{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Linda C Lowell","gend":1,"currentgend":"","add":"19 COLONY ROAD","city":"Augusta","state":"ME","zip":"04330","dob":"1948-09-01","age":"","mstatus":"","insh":"10000042390","cliId":"","pno":2075128144,"cno":"","email":"llcolony@gmail.com","ename":"","eno":"","pphy":"CHENG, GENE","ppno":2076224400,"pcpadd":"6 Middle St,","pcpcity":"Augusta","pcpstate":"ME","pcpzip":"04330","pcpcounty":"","pcpid":"","pcpname":"GENE CHENG MD","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"19 COLONY ROAD","madd2":"","madd3":"","mcity":"Augusta","mstate":"ME","mzip":"04330","pcpfaxno":2076229894,"pcpnpi":1679534770,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"6YY1MN0YR91","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H40013","Z0100","I10","L308","B070","Z85828","D492","R195","D122","B079","L821","L820","N813","R001","T447X5A","M19072","M25551","Z13820","J029","L853","M2010","Z1212","Z1211","R0981","J3489","Z20822","E785","I781","I080","R7989","E790","R739","Z4889","M2012","R42","S06330A","Z0000","D0471","Z1231","R55","H903","N3281","N8111","E042","Z538","Z0001","K5730","U071","S0181XA","S0990XA","R519","R599","K648","N814","E041","I880","N816","N939","M1611","V2999XA","R319","K8020","K769","R0789","R109","I700","I4710","I493","I4720","Z23","K6389","R9431","Z8249","D1801","M25511","I4729","E8352","K668","R1909","M810","R92323","R590","R8281","R002"],"date":["2025-09-18","2025-09-18","2025-10-08","2023-03-01","2023-03-01","2025-02-24","2023-03-01","2024-02-29","2024-02-29","2023-10-06","2025-02-24","2024-03-25","2025-09-24","2025-10-08","2025-09-02","2025-06-10","2023-07-07","2025-02-26","2023-09-14","2023-08-10","2023-08-10","2023-10-25","2023-10-25","2023-09-14","2023-09-14","2023-09-14","2025-04-04","2025-02-24","2025-08-01","2024-09-17","2023-10-02","2023-10-02","2024-09-23","2025-04-04","2025-09-03","2025-08-01","2025-04-02","2023-03-17","2025-10-15","2025-10-09","2024-11-06","2023-05-23","2023-05-23","2025-07-08","2024-01-02","2025-07-11","2024-07-23","2025-01-07","2025-04-23","2025-04-23","2025-04-23","2024-09-06","2024-02-29","2024-02-29","2025-05-08","2024-03-26","2024-02-27","2024-02-27","2023-04-14","2025-04-23","2025-04-23","2024-07-23","2024-02-13","2024-02-13","2024-02-13","2024-02-13","2025-08-28","2025-09-19","2025-08-28","2025-10-22","2024-08-09","2025-09-19","2025-09-19","2022-12-14","2025-09-18","2025-09-18","2024-08-06","2024-07-23","2024-07-23","2023-01-04","2025-10-15","2024-09-06","2024-04-23","2022-11-10"],"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":[["","","PROPRANOLOL HCL","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","LISINOPRIL-HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","PAXLOVID","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","COMIRNATY 2025-2026 (12Y UP)","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","MNEXSPIKE 2025-2026 (12Y UP)","","","Select","Select",""],["","","NIACIN ER","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","PEG 3350-ELECTROLYTE","","","Select","Select",""],["","","CEFPODOXIME PROXETIL","","","Select","Select",""],["","","IMIQUIMOD","","","Select","Select",""],["","","METRONIDAZOLE","","","Select","Select",""],["","","FLUAD TRIVALENT 2024-2025","","","Select","Select",""],["","","AMMONIUM LACTATE","","","Select","Select",""],["","","FLUOROURACIL","","","Select","Select",""],["","","GAVILYTE-G","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","PEG-3350 AND ELECTROLYTES","","","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":""}]}]}