{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"John M Twitchell","gend":0,"currentgend":"","add":"16 FALLING PINES LANE","city":"Readfield","state":"ME","zip":"04355","dob":"1950-08-08","age":"","mstatus":"","insh":"10000042924","cliId":"","pno":2076854170,"cno":"","email":"drjohnnyt@yahoo.com","ename":"","eno":"","pphy":"MURPHY, ROCHELLE S","ppno":2076243800,"pcpadd":"Winthrop Family Medicine,149 Main St","pcpcity":"Winthrop","pcpstate":"ME","pcpzip":"04364","pcpcounty":"","pcpid":"","pcpname":"WINTHROP FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"PO BOX 305","madd2":"","madd3":"","mcity":"Readfield","mstate":"ME","mzip":"04355","pcpfaxno":2076243845,"pcpnpi":1245585108,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2AC8QH2EV26","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E1165","I214","I5043","R319","M1711","M21161","M25561","R822","R824","R809","I2510","I5189","I493","I25700","R079","R110","E11649","E1122","N1831","I25718","Z466","I429","Z794","I499","I129","I480","I5020","R600","E119","H35352","E113411","D3132","N1830","E113412","H527","Z961","N390","H2512","I255","N471","B351","N35911","L900","Z01818","R339","Z960","Z87448","Z0000","Z743","E785","I25810","T82855A","R310","E1142","E1151","M205X1","M25461","M25551","I517","N480","R6889","H26492","E559","E538","C9110","Z951","Z978","I447","L602","D62","D509","N1832","I501","R0789","D649","I10","I209","I130","R338","Z7984","R000","R69","I222","I5022","L570","L603","E669","Z6832"],"date":["2025-11-18","2024-02-27","2024-03-07","2024-02-08","2024-08-29","2024-06-27","2024-06-27","2023-07-18","2023-07-18","2023-07-18","2024-11-13","2024-02-14","2024-02-14","2023-08-01","2024-02-22","2024-02-21","2024-03-20","2025-09-17","2025-06-11","2023-12-06","2025-10-27","2024-03-05","2024-11-13","2024-02-09","2023-07-31","2023-07-31","2023-09-08","2023-09-01","2024-11-13","2024-03-19","2025-07-21","2025-04-21","2023-08-04","2025-07-21","2024-11-27","2024-11-27","2024-02-08","2023-06-27","2025-02-21","2023-10-05","2023-08-09","2023-10-05","2023-10-05","2024-08-29","2025-06-04","2024-05-20","2025-06-04","2024-11-01","2024-02-23","2023-10-18","2024-02-26","2024-02-26","2024-02-05","2023-08-09","2025-02-26","2023-08-09","2024-06-27","2024-06-27","2024-02-09","2023-11-17","2023-12-11","2024-07-16","2023-05-03","2023-05-03","2023-10-18","2025-06-11","2025-06-04","2023-08-16","2022-12-13","2024-02-05","2024-03-05","2024-02-23","2024-02-09","2024-02-09","2023-04-21","2023-09-08","2024-03-05","2024-02-12","2024-02-08","2024-11-13","2024-02-09","2024-03-27","2023-08-17","2023-08-17","2022-08-18","2022-08-18","2022-06-08","2022-06-08"],"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":[["","","LISINOPRIL","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","DIGOXIN","","","Select","Select",""],["","","RANOLAZINE ER","","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","NITROFURANTOIN MONO-MACRO","","","Select","Select",""],["","","NYSTATIN-TRIAMCINOLONE","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","ONETOUCH VERIO TEST STRIP","","","Select","Select",""],["","","COMIRNATY 2024-2025","","","Select","Select",""],["","","PREDNISOLONE ACETATE","","","Select","Select",""],["","","CEFUROXIME","","","Select","Select",""],["","","ENTRESTO","","","Select","Select",""],["","","GVOKE HYPOPEN 2-PACK","","","Select","Select",""],["","","KETOROLAC TROMETHAMINE","","","Select","Select",""],["","","NOVOLIN N FLEXPEN","","","Select","Select",""],["","","PRAVASTATIN SODIUM","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","AREXVY","","","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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}