{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Joyce M Vigue Morrissette","gend":1,"currentgend":"","add":"10 FULLER DR","city":"Winslow","state":"ME","zip":"04901","dob":"1949-07-23","age":"","mstatus":"","insh":"10000052450","cliId":"","pno":2078731801,"cno":"","email":"RADNURSE4949@GMAIL.COM","ename":"","eno":"","pphy":"PRESTON, DAVID G","ppno":2078731098,"pcpadd":"Mid Maine Medicine,325B Kennedy Memorial Dr","pcpcity":"Waterville","pcpstate":"ME","pcpzip":"04901","pcpcounty":"","pcpid":"","pcpname":"THAYER INTERNAL MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"10 FULLER DR","madd2":"","madd3":"","mcity":"Winslow","mstate":"ME","mzip":"04901","pcpfaxno":2078735461,"pcpnpi":1871559203,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7A14Q81FJ67","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F1120","R399","I4891","Z0100","F411","F4310","F331","F1320","G4700","F419","R002","I4710","I350","F1110","I10","R600","Z1331","J320","J323","Z8673","R42","F1193","I6522","R300","Z1231","Z1152","N3010","K529","R110","T424X5A","N390","R197","Z79899","R1032","K649","M1909","Z733","H6991","R3915","R350","H9203","F32A","K589","E876","R109","R45851","R112","K580","I080","M8589","Z780","Z0000","H40023","G479","H52223","H524","H9313","Z8679","H04209","I471","J329","I351","R3989","Z600","K219","D122","Z1211","R930","H6121","H9311","K317","K2950","I480","F413","G894","Z79891","E86","I700","N854","N281","U071","J0100","E781","K635","J328","H8113","M62838","R2681","Z96652","H9201","Z635","Z800","H93A3","H6123","F339","G8929","H903","K648","R32","R5383","Z86010","J342","Z87440","H9319","Z8719","L819","M5450","R6889","I498","K8689","K449","F410","F1123","M25511","M25512","M25529","F1190","F3341","M25521","M8580"],"date":["2025-05-08","2025-05-30","2025-11-05","2024-03-04","2025-11-12","2025-07-02","2025-11-12","2025-08-18","2025-10-01","2024-09-25","2025-11-11","2025-11-13","2024-09-25","2025-04-16","2025-10-20","2023-02-28","2024-06-13","2025-03-14","2025-03-14","2025-07-23","2025-08-28","2023-06-01","2025-04-17","2024-11-29","2025-02-05","2024-05-20","2025-05-30","2023-02-02","2023-10-05","2023-02-02","2024-06-18","2025-11-05","2025-11-05","2025-11-05","2025-08-28","2023-08-02","2023-08-02","2025-08-01","2023-09-13","2025-04-24","2024-02-27","2023-10-23","2025-03-19","2025-10-30","2025-04-24","2023-07-13","2023-08-10","2024-10-16","2025-07-11","2023-12-27","2023-12-27","2025-01-08","2025-06-02","2023-09-07","2025-06-02","2025-06-02","2024-02-27","2025-11-12","2024-01-04","2022-12-06","2025-08-28","2022-12-20","2024-11-23","2024-11-23","2025-10-20","2023-04-06","2023-04-06","2025-09-30","2024-07-25","2024-08-06","2025-01-16","2025-01-16","2025-11-13","2023-03-23","2023-03-23","2023-11-13","2023-01-31","2024-10-15","2024-10-15","2025-04-24","2024-06-07","2024-08-06","2024-08-14","2024-08-14","2024-10-09","2025-03-03","2025-03-03","2025-03-03","2023-03-13","2024-07-25","2024-07-25","2024-01-02","2025-02-12","2025-02-12","2024-11-20","2025-05-08","2024-10-07","2024-01-02","2025-04-23","2024-09-17","2023-06-26","2025-04-09","2025-05-30","2025-07-10","2024-01-02","2025-04-29","2025-01-03","2023-01-31","2024-10-14","2023-09-29","2025-01-16","2023-05-25","2022-11-17","2022-10-06","2022-10-06","2022-10-06","2022-09-22","2022-08-23","2022-08-30","2022-08-20"],"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":[["","","COLESTIPOL HCL","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","CEFUROXIME","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","CLONAZEPAM","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","MECLIZINE HCL","","","Select","Select",""],["","","IPRATROPIUM BROMIDE","","","Select","Select",""],["","","AZELASTINE HCL","","","Select","Select",""],["","","DICYCLOMINE HCL","","","Select","Select",""],["","","CEFDINIR","","","Select","Select",""],["","","PROCTO-MED HC","","","Select","Select",""],["","","SOLIFENACIN SUCCINATE","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","RABEPRAZOLE SODIUM","","","Select","Select",""],["","","FLUTICASONE PROPIONATE","","","Select","Select",""],["","","OXYBUTYNIN CHLORIDE","","","Select","Select",""],["","","OLANZAPINE","","","Select","Select",""],["","","LANSOPRAZOLE","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","XIFAXAN","","","Select","Select",""],["","","BUPROPION HCL","","","Select","Select",""],["","","BUPROPION HCL SR","","","Select","Select",""],["","","MYRBETRIQ","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","ACETAMINOPHEN-CODEINE","","","Select","Select",""],["","","TIZANIDINE HCL","","","Select","Select",""],["","","ALENDRONATE SODIUM","","","Select","Select",""],["","","NITROFURANTOIN MONO-MACRO","","","Select","Select",""],["","","NALTREXONE HCL","","","Select","Select",""],["","","PREGABALIN","","","Select","Select",""],["","","CLONIDINE HCL","","","Select","Select",""],["","","HYDROCORTISONE","","","Select","Select",""],["","","BUSPIRONE HCL","","","Select","Select",""],["","","ARIPIPRAZOLE","","","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":""}]}]}