{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Catherine B Macarthur","gend":1,"currentgend":"","add":"13 RUSH BLVD","city":"MILLINOCKET","state":"ME","zip":"04462","dob":"1950-04-20","age":"","mstatus":"","insh":"10000040639","cliId":"","pno":2077239272,"cno":"","email":"","ename":"","eno":"","pphy":"BOUTAUGH, RACHEL M","ppno":2075282285,"pcpadd":"Health Access Network,1930 Medway Rd","pcpcity":"Medway","pcpstate":"ME","pcpzip":"04460","pcpcounty":"","pcpid":"","pcpname":"HEALTH ACCESS NETWORK","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"13 RUSH BLVD","madd2":"","madd3":"","mcity":"MILLINOCKET","mstate":"ME","mzip":"04462","pcpfaxno":"","pcpnpi":1235643990,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8CC9TG0XE13","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I4820","I10","G5603","I4891","I480","G5622","E1142","M65312","M65331","Z7982","H34232","I119","E1136","I429","M50122","M4722","I2510","I421","Z0101","E1165","Z136","R6889","Z1231","S0006XA","L03811","B958","W57XXXA","L02811","S66101A","Y939","E785","I422","M79642","Z1211","H3563","I6523","E8352","Z0000","R0600","R079","R0602","D6869","M5412","R918","R001","I447","R9431","M19041","M1812","L570","D225","L814","Z7189","Z08","L820","L538","L821","B353","E042","I342","I3481","Z953","R42","L84","Z7689","Z01812","Z780","I350","I4892","E119","I081","R002","T801XXA","T8172XA","I483","Z7901","I110","I509","I499","Z743","Z9989","I472","I491","Z87891","I2720","I21A1","Z954","L239","L853","E041","G629"],"date":["2024-08-09","2025-04-29","2025-03-18","2025-09-19","2025-04-03","2025-03-18","2025-02-11","2023-01-11","2023-01-11","2023-01-11","2022-12-30","2023-11-03","2022-10-03","2022-10-03","2023-10-12","2023-10-12","2024-01-04","2023-11-03","2025-08-15","2025-09-03","2023-01-17","2025-05-12","2024-12-03","2023-08-14","2023-08-14","2023-08-14","2023-08-14","2023-08-08","2022-10-12","2023-08-08","2023-08-10","2025-05-01","2022-10-14","2023-06-20","2025-08-21","2025-08-21","2025-09-11","2025-09-03","2023-05-29","2024-08-09","2024-08-09","2023-10-12","2023-10-12","2023-06-04","2023-06-05","2023-06-05","2023-06-05","2022-10-14","2022-10-14","2025-08-20","2025-08-20","2025-08-20","2025-08-20","2025-08-20","2023-09-21","2023-09-21","2024-09-24","2023-09-21","2023-09-19","2025-05-01","2025-05-01","2025-05-01","2025-04-22","2024-09-24","2025-03-25","2024-02-15","2024-12-03","2022-08-08","2022-08-08","2022-06-21","2022-05-16","2022-05-13","2022-04-26","2022-04-26","2022-04-26","2022-04-20","2022-04-20","2022-04-20","2022-04-20","2022-04-20","2022-04-20","2022-04-14","2022-04-14","2022-04-01","2022-03-18","2022-03-20","2022-03-25","2021-11-09","2021-11-09","2022-02-08","2022-02-07"],"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":[["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","SPIRONOLACTONE","","","Select","Select",""],["","","FARXIGA","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","FLUAD QUAD 2022-2023","","","Select","Select",""],["","","GLIPIZIDE ER","","","Select","Select",""],["","","VALSARTAN","","","Select","Select",""],["","","ABRYSVO","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","DOFETILIDE","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","ONETOUCH DELICA PLUS LANCET","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","Select","Select",""],["","","FLUAD QUAD 2023-2024","","","Select","Select",""],["","","SPIKEVAX 2023-2024","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","KETOCONAZOLE","","","Select","Select",""],["","","ONETOUCH VERIO TEST STRIP","","","Select","Select",""],["","","DAPAGLIFLOZIN","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","OFLOXACIN","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","EZETIMIBE","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","XARELTO","","","Select","Select",""],["","","ONETOUCH ULTRA2","","","Select","Select",""],["","","GLIPIZIDE XL","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2021-22","","","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":{"indx":[["","","",""],[],[""],[""],[],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","","",""],[],[""],[""],[""],[""],[""],[""]],"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":""}]}]}