{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Peter C Seekins","gend":0,"currentgend":"","add":"724 MOUNT EPHRAIM RD","city":"SEARSPORT","state":"ME","zip":"04974","dob":"1954-06-29","age":"","mstatus":"","insh":"10000061420","cliId":"","pno":2073225793,"cno":"","email":"Peter.seekins@gmail.com","ename":"","eno":"","pphy":"LANGLEY, AMY A","ppno":"","pcpadd":"PO BOX 1599,","pcpcity":"BANGOR","pcpstate":"ME","pcpzip":"44021599","pcpcounty":"","pcpid":"","pcpname":"BREWER MEDICAL CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"724 MOUNT EPHRAIM RD","madd2":"","madd3":"","mcity":"SEARSPORT","mstate":"ME","mzip":"04974","pcpfaxno":2079470435,"pcpnpi":1083906622,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"9YQ4Q09WX09","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M89551","M7989","A419","L97519","E859","H6123","Z4889","Z960","G8250","Z98890","L89323","L89329","R069","R519","R410","N312","J449","U071","L02619","E11621","J9811","R0989","R0602","R059","L89893","T84216D","K625","Z23","E8809","Z435","L8944","R0600","Z4800","L97529","M86172","L03116","M66872","L89319","L089","Z981","R531","Z993","Z720","L89894","L89612","M869","N319","M79672","Z794","F419","M4312","E11622","T83010A","L89159","F323","Z466","M4322","Z5189","R4182","G319","R399","D72829","Z8619","Z89412","Z79899","E1165","G8220","N390","R509","K8020","N3000","R2241","M25451","M532X1","R319","L89520","D649","A4152","J14","T83518A","Z0000","S91102A","Z436","R6520","A000","D801","T83511A","I509","Z01818","R69","J1282","J9601","M4802","D481","G8929","M25551","Z96643","E1140","Z7984","M47812","Z96641","L98419","Z48811","D509","M89561","R600","M4800","N200","L89890","R32","R1310","N3289","R627","T84226D","L8943","R918","R820","M86372","I4891","R310","D62","K5730","G992","S31000D","Z7901","N1330","R451","J811","R5383","N3080","T83090A","S0990XA","M532X2","R6330","I440","N10","B351","M79671","L602","L89609","R052","L89629","J189","N132","K429","M25532","G9389","N471","Z9181","M868X7","Z89422","J984","N3030","M898X7","M5020","J40","N201","G4701","T83510D","N3281","N39498","R197","L89224","L89622","D7589","N3001","D494","G9341","L89322","N3090","T148XXS","N3091","Z452","M542","M4804","R462","T83510A","R051","G928","Z4781","M19071","D72828","K2289","L89891","K219","R413","G47419","D479","G959","E1100","J441","Z9981","L97513","Z471","R2232","Z9689","G9529","E1142","E1169"],"date":["2023-10-04","2023-12-22","2025-04-02","2025-10-03","2024-10-28","2025-07-10","2024-04-23","2023-10-17","2025-09-12","2023-10-17","2025-11-05","2023-08-04","2024-06-23","2024-06-23","2024-07-21","2024-11-03","2023-10-06","2023-04-09","2025-05-27","2024-04-06","2025-11-11","2025-11-11","2025-05-19","2025-04-23","2025-08-30","2023-08-23","2024-11-08","2025-10-22","2024-02-27","2025-05-05","2025-03-03","2025-05-13","2025-11-05","2025-11-14","2024-04-10","2024-03-13","2024-03-13","2024-11-13","2025-06-13","2024-09-05","2025-05-19","2024-09-05","2024-09-05","2025-09-12","2025-07-25","2024-03-20","2025-07-08","2024-10-07","2024-03-19","2025-11-17","2023-06-28","2023-05-03","2025-02-27","2025-08-07","2025-08-25","2024-04-24","2024-09-05","2024-04-22","2025-11-16","2025-11-11","2023-09-27","2025-07-16","2024-04-02","2024-04-02","2024-04-25","2025-08-25","2025-04-07","2025-10-09","2024-11-02","2024-09-19","2025-08-31","2024-01-11","2023-08-07","2023-03-19","2025-02-25","2025-11-14","2024-04-25","2024-11-02","2024-09-19","2025-05-13","2025-08-11","2023-11-09","2024-06-28","2024-08-30","2024-06-06","2023-09-05","2024-08-28","2024-10-03","2024-03-04","2023-03-29","2023-03-02","2023-03