{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Shaun G Mcavoy","gend":0,"currentgend":"","add":"104 NORTH RD","city":"PATTEN","state":"ME","zip":"04765","dob":"1959-10-19","age":"","mstatus":"","insh":"10000054302","cliId":"","pno":2075282081,"cno":2077313935,"email":"mcavoys1901@gmail.com","ename":"","eno":"","pphy":"HRYNICK, MARTIN J","ppno":2073654335,"pcpadd":"PO Box 1820,","pcpcity":"Presque Isle","pcpstate":"ME","pcpzip":"04769","pcpcounty":"","pcpid":"","pcpname":"NORTH WOODS GENERAL PRACTICE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"104 NORTH RD","madd2":"","madd3":"","mcity":"PATTEN","mstate":"ME","mzip":"04765","pcpfaxno":2073654336,"pcpnpi":1790871648,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3GY2HX2QU93","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R188","N390","M4800","N3289","N400","Z01812","R030","R700","M898X8","M549","M47816","I10","N368","R102","Z01818","R109","N401","M25551","I6501","Z7902","R339","M8600","K651","H93291","R1031","T148XXS","W57XXXS","M869","R739","D225","R6889","M25649","M65331","M8618","K219","R399","Z8673","Z7982","M5412","M4802","H9319","N360","R7982","M059","Z48816","N138","R3914","Z79899","R32","D122","K317","K319","H9190","L989","R1903","I6523","I6503","R760","I69354","R319","M159","M5450","M533","R079","I2510","Z4682","R1030","M50122","M4722","Z0189","M542","R12","N9989","R748","M25552","Z96643","R202","M47812","M25559","N35913","R519"],"date":["2025-06-27","2025-08-02","2024-11-20","2025-06-26","2024-04-25","2025-08-07","2025-05-22","2025-07-09","2025-08-08","2025-05-22","2025-01-27","2025-07-09","2025-07-09","2025-08-08","2024-04-25","2025-06-26","2024-07-25","2025-05-22","2024-09-16","2023-12-28","2023-12-28","2025-08-22","2025-06-13","2023-12-12","2025-06-08","2025-02-11","2025-02-11","2025-09-05","2024-05-10","2024-05-15","2023-12-07","2024-05-28","2024-07-17","2025-08-02","2024-04-04","2025-07-22","2024-11-11","2024-02-01","2024-08-02","2024-12-16","2024-01-04","2025-07-18","2025-01-31","2025-01-31","2024-07-29","2024-07-25","2024-07-25","2024-07-25","2025-04-02","2024-04-04","2024-04-04","2024-04-04","2024-05-10","2025-04-02","2025-06-23","2025-02-03","2023-12-12","2025-02-18","2024-02-26","2025-07-23","2024-02-26","2025-04-22","2025-03-13","2025-06-28","2024-03-07","2025-06-30","2025-07-27","2024-08-02","2024-08-02","2025-02-11","2024-11-20","2023-01-11","2025-06-08","2025-01-17","2025-05-22","2025-05-22","2024-09-18","2024-12-01","2025-05-22","2025-06-12","2022-07-29"],"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":[["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","PREGABALIN","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","LEVOFLOXACIN","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","OXYBUTYNIN CHLORIDE ER","","","Select","Select",""],["","","MYRBETRIQ","","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","EPINEPHRINE","","","Select","Select",""],["","","CLINDAMYCIN HCL","","","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":""}]}]}