{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Robert E Harris","gend":0,"currentgend":"","add":"78 WESTERN AVE","city":"AUBURN","state":"ME","zip":"04210","dob":"1960-10-05","age":"","mstatus":"","insh":"10000021578","cliId":"","pno":2072400605,"cno":"","email":"REHARRISJR@MYYAHOO.COM","ename":"","eno":"","pphy":"ENRIGHT, NICHOLAS","ppno":2077847388,"pcpadd":"Family Health Care Associates,190 Stetson Rd","pcpcity":"Auburn","pcpstate":"ME","pcpzip":"04210","pcpcounty":"","pcpid":"","pcpname":"FAMILY HEALTH CARE ASSOCIATES","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"78 WESTERN AVE","madd2":"","madd3":"","mcity":"AUBURN","mstate":"ME","mzip":"04210","pcpfaxno":2077952043,"pcpnpi":1801457858,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7WA6VQ9FM50","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I4891","I10","E119","R600","R1310","I4819","I499","G4733","N529","E291","M47816","M5386","M5459","H25812","M5450","M48061","K2950","R6889","E6601","M461","I5032","H25811","Z79899","I5030","Z98890","Z0101","G4730","L209","Z7901","Z79891","M7989","R0600","G8929","M9900","M9901","M9902","M9903","K222","Z09","E1142","I110","D6869","I358","H25813","M519","I4710","Z5181","I890","M47814","M2550","Z87891","Z7984","R7989","I878","M48062","M4726","L0390","J449","H1045","M71341","L0212","L239","Z23","M546","Z6842","B370","M5134","E785","I471"],"date":["2025-07-01","2023-08-03","2025-09-11","2024-09-30","2025-05-21","2025-09-03","2024-09-20","2023-06-29","2024-07-24","2024-11-07","2025-03-05","2023-07-24","2025-03-05","2025-11-11","2025-10-09","2024-08-30","2025-05-21","2023-07-11","2024-06-05","2025-03-05","2023-01-30","2025-11-04","2025-06-09","2025-11-10","2024-12-30","2025-07-15","2023-02-28","2023-02-28","2024-12-16","2024-08-13","2023-08-29","2023-08-29","2024-03-26","2024-03-26","2024-03-26","2024-03-26","2024-03-26","2025-05-21","2025-09-12","2023-10-12","2024-07-24","2024-07-24","2024-01-25","2025-09-11","2024-08-13","2024-02-09","2024-02-09","2024-10-10","2023-03-31","2024-07-24","2023-12-08","2023-10-12","2025-02-06","2024-10-31","2025-02-05","2025-02-05","2024-09-26","2025-02-07","2024-06-19","2024-07-15","2024-07-15","2024-07-15","2022-10-26","2022-11-07","2022-11-07","2022-10-11","2022-09-19","2022-08-24","2022-08-24"],"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":[["","","METFORMIN HCL ER","","","Select","Select",""],["","","GLIPIZIDE ER","","","Select","Select",""],["","","SOTALOL","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","TORSEMIDE","","","Select","Select",""],["","","MONTELUKAST SODIUM","","","Select","Select",""],["","","PRAVASTATIN SODIUM","","","Select","Select",""],["","","MORPHINE SULFATE ER","","","Select","Select",""],["","","TESTOSTERONE CYPIONATE","","","Select","Select",""],["","","CITALOPRAM HBR","","","Select","Select",""],["","","MOUNJARO","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","PREDNISOLONE ACETATE","","","Select","Select",""],["","","KETOROLAC TROMETHAMINE","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","DEXCOM G7 SENSOR","","","Select","Select",""],["","","NUCYNTA","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","BACLOFEN","","","Select","Select",""],["","","PREGABALIN","","","Select","Select",""],["","","CLINDAMYCIN PHOSPHATE","","","Select","Select",""],["","","DEPO-TESTOSTERONE","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","ADVAIR HFA","","","Select","Select",""],["","","JATENZO","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","OZEMPIC","","","Select","Select",""],["","","XARELTO","","","Select","Select",""],["","","NALOXONE HCL","","","Select","Select",""],["","","TRULICITY","","","Select","Select",""],["","","DIAZEPAM","","","Select","Select",""],["","","NYSTATIN","","","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":{"indx":[["","","","",""],[""],[""],[""],[""],[""]],"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":[]},{"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":""}]}]}