20 MG","","Select","Select",""],["","","RAMIPRIL","5 MG","","Select","Select",""],["","","PIOGLITAZONE HYDROCHLORIDE","15 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":""}]}]}