{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Bruce R Reddy","gend":0,"currentgend":"","add":"20 SOUTH RD","city":"BREWER","state":"ME","zip":"04412","dob":"1941-05-27","age":"","mstatus":"","insh":"10000016507","cliId":"","pno":2077456670,"cno":"","email":"BREDDYCPA@GMAIL.COM","ename":"","eno":"","pphy":"PANDEY, SANJAY P","ppno":2079073300,"pcpadd":"St Joseph Internal Medicine,900 Broadway","pcpcity":"Bangor","pcpstate":"ME","pcpzip":"04401","pcpcounty":"","pcpid":"","pcpname":"ST JOSEPH INTERNAL MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"20 SOUTH RD","madd2":"","madd3":"","mcity":"BREWER","mstate":"ME","mzip":"04412","pcpfaxno":2079071923,"pcpnpi":1407127475,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7Y22V91AJ80","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","Z5111","C675","C672","Z91013","K219","Z1211","Z8719","K635","C679","S301XXD","F419","F4389","G4733","Z08","K810","D485","K8020","K7689","R188","K52839","Z8551","H903","K8000","Z0000","E785","R1909","H04123","J069","Z09","L570","C44222","H40013","K529","N400","L820","L538","D225","L814","L821","Z7189","S301XXA","W01198A","Y9389","Y929","C678","K5730","R1084","N3289","N401","N4289","D090","C44329","S61317D","E876","R6889","Z9049","Z0101","S61217A","D224","D649","J0190","D1801","K4090","G4730","Z20822","R208","Z23","Z01812","C674","Z85828"],"date":["2025-10-30","2024-01-17","2023-04-13","2023-04-13","2023-04-13","2025-04-15","2024-10-09","2024-10-09","2024-10-09","2025-08-26","2023-05-16","2024-02-28","2024-05-01","2025-06-12","2025-10-15","2025-04-17","2025-09-24","2025-04-16","2025-04-16","2025-04-16","2024-10-11","2024-12-10","2025-03-20","2025-04-17","2025-04-15","2025-08-26","2025-10-14","2023-07-20","2024-05-20","2025-04-28","2025-09-24","2024-01-11","2025-08-05","2024-10-09","2024-09-10","2025-09-24","2025-09-24","2024-09-23","2025-09-24","2025-09-24","2025-09-24","2023-03-26","2023-03-25","2023-03-25","2023-03-25","2023-01-12","2024-10-09","2025-04-15","2023-01-12","2023-01-12","2023-01-12","2023-04-13","2025-10-28","2025-03-10","2025-03-10","2023-09-12","2025-04-17","2025-01-30","2025-03-07","2024-09-23","2023-06-20","2022-12-29","2023-03-17","2025-10-14","2023-06-05","2022-12-30","2025-09-24","2022-10-31","2022-10-12","2022-10-20","2022-09-15"],"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":[["","","FLUAD 2025-2026","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","SIMVASTATIN","","","Select","Select",""],["","","ATENOLOL","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","METRONIDAZOLE","","","Select","Select",""],["","","BUDESONIDE DR","","","Select","Select",""],["","","TERAZOSIN HCL","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","FLUTICASONE PROPIONATE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","FLUZONE TRIVALENT 2024-2025","","","Select","Select",""],["","","COMIRNATY 2024-2025","","","Select","Select",""],["","","FINASTERIDE","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","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":""}]}]}