{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Laney R Lloyd","gend":1,"currentgend":"","add":"10 MYRTLE AVE","city":"Bar Harbor","state":"ME","zip":"04609","dob":"1942-11-25","age":"","mstatus":"","insh":"10000022252","cliId":"","pno":2072670955,"cno":"","email":"LANEYLLOYD006@GMAIL.COM","ename":"","eno":"","pphy":"GASSMAN, KATHERINE L","ppno":2072885119,"pcpadd":"322 MAIN ST,","pcpcity":"BAR HARBOR","pcpstate":"ME","pcpzip":"46091648","pcpcounty":"","pcpid":"","pcpname":"LISA STEWART WOMENS HEALTH CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"10 MYRTLE AVE","madd2":"","madd3":"","mcity":"Bar Harbor","mstate":"ME","mzip":"04609","pcpfaxno":2072888449,"pcpnpi":1851653620,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4FG7GM2RM43","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M19012","M5451","M25551","M25552","M5450","M5416","L570","M48062","M47816","M4316","D225","L821","L814","D692","L728","R209","Z0000","Z1231","Z5189","H35371","H35361","H26493","H04123","M9904","S336XXD","C44519","M5136","M4186","K5900","R310","N390","M5459","R197","R252","I10","R6889","M542","M62838","M9901","M9902","M7918","M9905","Z780","R059","M25562","R600","N814","Z09","Z872","Z96611","M71341","D485","L820","R208","L538","L989"],"date":["2025-06-02","2023-09-22","2023-09-22","2023-09-22","2023-06-07","2023-12-13","2024-10-08","2024-04-23","2024-10-04","2024-04-30","2024-10-08","2024-10-08","2024-10-08","2024-10-08","2023-11-01","2024-10-17","2024-10-02","2024-10-01","2023-07-11","2025-04-15","2025-04-15","2025-04-15","2025-04-15","2024-05-08","2024-05-08","2022-11-15","2023-09-19","2023-09-19","2024-02-12","2024-02-12","2024-02-12","2023-06-07","2025-06-11","2025-07-22","2023-11-13","2023-08-21","2023-05-18","2023-05-18","2023-05-18","2023-05-18","2024-04-29","2024-04-29","2024-03-19","2024-10-17","2025-07-30","2025-07-21","2024-02-15","2023-11-01","2023-11-01","2023-11-01","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2022-08-11"],"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":[["","","PREDNISONE","","","Select","Select",""],["","","LISINOPRIL-HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","ESTRADIOL","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2022-23","","","Select","Select",""],["","","MODERNA COVID BIVAL(6MO UP)EUA","","","Select","Select",""],["","","PREMARIN","","","Select","Select",""],["","","CLOBETASOL PROPIONATE","","","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":""}]}]}