{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Albert Jandreau","gend":0,"currentgend":"","add":"172 MCNALLY RD","city":"CLINTON","state":"ME","zip":"04927","dob":"1949-09-01","age":"","mstatus":"","insh":"10000040619","cliId":"","pno":2079440627,"cno":"","email":"j.zimmer1@yahoo.com","ename":"","eno":"","pphy":"REATIRAZA, JOCELIN N","ppno":2074652181,"pcpadd":"Oakland Family Medicine,25 First Park Dr","pcpcity":"Oakland","pcpstate":"ME","pcpzip":"04963","pcpcounty":"","pcpid":"","pcpname":"OAKLAND FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":2079440627,"add2":"","add3":"","madd1":"172 MCNALLY RD","madd2":"","madd3":"","mcity":"CLINTON","mstate":"ME","mzip":"04927","pcpfaxno":"","pcpnpi":1598777930,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4X85PT9FX84","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11621","M9903","M5136","M5450","M9901","E1142","L97515","E113592","Z794","E1151","I130","Z95810","E119","I4821","I5022","I4901","Z950","N1832","E113552","H4312","H43812","E113291","G4731","I2720","R5383","I509","E1122","E113491","R001","Z0000","H2513","I429","Z4800","G4733","H2511","S5012XA","L97509","H2512","B351","L602","M1611","M25551","Z89422","Z89421","G4730","Z638","I4891","Z4781","R6889","I5030","I129","I2510","L97513","M51360","M9902","I491","D649","H524","H6123","I70203","I10","E559","D6869","I70223","H527","L603","Z89431","Z0101","E113293","I255","I081"],"date":["2024-01-02","2024-06-04","2024-06-04","2025-07-09","2025-07-09","2025-10-21","2024-01-02","2025-09-10","2025-09-10","2025-09-23","2025-10-24","2025-03-27","2024-11-20","2025-01-09","2023-04-07","2023-04-08","2025-09-24","2025-10-24","2024-06-06","2022-12-28","2025-04-07","2022-12-21","2024-06-04","2024-06-04","2024-06-04","2024-12-17","2025-10-24","2025-09-10","2024-02-07","2025-10-14","2024-06-24","2025-09-30","2023-11-07","2024-10-24","2025-02-11","2025-08-13","2023-11-20","2025-02-04","2023-05-05","2024-04-30","2024-08-21","2024-08-21","2023-12-04","2023-12-04","2023-02-10","2024-10-24","2023-11-27","2024-09-18","2022-12-14","2025-10-24","2024-03-19","2023-03-13","2023-12-04","2025-07-09","2025-07-09","2023-04-07","2023-04-07","2023-11-30","2025-06-16","2024-07-18","2023-01-12","2022-12-19","2024-03-07","2024-03-07","2025-03-20","2022-10-25","2022-10-25","2022-11-21","2022-11-21","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":[["","","ONETOUCH VERIO TEST STRIP","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","DILTIAZEM 24HR ER (CD)","","","Select","Select",""],["","","DILT-XR","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","CARTIA XT","","","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":{"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":""}]}]}