{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Lorraine M Young","gend":1,"currentgend":"","add":"14 HIGH ST APT 7","city":"Vinalhaven","state":"ME","zip":"04863","dob":"1942-03-07","age":"","mstatus":"","insh":"10000009293","cliId":"","pno":2078634411,"cno":"","email":"NOEMAIL@52423.COM","ename":"","eno":"","pphy":"DESMOND, JENNIFER S","ppno":2078634341,"pcpadd":"Islands Community Medical Services\t,15 Medical Center Loop","pcpcity":"Vinalhaven","pcpstate":"ME","pcpzip":"04863","pcpcounty":"","pcpid":"","pcpname":"ISLANDS COMMUNITY MEDICAL SERVICES","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":2078634411,"add2":"","add3":"","madd1":"14 HIGH ST APT 7","madd2":"","madd3":"","mcity":"Vinalhaven","mstate":"ME","mzip":"04863","pcpfaxno":2078632737,"pcpnpi":1851480305,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2P03FK2KM88","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25569","H25813","H353132","M170","L03313","H25812","M1711","Z1231","K224","N611","M25512","M25552","H25811","Z0001","R300","K649","R921","Z961","N610","R102","Z853","S76012A","I7143","I4891","H40053","I10","R1013","K429","I4820","E785","I7160","M5117","M4727","N898","R5383","R7301","H6690","Z0101","H2513","H25013","H43813","E669","M179"],"date":["2025-07-30","2023-12-28","2024-10-09","2024-07-31","2025-09-02","2024-03-20","2023-02-10","2024-07-26","2023-09-29","2024-03-29","2022-12-05","2023-02-10","2024-10-30","2024-02-02","2023-09-15","2023-08-22","2024-05-03","2024-08-15","2024-03-29","2023-03-09","2024-03-29","2023-02-10","2023-04-14","2023-04-14","2023-02-17","2024-11-06","2023-07-04","2023-02-10","2023-04-14","2023-04-14","2023-02-10","2023-02-10","2023-02-10","2023-09-15","2023-01-18","2023-01-18","2025-06-24","2023-07-17","2023-07-17","2023-07-17","2023-07-17","2024-07-31","2022-08-09"],"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":[["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","KETOROLAC TROMETHAMINE","","","Select","Select",""],["","","DILTIAZEM 24HR ER (CD)","","","Select","Select",""],["","","XARELTO","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","SIMVASTATIN","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","ESTRADIOL","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","PREDNISOLONE ACETATE","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","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":[]}},{"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":""}]}]}