{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Armand J Routhier","gend":0,"currentgend":"","add":"70 IRWIN ST","city":"LEWISTON","state":"ME","zip":"04240","dob":"1943-07-29","age":"","mstatus":"","insh":"10000038667","cliId":"","pno":"","cno":"","email":"THEOISEAU@YAHOO.COM","ename":"","eno":"","pphy":"RABY, NATHAN C","ppno":2079982100,"pcpadd":"Community Health Center,364 Maine St","pcpcity":"Poland","pcpstate":"ME","pcpzip":"04274","pcpcounty":"","pcpid":"","pcpname":"CENTRAL MAINE FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":2077548726,"add2":"","add3":"","madd1":"70 IRWIN ST","madd2":"","madd3":"","mcity":"LEWISTON","mstate":"ME","mzip":"04240","pcpfaxno":"","pcpnpi":1770528143,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"1MD3H82RK19","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J449","N401","N2889","I5189","I10","R0602","M9903","M9904","M9905","M9901","R002","H10022","S20219A","W182XXA","M4712","M6281","R2689","R0600","R42","Z720","M5450","F325","M25511","R053","R0609","R0789","J9811","M5412","M542","M4802","S12110A","R079","J441","N329","F17210","M461","R531","R9439","R001","I5020","L570","Z01818","Z0000","J8489","H5213","H401131","H16223","I77810","I351","I517","J189","Z136","R519","R5383","I2510","Z299","Z0101","R1310","K449","R52","F329","K862","M47812","M47815","Z981","F419","I208","L821","Z1211","Z09","M533","M25471","E785","I2584","F17290","I951","R918","J984","R7989","J301","M2578","M5021","M5031","M47813","R300","H10023","R0781","N281","R1900","M5126","M5124","M47816","M47814","M4326","S39012D"],"date":["2025-09-02","2023-06-22","2025-08-25","2025-07-17","2025-07-17","2025-07-17","2025-11-13","2025-11-13","2025-11-13","2025-11-13","2024-07-17","2023-11-13","2024-08-26","2024-08-26","2025-03-21","2025-03-21","2025-03-21","2025-09-02","2025-05-16","2023-06-29","2024-05-10","2024-07-26","2024-07-26","2023-06-26","2025-04-22","2023-06-26","2025-08-25","2024-05-10","2024-05-10","2024-08-28","2024-08-28","2024-08-26","2023-07-31","2023-06-22","2024-06-18","2024-05-14","2023-05-18","2025-08-04","2025-08-04","2025-09-02","2024-06-04","2025-07-21","2025-10-21","2024-02-26","2024-12-02","2024-12-02","2024-12-02","2025-05-22","2025-05-22","2025-05-22","2025-02-12","2025-10-14","2023-05-18","2023-05-18","2025-08-26","2024-05-29","2023-06-06","2025-02-26","2025-02-26","2024-09-10","2023-07-07","2025-08-25","2023-01-03","2023-01-03","2023-01-03","2023-07-31","2023-07-11","2025-04-14","2023-08-24","2024-06-25","2025-02-18","2024-11-12","2025-05-07","2024-07-03","2023-05-22","2023-07-07","2023-06-26","2023-06-26","2023-06-26","2024-05-28","2024-08-21","2024-08-21","2024-08-21","2024-08-21","2023-05-22","2023-10-05","2024-08-26","2022-11-01","2022-11-01","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-08-17","2022-08-17"],"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":[["","","TRAMADOL HCL","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","ALBUTEROL SULFATE","","","Select","Select",""],["","","TRELEGY ELLIPTA","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","SIMVASTATIN","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","OXYCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","CELECOXIB","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","FINASTERIDE","","","Select","Select",""],["","","TIOTROPIUM BROMIDE","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","LATANOPROST","","","Select","Select",""],["","","NIFEDIPINE ER","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","EPINEPHRINE","","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","TIZANIDINE HCL","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","OFLOXACIN","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","FLUZONE HIGH-DOSE TRIV 2024-25","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","CEFDINIR","","","Select","Select",""],["","","INCRUSE ELLIPTA","","","Select","Select",""],["","","PEG 3350-ELECTROLYTE","","","Select","Select",""],["","","SPIRIVA HANDIHALER","","","Select","Select",""],["","","TOBRAMYCIN-DEXAMETHASONE","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2023-24","","","Select","Select",""],["","","DUTASTERIDE","","","Select","Select",""],["","","MELOXICAM","","","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":""}]}]}