{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Ronald D Creamer","gend":0,"currentgend":"","add":"18 CREAMER RD","city":"Plymouth","state":"ME","zip":"04969","dob":"1949-01-04","age":"","mstatus":"","insh":"10000028559","cliId":"","pno":2072574281,"cno":"","email":"","ename":"","eno":"","pphy":"MACDONALD, MICHAEL C","ppno":2073736848,"pcpadd":"22 STATION AVE,SUITE 101","pcpcity":"BRUNSWICK","pcpstate":"ME","pcpzip":"40112092","pcpcounty":"","pcpid":"","pcpname":"SEBASTICOOK FAMILY DOCTORS","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":2074655119,"add2":"","add3":"","madd1":"18 CREAMER RD","madd2":"","madd3":"","mcity":"Plymouth","mstate":"ME","mzip":"04969","pcpfaxno":2073736849,"pcpnpi":1235220740,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8AP7E50MQ42","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R739","Z125","R5383","E785","J069","R531","I10","K812","K828","R413","Z0000","K8309","M25552","K8066","I70203","I119","M1711","R109","T8140XD","K819","F17200","R4182","Z122","R1011","I77811","R5082","Z9049","G319","Z8673","K8050","N400","R7401","I77810","R059","Z48815","I499","R296","R509","R0902","R1084","D72829","N3000","T8143XA","Z452","K651","R112","R000","N2889","N281","I639","K5289","R051","I69354","I70213"],"date":["2024-11-26","2025-01-13","2024-11-26","2025-08-21","2022-12-15","2025-08-25","2025-08-25","2025-08-21","2025-08-21","2024-11-26","2023-09-14","2025-08-27","2024-10-11","2025-08-19","2024-09-12","2024-09-12","2024-09-12","2025-08-19","2025-10-01","2025-08-21","2025-08-21","2025-08-21","2025-01-13","2025-08-27","2025-08-27","2025-08-28","2025-09-18","2025-08-20","2025-08-20","2025-08-19","2025-08-19","2025-05-08","2025-08-27","2025-08-27","2025-09-17","2025-05-21","2024-08-27","2025-09-18","2025-09-19","2025-09-18","2025-09-18","2025-09-18","2025-10-21","2025-09-23","2025-10-21","2025-09-18","2025-09-02","2025-10-17","2025-10-17","2025-05-21","2025-10-17","2025-08-27","2023-11-30","2023-11-30"],"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":[]},{"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":""}]}]}