{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROGER W STRAWDER","gend":0,"currentgend":"","add":"822 Yuba St","city":"BURLINGTON","state":"KS","zip":"66839","age":"","mstatus":"","insh":"K44014703","cliId":"","pno":"6202039226","cno":"","email":"rogerstrawder@gmail.com","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","plan":"BCBSKS","program":"Medicare","lob":"012","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1075 US HIGHWAY 75","madd2":"","madd3":"","mcity":"Burlington","mstate":"KS","mzip":"66839","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"M3AK44014703","medicareid":"9K10DG7YF34","medicaidid":"9K10DG7YF34","pcpFlag":"","dob":"1962-01-28"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K56690","R935","R590","Z98890","R918","K529","K50119","E785","K56699","Z9049","Z8719","F32A","G40909","G8929","I5020","K50018","R140","D849","I10","R7982","E8809","I517","R1030","R770","F329","K6389","Z980","R195","R931","K5909","Z79899","Z716","D84821","Z7952","E876","D649","Z87891","R198","Z92241","R197","K5000","Z0000","R7989","D508","Z79891","Z760","D519","B9689","M5450","K50812","M51360"],"date":["2026-02-25","2026-02-26","2026-02-24","2026-05-04","2026-02-24","2026-02-25","2026-03-09","2026-03-02","2026-05-04","2026-05-04","2026-05-04","2026-02-25","2026-02-25","2026-05-04","2026-02-25","2026-02-27","2026-05-04","2026-05-04","2026-03-02","2026-02-27","2026-02-26","2026-02-25","2026-02-27","2026-02-27","2026-03-02","2026-02-25","2026-03-01","2026-05-04","2026-03-02","2026-05-04","2026-05-04","2026-03-09","2026-03-09","2026-03-09","2026-03-09","2026-05-04","2026-04-02","2026-02-09","2026-05-04","2026-02-09","2026-05-05","2026-05-04","2026-05-06","2026-02-02","2026-02-02","2026-06-08","2026-03-25","2026-04-06","2026-05-04","2026-06-08","2026-05-06"],"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":[["","","LOSARTAN POTASSIUM","25 MG","","Select","Select",""],["","","HYDROMORPHONE HCL","4 MG","","Select","Select",""],["","","DULOXETINE HYDROCHLORIDE DR","60 MG","","Select","Select",""],["","","MORPHINE SULFATE ER","60 MG","","Select","Select",""],["","","TREMFYA","200\/2 ML","","Select","Select",""],["","","PREDNISONE","10 MG","","Select","Select",""],["","","LEVETIRACETAM","500 MG","","Select","Select",""],["","","METHYLPREDNISOLONE DOSE PACK","4 MG","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","40 MG","","Select","Select",""],["","","TREMFYA INDUCTION PACK FOR CROHNS DISEASE\/ULCERATIVE COLITIS","200\/2 ML","","Select","Select",""],["","","MELOXICAM","15 MG","","Select","Select",""],["","","TAMSULOSIN HYDROCHLORIDE","0.4 MG","","Select","Select",""],["","","LOVASTATIN","20 MG","","Select","Select",""],["","","POTASSIUM CHLORIDE ER","10 MEQ","","Select","Select",""],["","","ONDANSETRON ODT","4 MG","","Select","Select",""],["","","SULFAMETHOXAZOLE\/TRIMETHOPRIM DS","","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","LEVOFLOXACIN","500 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":""}]}]}