{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Jimmie P Bickford","gend":0,"currentgend":"","add":"6 KIMBALL ST APT 309","city":"Waterville","state":"ME","zip":"04901","dob":"1962-02-21","age":"","mstatus":"","insh":"10000012547","cliId":"","pno":2074469083,"cno":2074469083,"email":"bigbruick@yahoo.com","ename":"","eno":"","pphy":"WEBB, TIMOTHY S","ppno":2078726869,"pcpadd":"Elmwood Primary Care,221 Main St","pcpcity":"Waterville","pcpstate":"ME","pcpzip":"04901","pcpcounty":"","pcpid":"","pcpname":"ELMWOOD PRIMARY CARE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"6 KIMBALL ST APT 309","madd2":"","madd3":"","mcity":"Waterville","mstate":"ME","mzip":"04901","pcpfaxno":2078773401,"pcpnpi":1376602276,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5U97HU3HF42","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R0600","G4733","I890","Z01818","I10","J189","L03115","K4091","I862","E669","H906","L259","Z5900","F418","H6692","H903","Z9622","Z974","D649","R229","E039","R4189","E6601","H663X1","R0902","H6062","M793","I872","G4734","M67813","E66813","Z6843","Z8701","R351","Z79899","R918","K420","K429","K4090","L03116","M940","H6060","J9610","Z0000","R600","H60333","J209","R739","E785","H6123","H6120","R0789","R0602","A419","F4321","R110","R6520","J9601","Z0101","R0609","J069","R635","Z6844","N179","R7881","I2510","J00","J309","K5900","M1712","F32A","M25519","Z981","M25512","K219","Z9989","R058","I517","J9691","Z1152","S4992XA","W19XXXA","F3289","R21","I8311","H9191","H7291","K430","Z125","B353","Z09","Z136","J0190","R059","L03119","H60509","L0390","M79604","Z789","M7989","K439","M79606","R7401","F4323","Z48815","R252","H9313","I8390","J1289","Z9981","Z635","Z48810","R3129","I8310","L97919","J029","R490","H6691","B372","H6521","H6981","R319","H6993","J329","Z8669","I8393","R590","M79605","M25562","R300","H663X9","E663","N50819","F419","M779","I87393","G4762","L719","R109","R1030","R1909","R102","R1900","R1032"],"date":["2025-10-27","2025-10-27","2025-08-24","2023-07-18","2025-04-25","2025-11-06","2025-11-05","2023-07-27","2022-12-23","2024-07-25","2024-04-18","2024-06-03","2025-04-18","2025-06-11","2024-08-01","2023-11-21","2023-11-21","2023-11-21","2025-07-25","2025-11-03","2025-06-30","2024-02-19","2025-04-25","2023-02-13","2025-06-06","2024-12-03","2023-11-01","2025-11-05","2025-06-06","2025-06-06","2025-11-05","2025-11-05","2025-10-27","2025-05-09","2025-06-04","2025-09-25","2023-07-30","2023-07-25","2023-07-25","2025-05-06","2024-03-25","2025-04-17","2023-07-28","2023-11-27","2025-03-27","2025-08-08","2023-01-23","2023-11-27","2023-11-27","2024-08-01","2024-07-25","2024-04-26","2025-03-27","2025-04-04","2024-09-06","2022-12-09","2025-04-04","2025-04-04","2023-12-08","2023-03-16","2025-01-23","2024-01-15","2025-02-20","2024-08-29","2023-06-07","2025-09-25","2023-08-28","2023-01-30","2023-01-30","2025-06-30","2025-06-30","2024-04-23","2024-04-23","2024-04-26","2024-04-12","2024-04-12","2025-03-27","2025-03-27","2025-03-27","2025-03-27","2024-04-23","2024-04-23","2024-09-06","2023-06-07","2023-06-07","2023-02-09","2023-02-09","2023-07-27","2025-02-20","2023-05-24","2023-07-03","2023-07-20","2022-11-28","2024-01-15","2024-05-06","2024-03-05","2024-11-04","2023-06-06","2023-06-06","2023-06-06","2023-06-06","2023-06-06","2023-07-03","2024-11-07","2023-07-30","2024-03-05","2023-09-27","2023-01-12","2025-03-27","2025-03-27","2025-04-18","2022-11-03","2022-11-01","2022-11-02","2022-11-02","2022-11-18","2022-11-18","2022-11-04","2022-11-02","2022-10-12","2022-10-12","2022-09-30","2022-09-15","2022-09-15","2022-09-15","2022-09-10","2022-09-10","2022-09-10","2022-09-08","2022-09-09","2022-08-29","2022-08-29","2022-09-09","2022-07-12","2022-07-12","2022-06-22","2022-05-13","2022-04-15","2022-03-29","2022-03-28","2022-03-28","2022-03-29","2022-03-29","2022-04-04"],"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":[["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","OFLOXACIN","","","Select","Select",""],["","","ZEPBOUND","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","CITALOPRAM HBR","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","","","Select","Select",""],["","","NEOMYCIN-POLYMYXIN-HC","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","KETOCONAZOLE","","","Select","Select",""],["","","LEVOFLOXACIN","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","ALBUTEROL SULFATE","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","FLUTICASONE PROPIONATE","","","Select","Select",""],["","","NEOMYCIN-POLYMYXIN-HYDROCORT","","","Select","Select",""],["","","CLINDAMYCIN HCL","","","Select","Select",""],["","","IBUPROFEN","","","Select","Select",""],["","","NAPROXEN","","","Select","Select",""],["","","IBU","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","MUPIROCIN","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","FLUCONAZOLE","","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","IPRATROPIUM-ALBUTEROL","","","Select","Select",""],["","","DICLOFENAC SODIUM","","","Select","Select",""],["","","FLULAVAL QUAD 2022-2023","","","Select","Select",""],["","","HYDROXYZINE HCL","","","Select","Select",""],["","","METRONIDAZOLE","","","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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"comment":[["","","","","",""],[],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"comment":[["","","","","",""],[],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}