{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Edward S Mcavoy","gend":0,"currentgend":"","add":"335 BENEDICTA ROAD","city":"BENEDICTA","state":"ME","zip":"04733","dob":"1954-01-14","age":"","mstatus":"","insh":"10000020697","cliId":"","pno":2077318113,"cno":"","email":"ona@calculationinc.com","ename":"","eno":"","pphy":"FUCHS, ROSE M","ppno":2079229102,"pcpadd":"17 FOUNDERS ST,","pcpcity":"PATTEN","pcpstate":"ME","pcpzip":"47653080","pcpcounty":"","pcpid":"","pcpname":"CORNERSTONE FAMILY PRACTICE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"335 BENEDICTA ROAD","madd2":"","madd3":"","mcity":"BENEDICTA","mstate":"ME","mzip":"04733","pcpfaxno":2079229080,"pcpnpi":1699770222,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3MU7E89FW61","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J449","I10","Z23","E7849","K921","G4733","M14671","Z0000","R0981","C61","J0190","J309","M064","M5450","R6889","H833X3","H9113","M14679","M6281","H35363","H40022","H2513","H353131","H35371","E662","H109","M5459","H10022","D649","R7309","G4736","H40033","M2560","H40023","D1722","M19071","Z6841","R0609","M7661","M25571","A0839","M25552","K5730","K644","K648","K627","M19271","M2142","M2141","M461","A5216","M79671","D3501","E559","S8012XA","M216X1"],"date":["2025-10-31","2025-10-31","2025-10-09","2025-03-04","2024-07-24","2025-10-16","2024-10-18","2024-05-16","2023-05-02","2023-05-02","2022-11-28","2022-11-28","2024-04-25","2023-07-31","2023-07-08","2024-05-30","2024-05-30","2024-09-11","2023-04-15","2025-05-22","2023-11-27","2025-08-08","2024-11-18","2024-05-14","2023-06-22","2023-06-22","2024-01-17","2023-07-17","2023-04-13","2023-04-13","2023-06-09","2025-06-09","2024-07-09","2024-05-13","2025-05-28","2023-12-20","2023-02-23","2023-02-02","2023-02-23","2024-08-08","2023-11-13","2023-07-11","2024-07-24","2024-07-24","2024-07-24","2024-07-24","2024-07-31","2022-11-03","2022-11-03","2022-11-01","2022-08-02","2022-07-18","2022-07-27","2022-07-27","2022-07-05","2022-06-21"],"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":[["","","DULOXETINE HCL","","","Select","Select",""],["","","ROPINIROLE HCL","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","DIAZEPAM","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","FLUTICASONE PROPIONATE","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","STIOLTO RESPIMAT","","","Select","Select",""],["","","PREDNISOLONE ACETATE","","","Select","Select",""],["","","PRAVASTATIN SODIUM","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","GENTAMICIN SULFATE","","","Select","Select",""],["","","POLYMYXIN B SUL-TRIMETHOPRIM","","","Select","Select",""],["","","LIDOCAINE","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","SF 5000 PLUS","","","Select","Select",""],["","","CELECOXIB","","","Select","Select",""],["","","CYCLOBENZAPRINE 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":""}]}]}