{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"James S Bowers","gend":0,"currentgend":"","add":"45 MASONIC ST","city":"ROCKLAND","state":"ME","zip":"04841","dob":"1952-01-19","age":"","mstatus":"","insh":"10000052160","cliId":"","pno":2072427257,"cno":"","email":"jim@bowerscpa.com","ename":"","eno":"","pphy":"CARTER, OLIVIA J","ppno":2073015900,"pcpadd":"Penobscot Bay Family Medicine,15 Anchor Dr Ste 201","pcpcity":"Rockport","pcpstate":"ME","pcpzip":"04856","pcpcounty":"","pcpid":"","pcpname":"MAINEHEALTH PRIMARY CARE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":2078452815,"add2":"","add3":"","madd1":"45 MASONIC ST","madd2":"","madd3":"","mcity":"ROCKLAND","mstate":"ME","mzip":"04841","pcpfaxno":2073015359,"pcpnpi":1992200356,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"6YE2VM2GG07","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I480","S70361A","W57XXXA","D3132","M9903","M9904","M5450","J310","Z0000","R42","N400","D6869","R739","M47816","M5126","M549","M51369","R1310","D1721","K317","L570","F411","Z136","H02883","I10","L820","L578","L821","E755","S80812A","L03116","M9901","M542","D179","Z8673","R209","I75022","Z23","H02401","L819","S99922A","I6381","F418","H547","L219","E119","M25519","M25559","H90A21","H90A32","R0981","J301","J300","G8929","M79675","S0003XA","S0990XA","R6889","J069","H9042","R5383","Z7901","N401","T161XXA","N138","M2041","M2042","B351","M25551","M25552","Z1211","Z86010","D122","K5730","K635","Z01812","Z20822","Z01818","R3915","R3912","N419","N411","S70362A","I639","B001"],"date":["2025-04-18","2023-05-30","2023-05-30","2025-06-11","2025-08-11","2025-08-11","2025-08-11","2022-12-14","2023-10-10","2022-12-14","2022-12-14","2023-03-17","2025-04-25","2024-11-18","2024-11-18","2024-11-18","2024-11-18","2023-01-13","2022-11-17","2023-01-13","2025-04-17","2024-07-10","2022-12-23","2023-05-15","2025-04-18","2025-04-17","2025-04-17","2025-04-17","2023-01-13","2022-11-27","2022-11-27","2022-11-11","2025-04-24","2022-11-01","2025-04-01","2023-04-25","2023-04-25","2024-11-11","2024-01-29","2023-03-20","2023-03-20","2023-03-28","2023-10-10","2023-10-10","2023-10-10","2025-04-24","2025-04-24","2024-07-26","2023-10-23","2023-10-23","2023-10-23","2023-10-23","2023-10-23","2024-07-26","2023-04-06","2024-06-18","2024-06-18","2023-03-13","2025-06-17","2024-06-10","2025-01-10","2023-01-13","2023-03-09","2024-11-26","2023-03-09","2023-04-06","2023-04-06","2023-04-06","2024-07-26","2024-07-26","2022-09-07","2022-09-07","2022-09-07","2022-09-07","2022-09-07","2022-07-25","2022-07-25","2022-07-22","2022-07-27","2022-07-27","2022-07-27","2022-07-27","2022-05-27","2022-07-12","2022-03-31"],"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":[["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","KETOCONAZOLE","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","Select","Select",""],["","","ABRYSVO","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","SPIKEVAX 2023-2024","","","Select","Select",""],["","","AZELASTINE-FLUTICASONE","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","MODERNA COVID (12Y UP)VAC(EUA)","","","Select","Select",""],["","","ALFUZOSIN HCL ER","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","VALACYCLOVIR","","","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":""}]}]}