-02","2024-03-01","2023-08-24","2023-08-25","2023-08-25","2023-08-25","2023-11-08","2023-11-08","2024-02-22","2024-01-11","2025-10-22","2023-03-27","2023-08-31","2023-07-28","2025-04-23","2023-09-08","2023-08-10","2025-05-02","2023-01-06","2024-07-21","2024-11-02","2024-11-08","2024-02-22","2024-06-05","2025-04-23","2025-11-10","2023-12-29","2024-01-04","2023-07-01","2023-07-01","2023-11-25","2023-02-27","2023-12-19","2024-01-03","2024-04-29","2025-09-30","2023-03-01","2024-07-21","2025-03-07","2024-12-04","2024-07-27","2023-02-14","2023-11-28","2024-07-25","2024-11-02","2024-10-07","2024-10-07","2024-10-07","2024-10-07","2022-12-14","2024-11-20","2024-10-09","2024-04-12","2023-11-19","2023-11-19","2025-04-02","2023-06-20","2023-04-04","2023-11-20","2023-11-20","2025-04-23","2023-08-02","2023-11-19","2023-08-23","2025-05-19","2024-04-24","2023-11-07","2024-09-04","2023-08-18","2023-08-02","2024-07-10","2025-07-25","2025-07-25","2024-07-11","2023-06-27","2023-08-18","2024-07-13","2023-06-08","2024-07-24","2025-03-07","2025-03-07","2023-12-03","2023-03-19","2023-03-19","2023-03-01","2024-06-15","2023-12-12","2025-05-19","2022-11-05","2025-02-25","2024-04-25","2024-05-10","2025-03-14","2024-05-14","2024-07-21","2024-07-21","2024-06-24","2023-09-21","2023-10-06","2024-10-03","2024-10-03","2025-06-27","2023-09-21","2023-12-22","2023-08-23","2022-10-05","2022-10-05","2022-07-08"],"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":[["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","NITROFURANTOIN MONO-MACRO","","","Select","Select",""],["","","BACLOFEN","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","DULERA","","","Select","Select",""],["","","RISPERIDONE","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","OXYBUTYNIN CHLORIDE","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","EZETIMIBE","","","Select","Select",""],["","","PAROXETINE HCL","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","FENOFIBRATE","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","ALBUTEROL SULFATE","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","SYMBICORT","","","Select","Select",""],["","","MYRBETRIQ","","","Select","Select",""],["","","DEXAMETHASONE","","","Select","Select",""],["","","FLUCONAZOLE","","","Select","Select",""],["","","METHOCARBAMOL","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","MUPIROCIN","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","PREGABALIN","","","Select","Select",""],["","","KETOCONAZOLE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","ONETOUCH DELICA PLUS LANCET","","","Select","Select",""],["","","ONETOUCH ULTRA TEST STRIP","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","SPIKEVAX 2023-2024","","","Select","Select",""],["","","FLUAD QUAD 2023-2024","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","ONETOUCH ULTRA2","","","Select","Select",""],["","","CEFPODOXIME PROXETIL","","","Select","Select",""],["","","AMITRIPTYLINE HCL","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","NITROFURANTOIN","","","Select","Select",""],["","","CLINDAMYCIN HCL","","","Select","Select",""],["","","MECLIZINE HCL","","","Select","Select",""],["","","VANCOMYCIN HCL","","","Select","Select",""],["","","CEFUROXIME","","","Select","Select",""],["","","VENTOLIN HFA","","","Select","Select",""],["","","BELSOMRA","","","Select","Select",""],["","","LEVOFLOXACIN","","","Select","Select",""],["","","MODERNA COVID BIVAL(6MO UP)EUA","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2022-23","","","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":""}]}]}