{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Judy E Armstrong","gend":1,"currentgend":"","add":"18 WEST ST UNIT 6","city":"FREEPORT","state":"ME","zip":"04032","dob":"1949-03-10","age":"","mstatus":"","insh":"10000059529","cliId":"","pno":2072087972,"cno":2072087972,"email":"Jud18west@aol.com","ename":"","eno":"","pphy":"NEWCOMBE, JODI A","ppno":2075351200,"pcpadd":"385 ROUTE 1,","pcpcity":"YARMOUTH","pcpstate":"ME","pcpzip":"40966729","pcpcounty":"","pcpid":"","pcpname":"NORTHERN LIGHT MERCY PRIMARY CARE YARMOUTH","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"18 WEST ST UNIT 6","madd2":"","madd3":"","mcity":"FREEPORT","mstate":"ME","mzip":"04032","pcpfaxno":2075351249,"pcpnpi":1114339611,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5U56UX8NQ85","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":["Z13820","N3941","R350","N8189","D444","M5450","M5136","M47817","M47816","M7742","M65972","L853","E1142","G5762","G4733","Z09","Z8603","Z923","E1165","M25552","L820","M9902","M9903","M9904","M9905","M9901","R001","N390","M4310","M549","M7918","E038","M5126","R3915","R159","R152","R5383","M4316","Z780","L603","M6281","E119","Z1231","B349","R059","R6889","R32","G9389","Z0001","R0602","M9900","I6782","Z86011","H4749","D3131","D3132","H43812","M5125","M5127","M5124","I10","E785","Z7984","M79673","G8929","S96912A","D443","M4607","M62830","M48061","M79672","Z23","H18599","E782","L989","E538","F330","M7732","Z0000","M797","M4307","M5135","M5137"],"date":["2022-12-09","2025-01-17","2024-07-30","2024-07-30","2025-08-21","2024-12-17","2023-09-13","2023-09-13","2024-12-17","2025-09-23","2025-09-23","2025-09-23","2025-09-23","2025-05-27","2025-03-03","2024-07-02","2023-02-16","2024-07-02","2025-09-23","2023-01-30","2023-11-14","2025-10-14","2025-10-14","2025-07-30","2024-07-10","2025-10-14","2024-08-27","2023-08-08","2023-10-05","2023-10-05","2023-10-05","2025-01-16","2024-12-06","2025-03-18","2025-03-18","2025-03-18","2025-08-21","2024-12-17","2022-12-09","2024-01-16","2024-11-25","2025-05-27","2025-08-25","2022-12-13","2022-12-13","2023-01-01","2024-12-17","2025-07-17","2024-12-18","2022-12-13","2025-10-14","2023-02-10","2024-07-02","2025-02-14","2024-07-09","2024-07-09","2023-07-12","2023-04-07","2023-04-07","2023-04-07","2025-09-23","2025-09-23","2025-09-23","2025-08-21","2024-12-17","2025-05-03","2025-07-17","2023-03-22","2023-03-06","2025-06-01","2025-05-03","2024-09-13","2024-07-09","2023-09-26","2023-09-26","2023-09-26","2023-03-13","2025-05-03","2022-09-16","2022-09-16","2022-09-07","2022-09-07","2022-09-07"],"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":[["","","GLIPIZIDE ER","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","MIRABEGRON ER","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","MOUNJARO","","","Select","Select",""],["","","FLUOXETINE HCL","","","Select","Select",""],["","","METFORMIN HCL ER","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","ONETOUCH ULTRA TEST STRIP","","","Select","Select",""],["","","ONETOUCH DELICA PLUS LANCET","","","Select","Select",""],["","","GEMTESA","","","Select","Select",""],["","","JANUVIA","","","Select","Select",""],["","","SIMVASTATIN","","","Select","Select",""],["","","CEFUROXIME","","","Select","Select",""],["","","SPIKEVAX 2023-2024","","","Select","Select",""],["","","ONETOUCH DELICA","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","SHINGRIX","","","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":{"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":""}]}]}