{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Dennis R Lamarre","gend":0,"currentgend":"","add":"54 PLEASANT ST","city":"BRUNSWICK","state":"ME","zip":"04011","dob":"1945-08-22","age":"","mstatus":"","insh":"00008652800","cliId":"","pno":2077298232,"cno":"","email":"","ename":"","eno":"","pphy":"STEELE, ERIK N","ppno":"","pcpadd":"PO BOX 9746,","pcpcity":"PORTLAND","pcpstate":"ME","pcpzip":"41045040","pcpcounty":"","pcpid":"","pcpname":"MARTINS POINT HEALTH CARE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"54 PLEASANT ST","madd2":"","madd3":"","mcity":"BRUNSWICK","mstate":"ME","mzip":"04011","pcpfaxno":2078287850,"pcpnpi":1538176789,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8QC4NK6WX98","medicaidid":"","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":["I350","K922","R0789","I509","F411","I4891","I10","Z950","I081","Z006","Z952","I77810","I4821","L851","R262","B351","M79674","M79675","Z1211","E785","E119","G4730","R079","Z7901","I25119","I428","G4700","I083","I25118","S61011A","M1712","R600","E782","Z794","Z98890","D6869","M25551","E1121","F418","K219","I088","K91840","K625","E1165","E1169","E1142","I110","R0602","I890","I480","E876","Z0000","R531","M25562","I5020","I2720","R0600","I517","Z95828","I5022","Z981","S61011D","I429","R519","M5450","S81812A","S8992XA","I2510","Z48813","R0989","A000","I700","I5033","Z23","D125","M546","I7121","N281","I422","I080","Z20822","N390","N400","Z01818","Z86010","K5730","I130","R5383","R9389","E8342"],"date":["2025-07-31","2023-03-27","2025-07-28","2025-08-01","2023-05-05","2023-10-20","2025-08-21","2025-09-23","2024-06-06","2024-06-06","2025-07-11","2024-06-06","2025-08-21","2024-08-21","2024-08-21","2025-01-07","2025-01-07","2025-01-07","2023-03-20","2024-06-05","2023-03-20","2023-03-20","2025-07-28","2025-11-04","2024-08-19","2025-08-21","2023-05-05","2024-02-27","2025-05-27","2023-09-27","2025-06-04","2025-08-19","2024-11-11","2025-05-12","2024-06-05","2024-12-17","2024-12-17","2024-12-17","2024-06-05","2024-06-05","2025-07-11","2023-03-25","2023-03-25","2025-03-01","2025-05-12","2025-05-12","2025-03-18","2025-07-28","2025-02-25","2024-10-03","2024-11-11","2024-11-14","2025-02-24","2025-05-28","2025-07-11","2025-07-11","2024-07-29","2025-07-28","2024-07-29","2025-08-26","2025-07-28","2023-10-06","2023-09-05","2025-02-24","2025-11-07","2024-06-10","2024-06-13","2023-11-03","2024-05-29","2024-05-29","2025-03-18","2024-04-08","2023-02-24","2025-09-12","2023-03-20","2025-11-07","2024-04-08","2023-10-20","2023-02-22","2023-02-22","2023-10-20","2023-02-22","2024-11-14","2024-05-29","2023-03-20","2023-03-20","2022-11-09","2022-11-09","2022-11-09","2022-09-30"],"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":[["","","BASAGLAR KWIKPEN U-100","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","SPIRONOLACTONE","","","Select","Select",""],["","","FINASTERIDE","","","Select","Select",""],["","","TORSEMIDE","","","Select","Select",""],["","","JANTOVEN","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","FREESTYLE LIBRE 14 DAY SENSOR","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","WARFARIN SODIUM","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","NOVOLOG FLEXPEN","","","Select","Select",""],["","","ENOXAPARIN SODIUM","","","Select","Select",""],["","","ZOLPIDEM TARTRATE","","","Select","Select",""],["","","CLONAZEPAM","","","Select","Select",""],["","","TRUEPLUS LANCETS","","","Select","Select",""],["","","TRUE METRIX GLUCOSE TEST STRIP","","","Select","Select",""],["","","TRUE METRIX AIR GLUCOSE METER","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","BOOSTRIX TDAP","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","NOVOFINE 32","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","TRUE METRIX BLOOD GLUCOSE MTR","","","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":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[],"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":""}]}]}