{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Ryan E Mcdonough","gend":0,"currentgend":"","add":"95 MOUNT HUNGER SHORE RD","city":"WINDHAM","state":"ME","zip":"04062","dob":"1974-08-11","age":"","mstatus":"","insh":"10000053773","cliId":"","pno":2072720966,"cno":"","email":"rnmcdonough@gmail.com","ename":"","eno":"","pphy":"MEDD, DONALD J","ppno":2076621340,"pcpadd":"301 US ROUTE 1,BUILDING C","pcpcity":"SCARBOROUGH","pcpstate":"ME","pcpzip":"40749701","pcpcounty":"","pcpid":"","pcpname":"MAINEHEALTH PRIMARY CARE INTERNAL MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"95 MOUNT HUNGER SHORE RD","madd2":"","madd3":"","mcity":"WINDHAM","mstate":"ME","mzip":"04062","pcpfaxno":2073968632,"pcpnpi":1902810294,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2QF6NP0AM82","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["S2243XD","I878","V892XXD","L720","L538","R208","S92351A","E291","S66325A","S92301A","M79671","L718","L218","M25551","S2243XA","M1711","D485","M170","Z8639","K7030","M5450","S92354D","S22050A","M25632","M25642","M79645","M79642","S6992XD","M1712","E119","Z794","Z87891","M1611","K7460","K8020","Z0000","G8929","K7469","S92354A","M19071","S39012A","M25451","R000","Z471","C44319","M25462","Z96652","K1121","S66202A","E785","F419","R4182","N529","N486","S0083XA","S199XXA","S01111A","S0990XA","S8992XA","S8991XA","S59911A","S022XXK","S60922A","Z01810","Z9181","E1142","S66329A","S22058A","M79605","Z8781","S022XXA","S6992XA","S3991XA","S3993XA","M7989","S56426A","S22058D","B351","E1149","L600","G8918","S2249XD","M160","M25461","M25559","S61451D","R21","W540XXD","S61250A","S61300A","M19072","M25572","G250","G5793","M79604","M86071","M86271","R251","L97512","T8131XD","L03031","L03032","R42","E11622","I83029"],"date":["2024-07-18","2024-07-10","2024-07-10","2025-09-24","2025-07-15","2025-07-15","2023-06-27","2024-03-05","2024-07-03","2023-05-12","2023-05-12","2025-07-15","2025-05-19","2025-07-24","2024-07-15","2025-07-24","2025-08-07","2024-10-01","2024-02-09","2024-02-09","2023-02-09","2023-06-27","2024-07-24","2024-09-17","2024-09-17","2024-09-17","2024-09-17","2024-09-17","2025-04-16","2025-03-06","2024-07-03","2024-07-03","2024-10-16","2025-05-04","2025-05-04","2025-06-11","2023-01-12","2025-05-04","2023-05-12","2023-05-12","2023-02-05","2023-01-26","2023-02-09","2025-04-16","2025-08-07","2025-04-01","2025-04-01","2023-07-11","2024-07-03","2024-07-03","2025-03-06","2024-07-03","2024-10-02","2024-10-02","2024-06-25","2024-06-25","2024-06-25","2024-06-25","2024-06-25","2024-06-25","2024-06-25","2024-06-25","2024-06-25","2025-02-06","2023-04-10","2023-04-10","2024-06-28","2024-06-26","2025-03-17","2024-07-24","2024-06-25","2024-06-25","2024-06-25","2024-06-25","2025-03-17","2024-07-03","2024-07-24","2023-05-03","2023-05-03","2023-05-03","2025-03-06","2024-07-15","2024-07-17","2024-07-17","2024-07-17","2022-10-17","2022-10-17","2022-10-17","2022-10-13","2022-10-20","2022-10-05","2022-10-05","2022-06-29","2022-06-29","2022-04-14","2021-10-27","2022-02-11","2021-10-19","2021-10-18","2021-11-10","2022-01-06","2022-02-24","2022-01-20","2022-02-11","2022-02-11"],"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":[["","","ZOLPIDEM TARTRATE","","","Select","Select",""],["","","TESTOSTERONE CYPIONATE","","","Select","Select",""],["","","KETOCONAZOLE","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","TRANEXAMIC ACID","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","CELECOXIB","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","MUPIROCIN","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","GAVILYTE-G","","","Select","Select",""],["","","ERYTHROMYCIN","","","Select","Select",""],["","","TERBINAFINE HCL","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","PROPRANOLOL HCL","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","METFORMIN HCL ER","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","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":{"indx":[["","","",""],[],[""],[""],[],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","","",""],[],[""],[""],[""],[""],[""],[""]],"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":""}]}]}