{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Gerald P Paradis","gend":0,"currentgend":"","add":"55 HARDSCRABBLE RD","city":"Litchfield","state":"ME","zip":"04350","dob":"1950-06-11","age":"","mstatus":"","insh":"10000041832","cliId":"","pno":2074462316,"cno":"","email":"","ename":"","eno":"","pphy":"BROWN, JASON","ppno":2076218800,"pcpadd":"Augusta Family Medicine,15 Enterprise Dr","pcpcity":"Augusta","pcpstate":"ME","pcpzip":"04330","pcpcounty":"","pcpid":"","pcpname":"AUGUSTA FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"55 HARDSCRABBLE RD","madd2":"","madd3":"","mcity":"Litchfield","mstate":"ME","mzip":"04350","pcpfaxno":2076218801,"pcpnpi":1740592658,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8FV3XT7VC16","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I25118","S82831A","S99911A","I5032","S93401A","R61","R531","R9431","I200","I2582","Z743","E119","R69","R6889","Z951","E11649","W1781XA","Z0000","I10","E785","I959","Z87891","I2584","R9439","G4733","Z01810","Z1211","Z0001","J449","G2581","J90","I351","S82861A","Z86010","K6389","S93431A","S8991XA","D122","K5730","I9789","I4891","I219","M19071","M25562","M25561","H6121","Z48812","J9811","J984","R918","S82831D","I77810","F419","E6601","E559","I252","I080","I209","I25119","I2510","R0602","I517","G4700","M1711","M25571","I340","E669","I509","I491","J45909","R748","Z1212","K635","I998","M66821","F339","Z0101","L309","M47812","M4802","M5030","M4313","M19012","M25512","M5031","M542","R059","M545"],"date":["2025-08-21","2023-10-19","2023-10-19","2025-01-07","2023-10-19","2024-02-15","2024-02-06","2024-02-06","2024-04-15","2024-04-15","2024-04-15","2025-06-26","2024-05-02","2023-07-21","2024-10-09","2024-07-30","2023-10-19","2025-06-26","2025-08-21","2025-06-26","2024-07-30","2024-07-30","2025-08-21","2025-08-21","2024-04-05","2024-04-16","2023-06-26","2024-04-08","2023-03-23","2023-03-23","2024-05-09","2025-04-10","2023-12-15","2023-06-26","2023-06-26","2023-12-15","2023-10-19","2023-06-26","2023-06-26","2025-01-07","2025-01-07","2024-07-08","2023-11-17","2024-04-08","2025-01-14","2024-04-08","2024-04-25","2024-05-09","2024-04-19","2024-04-21","2023-12-15","2024-04-16","2024-04-18","2023-03-24","2023-03-24","2024-02-06","2024-04-15","2024-04-15","2024-04-15","2025-11-07","2025-01-14","2025-01-14","2024-06-04","2025-01-14","2023-11-17","2024-04-18","2024-04-18","2025-04-10","2024-06-17","2025-01-14","2025-08-06","2023-06-26","2023-06-26","2022-10-18","2022-10-13","2022-10-13","2022-08-25","2022-06-02","2022-04-25","2022-04-25","2022-04-25","2022-04-25","2022-04-25","2022-04-27","2022-04-25","2022-04-27","2022-04-04","2022-04-04"],"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":[["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","DULOXETINE HCL","","","Select","Select",""],["","","DOXEPIN HCL","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","ONETOUCH DELICA PLUS LANCET","","","Select","Select",""],["","","ONETOUCH ULTRA TEST STRIP","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","AMIODARONE HCL","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","GAVILYTE-C","","","Select","Select",""],["","","ONETOUCH ULTRA2","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2022-23","","","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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"comment":[["","","","","",""],[],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}