{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Margaret R Catron","gend":1,"currentgend":"","add":"1052 NOYES ROAD","city":"LIMESTONE","state":"ME","zip":"04750","dob":"1946-06-14","age":79,"mstatus":"Divorced","insh":"10000013905","cliId":"","pno":2074964914,"cno":"","email":"margaretctn@gmail.com","ename":"","eno":"","pphy":"ST PETER, DAYNA","ppno":2074982356,"pcpadd":"Pines Health Services,74 Access Hwy","pcpcity":"Caribou","pcpstate":"ME","pcpzip":"04736","pcpcounty":"","pcpid":"","pcpname":"PINES CARIBOU HEALTH CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"PO BOX 635","madd2":"","madd3":"","mcity":"LIMESTONE","mstate":"ME","mzip":"04750","pcpfaxno":2074937725,"pcpnpi":1760014856,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7DG0PU5RV29","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R42","M25552","E119","R0602","E1122","I129","N1830","E785","C50912","M8589","R928","Z853","Z170","Z0000","C50919","E1121","C50012","Z0101","H40023","C50911","C50412","Z510","C50019","Z5181","Z79811","M5410","Z1231","E559","R000","M5416","M48062","N630","N6321","Z79810","I10"],"date":["2023-11-01","2025-04-22","2025-09-16","2025-09-16","2024-06-11","2024-06-11","2024-06-11","2024-10-19","2025-07-31","2025-02-11","2024-11-21","2024-11-21","2024-04-18","2024-11-04","2025-09-03","2025-07-12","2024-11-21","2025-10-14","2025-10-14","2024-04-01","2024-07-01","2024-05-06","2023-10-06","2024-11-14","2024-11-14","2025-04-10","2023-11-03","2023-04-13","2025-09-17","2025-04-24","2025-04-24","2024-01-26","2024-01-26","2024-02-27","2022-09-12"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","1",""],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","","","N\/A"],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["The member has a daughter she could rely on but does not typically depend on her.",""],"sub":[]}},{"arr":["Retired"],"comment":[]},{"a":{"indx":["","",""],"comment":["","","","The member reported quitting smoking in 1959."],"score":[0,0,0,0]}},{"a":{"indx":["","1",""],"comment":["","",""],"score":[0,0,0,0],"sub":{"indx":[["","1"],["","1"]],"comment":[["",""],["",""]],"sub":{"indx":[[["1","","","",""],["1","","","",""],["","1","","",""]],[]],"comment":[[["She stated that if she drinks, it would typically be a glass of wine on special occasions.","","","",""],["She stated that if she drinks, it would typically be a glass of wine on special occasions.","","","",""],["","She stated that if she drinks, it would typically be a glass of wine on special occasions.","","",""]],[]],"sub":[]}}}},{"a":[]},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":[]},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[["1","",""],["1","",""],["1","",""],["1","",""],["1","",""],["1","",""]]}]},{"t":"Medical History","q":[{"a":{"indx":["1"],"comment":[],"sub":{"indx":[],"comment":[""],"sub":[]}}},{"index":0,"comment":"The member is currently seeing an oncologist and has a history of breast cancer, having had it twice.","sub":[]},{"a":[{"indx":["","","","","1",""],"comment":["","","","","",""],"sub":[]},{"indx":["","1","","","",""],"comment":["","","","","",""],"sub":{"indx":[["The member reported experiencing pain in her left leg and hip but could not recall the date or time."],["","","1"]],"comment":[[""],["","",""]],"sub":{"indx":[[],[[],[],[],[]]],"comment":[[],[[],[],[],[]]],"sub":[]}}},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","1","","","",""],"comment":["","Hip replacement","","","","",""],"sub":{"indx":[[""]],"comment":[[""]],"sub":[]}}]},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","",""],"comment":["","","","","","","","","","","","","","The member stated that she has scheduled appointments for both her eye exam and dental visit."],"sub":[]}},{"a":{"indx":["","","","","1","",""],"comment":["","","","","","","","Prolotherapy injections for her hip and left leg."],"sub":[]}}]},{"t":"Family History","q":[{"index":0,"comment":"","sub":[]}]},{"t":"Preventive Care","q":[{"a":[[true,""],["",""],[true,""],["",""],[true,""],["",""],["",""],["",""],[true,""],["",""],[true,""],["",""],["",""],[false,""],{"comment":""},{"comment":""},{"comment":"The member stated that she has screenings to complete this year that have not been done, but appointments are already scheduled and in the process of being completed this year."}]},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":0,"commentTxt":"","arr":[["Allergic to latex",""]]}},{"a":{"comment":"","sub":[["","","GABAPENTIN","","","Select","Select",""],["","","DICLOFENAC SODIUM","","","Select","Select",""],["","","EXEMESTANE","","","Select","Select",""],["","","ANASTROZOLE","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","LISINOPRIL-HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","ONETOUCH ULTRA TEST STRIP","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","TAMOXIFEN CITRATE","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","KLAYESTA","","","Select","Select",""],["","","ONETOUCH ULTRA2","","","Select","Select",""]]}},{"a":{"index":-1,"commentTxt":"","arr":[]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["","","","","","","",""],"comment":[""],"sub":[],"textValue":""}}},{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]},{"a":[]},{"a":[]}]},{"t":"Assessment of Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}],"phq":[{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","","","",""],"comment":["","","","","","",""]},{"indx":["","","","","",false],"comment":[""]}]}]}},{"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":{"indx":["","","","",""],"comment":["","","","",""],"score":[0,0,0,0]}},{"a":[]},{"a":[""]},{"a":[]},{"a":[]},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":[]},{"a":[""]},{"arr":[],"comment":[]},{"a":{"indx":["","","","","","","","","","",""],"comment":["","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"2025-10-09T13:30","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"","a12":"","a13":"","a15":[],"a14":"","a16":"","a18":"","a19":"","a20":"","a21":""}]}]}