{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"George W Finnemore","gend":0,"currentgend":"","add":"12 CORBETT LN","city":"Winslow","state":"ME","zip":"04901","dob":"1941-06-08","age":"","mstatus":"","insh":"10000009812","cliId":"","pno":2073997286,"cno":"","email":"GWFINNE@YAHOO.COM","ename":"","eno":"","pphy":"PROKOP, OTO","ppno":2074740905,"pcpadd":"REDINGTON MED PRIMARY CA,46 FAIRVIEW AVE STE 111","pcpcity":"SKOWHEGAN","pcpstate":"ME","pcpzip":"04976","pcpcounty":"","pcpid":"","pcpname":"REDINGTON MEDICAL PRIMARY CARE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"12 CORBETT LN","madd2":"","madd3":"","mcity":"Winslow","mstate":"ME","mzip":"04901","pcpfaxno":2074746930,"pcpnpi":1083631014,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"1C41T06YP04","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K4090","I340","Z952","I77810","I428","R6889","H6991","Z0000","G255","G4733","I4891","S40812A","H903","H6091","H6123","I10","R059","Z950","G8918","R0600","I517","I480","I25118","I2510","I429","M25512","I350","S46002D","R9431","I5040","R931","E0590","R55","I081","I509","E8342","I493","Z0101","H2513","D3131","D3132","H5203","H52223","H524","R259","I420","I3489","M25511","R29898","W010XXA","Z45018","Z98890","E039","W01198A","I110","Z136","G4734","Z9989","I5022","I4811","R053","J9811","R0602","R062","I080","E559","H6691","Z09","Z8739","H1849"],"date":["2025-01-27","2025-05-20","2025-05-20","2025-05-20","2025-05-20","2023-07-31","2025-10-09","2025-08-26","2025-11-04","2024-11-22","2024-09-27","2024-08-08","2023-04-24","2025-10-09","2025-10-09","2025-10-09","2024-10-22","2025-11-12","2025-02-04","2024-04-09","2024-04-09","2025-02-11","2025-04-01","2025-04-01","2025-03-12","2023-09-18","2023-11-07","2023-10-13","2025-02-11","2023-11-07","2023-11-07","2025-01-09","2024-04-09","2024-04-09","2024-12-02","2024-12-02","2024-12-02","2025-08-04","2025-08-04","2025-08-04","2025-08-04","2025-08-04","2025-08-04","2025-08-04","2025-07-17","2022-12-19","2022-12-19","2023-08-29","2023-08-29","2023-08-29","2025-03-20","2023-09-18","2025-05-19","2024-08-08","2024-12-02","2025-01-07","2024-09-10","2024-09-10","2025-03-20","2025-03-20","2023-03-06","2024-12-02","2024-12-02","2023-03-06","2024-12-04","2023-02-16","2023-11-11","2022-08-24","2022-08-24","2022-07-29"],"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":[["","","JARDIANCE","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","OFLOXACIN","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","AMIODARONE HCL","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","OXYCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","TORSEMIDE","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","AMOXICILLIN","","","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":""}]}]}