{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Andrew M Lansky","gend":0,"currentgend":"","add":"112 MILL RD","city":"Wytopitlock","state":"ME","zip":"04497","dob":"1948-06-05","age":"","mstatus":"","insh":"10000026359","cliId":"","pno":2074567018,"cno":"","email":"lanskymitch@gmail.com","ename":"","eno":"","pphy":"NIELSEN, LISA","ppno":2075282285,"pcpadd":"PO BOX 500,","pcpcity":"PATTEN","pcpstate":"ME","pcpzip":"47650500","pcpcounty":"","pcpid":"","pcpname":"KATAHDIN VALLEY HEALTH CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"112 MILL RD","madd2":"","madd3":"","mcity":"REED PLANTATION","mstate":"ME","mzip":"04497","pcpfaxno":2075282880,"pcpnpi":1598706970,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2YK4W28GA97","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F0670","N139","F411","M6281","G20A1","G309","G4701","N401","G3183","M419","Z0000","M2021","F418","D508","E785","G3184","F5101","F064","N312","M79671","R6889","N400","M542","F02A0","G20C","G4721","R4189","F419","Z0289","R413","F5104","B029","Z1211","Z86010","R2689","M5450","Z0101","M79674","K5730","K6389","K648","Z125","M5416","M48061","D123","H2513","H524","H43813"],"date":["2025-09-02","2023-01-04","2024-11-06","2024-08-26","2025-09-02","2025-09-02","2025-09-02","2025-02-26","2024-11-22","2025-08-06","2024-11-06","2023-01-03","2022-12-30","2023-10-18","2023-10-18","2024-01-25","2023-10-19","2023-10-19","2024-02-14","2025-07-10","2024-01-31","2023-10-20","2025-04-30","2024-11-22","2024-11-22","2024-11-22","2024-11-06","2023-02-07","2023-01-27","2025-09-11","2023-12-04","2023-04-06","2023-05-04","2023-05-04","2023-12-04","2025-04-16","2025-03-04","2022-12-28","2023-05-04","2023-05-04","2023-05-04","2024-11-06","2025-04-09","2024-12-18","2023-05-04","2024-03-01","2024-03-01","2025-07-30"],"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":[["","","CITALOPRAM HBR","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","ALPRAZOLAM","","","Select","Select",""],["","","BETHANECHOL CHLORIDE","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","MIRTAZAPINE","","","Select","Select",""],["","","GLYCOPYRROLATE","","","Select","Select",""],["","","ERYTHROMYCIN","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","CARBIDOPA-LEVODOPA","","","Select","Select",""],["","","CARBIDOPA-LEVODOPA ER","","","Select","Select",""],["","","FAMCICLOVIR","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","DONEPEZIL HCL","","","Select","Select",""],["","","LORAZEPAM","","","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":""}]}]}