{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Eric J Kenney","gend":0,"currentgend":"","add":"RUSTIC LANE 37","city":"PORTLAND","state":"ME","zip":"04103","dob":"1950-12-18","age":"","mstatus":"","insh":"10000045710","cliId":"","pno":2076531103,"cno":2076531103,"email":"ekenney7@gmail.com","ename":"","eno":"","pphy":"THOMAS, ANNE L","ppno":2078282402,"pcpadd":"PO BOX 9746,","pcpcity":"PORTLAND","pcpstate":"ME","pcpzip":"41045040","pcpcounty":"","pcpid":"","pcpname":"MARTINS POINT HEALTH CARE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"RUSTIC LANE 37","madd2":"","madd3":"","mcity":"PORTLAND","mstate":"ME","mzip":"04103","pcpfaxno":2078282433,"pcpnpi":1245494095,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"9J16EV0MR73","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I483","I4819","C661","L2089","L2989","N281","N400","K4020","N3289","R310","E1165","E7800","I484","E785","E1129","Z125","I2510","I5022","Z954","I6523","C679","C689","C678","D696","K648","K2970","D649","I441","I4720","K551","N289","K219","I10","C641","I509","D090","Z006","D0919","L820","L538","L298","R208","R0602","K429","C651","I480","J449","K449","R0902","R918","I4719","L989","M25551","M5416","M7631","M7061","M1611","M1612","M4696","M2550","R339","R4182","R162","F32A","L728","L299","D509","Z87891","R9389","L570","Z466","N2889","L309","Z7901","C675","I739","Z8551","I7120","I6509","L0292","L218","L280","L239","N390","N200","W57XXXA","I4510","N99820","R350","I081","Z95818","J189","I4892","K319","K5520","H53451","Z711","I340","I77819","I517","I5189","N3001","M5116","J209","D494","R6889","M7910","I083","R109","J9691","J441","L720","Z5111","I9581","Z960","I082","I77810","I501","R931","M5117","M4727","D704","Z0100","K760","R399","Z79899","Z1389","I77811","K559","I7121","I519","F17200","I499","I252","I110","R008","M79662","I472","R600","R079"],"date":["2023-12-08","2025-10-01","2025-11-13","2025-04-02","2025-04-02","2024-08-13","2025-10-22","2024-08-13","2025-04-02","2025-04-22","2024-11-12","2024-02-07","2025-03-14","2025-10-22","2025-04-08","2024-12-02","2025-11-12","2024-11-26","2024-01-26","2025-04-22","2025-11-13","2024-10-06","2025-09-16","2025-10-21","2023-12-13","2023-12-13","2024-12-02","2025-11-07","2023-06-01","2025-01-07","2025-04-02","2025-10-22","2025-04-02","2025-10-15","2024-10-22","2025-10-22","2025-08-15","2025-04-02","2024-04-11","2025-04-23","2024-04-11","2025-04-23","2025-02-06","2023-10-02","2025-06-05","2025-11-07","2025-08-15","2025-08-15","2025-02-06","2025-02-06","2025-11-07","2025-09-10","2023-09-20","2023-09-20","2024-05-02","2024-03-07","2024-03-07","2024-03-07","2024-03-07","2023-08-25","2024-10-06","2025-06-05","2025-05-07","2025-10-22","2025-04-23","2025-09-10","2025-08-20","2025-05-16","2023-03-16","2025-09-10","2025-04-22","2025-05-29","2025-07-22","2023-03-06","2024-09-10","2023-11-14","2025-10-22","2023-11-14","2023-11-14","2024-01-16","2024-01-16","2024-01-16","2025-07-22","2025-04-10","2023-03-14","2023-06-30","2023-12-22","2024-10-06","2024-08-02","2025-06-03","2025-06-03","2025-02-27","2024-08-13","2023-12-13","2023-12-13","2025-04-23","2023-06-30","2025-10-01","2025-10-01","2025-10-01","2025-10-01","2023-04-07","2024-03-23","2025-11-18","2025-10-22","2023-01-10","2023-11-03","2023-12-19","2023-11-03","2025-02-06","2025-02-06","2025-04-23","2025-11-13","2023-04-07","2023-04-07","2022-12-08","2022-12-08","2022-12-08","2022-12-08","2023-09-20","2023-09-20","2025-10-09","2025-01-31","2025-05-07","2023-04-06","2025-07-22","2023-11-03","2023-11-03","2023-11-03","2022-10-26","2022-11-14","2022-11-18","2022-11-19","2022-11-18","2022-11-18","2022-10-18","2022-09-30","2022-09-30","2022-09-30","2022-08-19"],"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":[["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","METFORMIN HCL ER","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",""],["","","ENTRESTO","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","ACCU-CHEK SOFTCLIX","","","Select","Select",""],["","","ACCU-CHEK AVIVA PLUS","","","Select","Select",""],["","","SPIRONOLACTONE","","","Select","Select",""],["","","PAXLOVID (EUA)","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","BASAGLAR KWIKPEN U-100","","","Select","Select",""],["","","DILTIAZEM 24HR ER (CD)","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","GLIPIZIDE ER","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","FINASTERIDE","","","Select","Select",""],["","","DUPIXENT PEN","","","Select","Select",""],["","","SACUBITRIL-VALSARTAN","","","Select","Select",""],["","","IPRATROPIUM BROMIDE","","","Select","Select",""],["","","ATROVENT HFA","","","Select","Select",""],["","","LEVOFLOXACIN","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","OSELTAMIVIR PHOSPHATE","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","REPATHA SURECLICK","","","Select","Select",""],["","","LANTUS SOLOSTAR","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","CLINDAMYCIN HCL","","","Select","Select",""],["","","SODIUM FLUORIDE","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","SPIKEVAX 2024-2025","","","Select","Select",""],["","","NANO 2ND GEN PEN NEEDLE","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","ONDANSETRON HCL","","","Select","Select",""],["","","PROCHLORPERAZINE MALEATE","","","Select","Select",""],["","","DEXAMETHASONE","","","Select","Select",""],["","","TACROLIMUS","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","ULTRA-FINE NANO PEN NEEDLE","","","Select","Select",""],["","","ONETOUCH ULTRA TEST STRIP","","","Select","Select",""],["","","KETOCONAZOLE","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","CLOBETASOL PROPIONATE","","","Select","Select",""],["","","CLINDAMYCIN PHOSPHATE","","","Select","Select",""],["","","PRALUENT PEN","","","Select","Select",""],["","","MOMETASONE FUROATE","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","ZORYVE","","","Select","Select",""],["","","OXYBUTYNIN CHLORIDE","","","Select","Select",""],["","","COMIRNATY 2023-2024","","","Select","Select",""],["","","UNIFINE PENTIPS PLUS","","","Select","Select",""],["","","PREVIDENT","","","Select","Select",""],["","","ACCU-CHEK GUIDE MONITOR SYSTEM","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","TRULICITY","","","Select","Select",""],["","","UNIFINE PENTIPS","","","Select","Select",""],["","","DICLOFENAC POTASSIUM","","","Select","Select",""],["","","INSULIN GLARGINE SOLOSTAR","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","MONTELUKAST SODIUM","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","SYMBICORT","","","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":[]}},{"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":""}]}]}