{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Larry E Salyards","gend":0,"currentgend":"","add":"22 DWELLEY RD","city":"EAST MACHIAS","state":"ME","zip":"04630","dob":"1953-07-03","age":72,"mstatus":"","insh":"10000060942","cliId":"","pno":8609447069,"cno":"","email":"lestoil99@twc.com","ename":"Katrina Salyards","eno":"8608771846","pphy":"RIOUX, DAVID C","ppno":2072553356,"pcpadd":"11 HOSPITAL DR,","pcpcity":"MACHIAS","pcpstate":"ME","pcpzip":"46543325","pcpcounty":"","pcpid":"","pcpname":"DOWN EAST COMMUNITY HOSPITAL MEDICAL ASSOCIATES","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"22 DWELLEY RD","madd2":"","madd3":"","mcity":"EAST MACHIAS","mstate":"ME","mzip":"04630","pcpfaxno":2072550705,"pcpnpi":1316084650,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7EM6NU1YY57","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K922","I4891","M79661","Z0000","D122","K5730","K633","D649","I4819","I499","I10","E66813","Z006","I5022","Z6841","G4733","R0902","I428","R5383","I509","M25569","Z79899","E669","H2513","I429","E785","D62","K5790","G4736","Z6842","E6601","R6889","R7303","S37009A","R110","Z95818","I493","I4720","Z23","E876","I480","I110","I081","I2510","K5731","D509","Z125","R0981","R0683","R413","Z7901","I951","K5791","K625","K635","Z743","Z7409","D6869","M25562","I119","I5020","I491","I472","H6123","K2100","I517","K8010","K8070","K8511","K8020","K8000","K8590","K439","K219","Z8719","Z01818","K436"],"date":["2023-05-17","2025-02-24","2025-07-05","2025-01-07","2023-05-02","2023-05-02","2023-05-02","2023-12-04","2025-08-25","2024-08-27","2025-04-23","2025-06-30","2023-09-15","2023-09-15","2023-09-15","2025-08-24","2025-08-24","2023-09-14","2024-10-18","2024-06-19","2023-07-26","2024-10-01","2025-03-24","2024-10-01","2023-07-12","2025-02-26","2023-05-17","2023-04-29","2025-08-24","2023-08-21","2023-08-21","2023-09-02","2025-03-24","2023-04-29","2023-04-29","2024-09-24","2022-10-21","2022-10-21","2024-09-23","2023-11-06","2023-06-05","2023-07-12","2024-09-24","2023-09-20","2023-04-30","2024-04-03","2025-01-07","2024-10-02","2024-10-02","2024-10-02","2023-05-01","2023-05-01","2023-06-28","2023-05-01","2023-05-02","2023-04-30","2023-04-30","2024-02-15","2024-02-15","2024-02-15","2022-09-29","2022-08-11","2022-08-11","2022-08-23","2022-08-23","2022-08-05","2022-07-01","2022-07-01","2022-07-05","2022-07-05","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2022-06-27","2022-07-08","2022-07-01"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","","1"],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"arr":["Retired"],"comment":[]},{"a":{"indx":["","","1"],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":["","","1"],"comment":["","",""],"score":[0,0,0,0]}},{"a":[]},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["1","",""],"comment":["","",""],"sub":{"indx":[["Katrina Salyards"],["Daughter"]],"comment":[[""],[""]],"sub":[]}}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":{"indx":[["Katrina Salyards"],["Daughter"]],"comment":[[""],[""]],"sub":[]}}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":{"indx":[["the primary care has a copie and also have one in home"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[["","",""],["","",""],["","",""],["","",""],["","",""],["","",""]]}]},{"t":"Medical History","q":[{"a":{"indx":["1"],"comment":[],"sub":{"indx":[],"comment":[""],"sub":[]}}},{"index":0,"comment":"","sub":[{"sa0":"Cardiologist","sa1":"Dr Marchaun ","sa2":"because my primary care sent him to get check"}]},{"a":[{"indx":["","","","","","1"],"comment":["","","","","",""],"sub":[]},{"indx":["","","1","","",""],"comment":["","","","","",""],"sub":{"indx":[["one time rectal bleading and for heart problem"],["1","",""]],"comment":[[""],["","",""]],"sub":{"indx":[[],[[]]],"comment":[[],[[]]],"sub":[]}}},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}]},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["On september 2024 for cardio fibrillation"]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["","","1","","","","","","","","1","",""],"comment":["","","","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","1","","1","",""],"comment":["","","","","","","",""],"sub":[]}}]},{"t":"Family History","q":[{"index":-1,"comment":"","sub":[]}]},{"t":"Preventive Care","q":[{"a":[["",""],["",""],[true,""],[true,""],[true,""],["",""],[true,""],[true,""],["",""],["",""],["",""],[true,""],[true,""],["",""],{"comment":""}]},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":{"indx":[["","",""]],"comment":[["","",""]],"sub":[]}}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":0,"commentTxt":"","arr":[["Hydrocloro ","that give member Gap"]]}},{"a":{"comment":"","sub":[["","","SPIRONOLACTONE","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","CLINDAMYCIN HCL","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","WEGOVY","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",1],["","","SOTALOL","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","CARVEDILOL","","","Select","Select",1],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","DIGOXIN","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","Select","Select",""],["","","AMIODARONE HCL","","","Select","Select",""],["","","PENICILLIN V POTASSIUM","","","Select","Select",1],["","","HYDROCODONE-ACETAMINOPHEN","","","Select","Select",1]]}},{"a":{"index":0,"commentTxt":"","arr":[["","Tylenol",null,"PO = By Mouth"],["","Aspirin","181 MG","PO = By Mouth","1 a day"]]}},{"a":{"indx":[],"comment":[],"sub":{"indx":["1","","","1","1","","","",""],"comment":[""],"sub":{"indx":[[["","","","1"]]],"comment":[[["","","",""]]],"sub":{"indx":["The Baby aspirin"],"comment":[""],"sub":[]}},"textValue":""}}},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]},{"a":[]},{"a":[]}]},{"t":"Assessment of Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":["",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}],"phq":[{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"indx":["","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","","","",""],"comment":["","","","","","",""]},{"indx":["","","","","",false],"comment":[""]}]}]}},{"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":{"indx":["1","","","",""],"comment":["","","","",""],"score":[0,0,0,0]}},{"a":[]},{"a":[""]},{"a":[]},{"a":[]},{"a":{"indx":[true,true,true,true,true],"comment":["","","","",""],"score":["","","","",""]}},{"a":[]},{"a":["Continue to exercise for 45 minutes"]},{"arr":["I am already working on it and don't need any help."],"comment":[]},{"a":{"indx":["","","","","","","","","","",""],"comment":["","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"2025-09-22T10:00","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"","a12":"","a13":"","a15":[],"a14":"","a16":"","a18":"","a19":"true","a20":"","a21":""}]}]}