{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Raymond E Mixer","gend":0,"currentgend":"","add":"9 DRAGONFLY LN","city":"Cumberland","state":"ME","zip":"04021","dob":"1953-04-14","age":"","mstatus":"","insh":"10000060169","cliId":"","pno":2078464523,"cno":2074154795,"email":"raymondmixer@gmail.com","ename":"","eno":"","pphy":"KNIGHTON, BRIAN K","ppno":2078653491,"pcpadd":"42 MALLETT DRIVE,","pcpcity":"FREEPORT","pcpstate":"ME","pcpzip":"40326760","pcpcounty":"","pcpid":"","pcpname":"FREEPORT MEDICAL CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"9 DRAGONFLY LN","madd2":"","madd3":"","mcity":"Cumberland","mstate":"ME","mzip":"04021","pcpfaxno":"","pcpnpi":1700824000,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2X92U51NT21","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I480","G4733","M25511","R293","E7849","H8111","Z0000","R7303","M159","R053","M542","M25512","R55","K219","D489","D72829","I25119","J984","R918","I2510","L720","I358","I422","I77810","I10","Z136","E7800","I340","M25519","G4730","E785","E669","Z95818","I4891","H2511","H2512","L03031","R2232","J069","J40","D122","Z86010","D123","D124","M19011","H43812","H26491","Z48817","R051","J680","Z0101","H2513","H3554","H10503","F17201","R2689","M169","M150","S40011A","S46011A","D485","R0683","R600","M75121","M47816","Z981","B351","M79674","L602","M79675","I77819","I700","L600","L603","R0602","R059","S61411D","S0180XD","S0993XD","S41101D","S0993XA","S41109A","S61409A","R052","K635","S0990XA","R21","H35341","H35071","I350","M79609","M19041","R0600","L821","D1801","L814","Z85828","R079","S60222A","S0031XA","W06XXXA","L03113","M5450","H3581","M160","D225","R229","S5011XS","M47812","M1991","M79641","M25579","M79642","D492","H26493","R42","M2021"],"date":["2025-09-10","2025-05-08","2025-11-17","2025-11-17","2024-12-17","2023-02-01","2025-11-18","2025-07-15","2024-07-17","2024-03-27","2024-01-31","2024-01-31","2025-08-22","2025-11-18","2024-12-12","2023-12-06","2025-08-12","2023-09-05","2023-09-05","2024-07-25","2025-11-03","2025-06-24","2023-10-19","2023-10-19","2025-11-18","2022-12-12","2023-11-02","2023-09-18","2025-04-24","2024-10-03","2024-10-03","2024-10-03","2025-08-22","2025-11-18","2024-08-27","2024-08-13","2024-01-11","2025-10-22","2023-06-14","2023-06-14","2023-11-08","2023-11-08","2023-11-08","2023-11-08","2025-08-27","2025-02-24","2024-12-27","2025-11-03","2023-06-22","2023-06-22","2024-01-24","2024-02-23","2024-01-24","2024-01-24","2022-11-30","2025-04-28","2025-05-01","2025-07-08","2025-08-27","2025-09-08","2023-01-04","2022-12-27","2022-12-27","2025-08-27","2023-12-07","2023-12-07","2025-09-24","2025-09-24","2025-09-24","2025-09-24","2022-12-12","2022-12-12","2024-04-24","2024-04-24","2023-06-22","2023-06-22","2025-05-01","2025-05-01","2025-04-24","2025-04-24","2025-04-22","2025-04-22","2025-04-22","2023-08-25","2023-11-08","2025-08-27","2023-04-14","2025-01-07","2025-01-07","2025-09-10","2024-05-01","2024-05-01","2023-09-21","2025-04-02","2025-04-02","2025-04-02","2024-04-02","2024-07-31","2023-01-24","2023-01-24","2023-01-24","2025-09-09","2025-09-25","2024-02-23","2023-01-16","2025-04-02","2025-09-15","2025-09-09","2023-09-25","2025-09-25","2025-02-12","2025-02-12","2025-02-12","2023-04-05","2025-02-24","2022-11-17","2022-09-14"],"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":[["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","Select","Select",""],["","","COMIRNATY 2025-2026 (12Y UP)","","","Select","Select",""],["","","ECONAZOLE NITRATE","","","Select","Select",""],["","","MNEXSPIKE 2025-2026 (12Y UP)","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","XARELTO","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","DILTIAZEM 24HR ER (CD)","","","Select","Select",""],["","","NAPROXEN","","","Select","Select",""],["","","CHLORHEXIDINE GLUCONATE","","","Select","Select",""],["","","DICLOXACILLIN SODIUM","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","CLINDAMYCIN PHOSPHATE","","","Select","Select",""],["","","SPIKEVAX 2024-2025","","","Select","Select",""],["","","FLUZONE HIGH-DOSE TRIV 2024-25","","","Select","Select",""],["","","PREDNISOLONE ACETATE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","TOBRAMYCIN-DEXAMETHASONE","","","Select","Select",""],["","","KETOROLAC TROMETHAMINE","","","Select","Select",""],["","","CARTIA XT","","","Select","Select",""],["","","SPIKEVAX 2023-2024","","","Select","Select",""],["","","FLUAD QUAD 2023-2024","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","SYMBICORT","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","BOOSTRIX TDAP","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2022-23","","","Select","Select",""],["","","SCOPOLAMINE","","","Select","Select",""],["","","MECLIZINE HCL","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","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":""}]}]}