{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Ronald W Turcotte","gend":0,"currentgend":"","add":"359 RIDGE RD","city":"LISBON FALLS","state":"ME","zip":"04252","dob":"1939-09-27","age":"","mstatus":"","insh":"10000063317","cliId":"","pno":2073537189,"cno":"","email":"declined@121724.com","ename":"","eno":"","pphy":"RAUSCH, MATTHEW","ppno":2077847388,"pcpadd":"Family Health Care Associates,190 Stetson Rd","pcpcity":"Auburn","pcpstate":"ME","pcpzip":"04210","pcpcounty":"","pcpid":"","pcpname":"FAMILY HEALTH CARE ASSOCIATES","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"359 RIDGE RD","madd2":"","madd3":"","mcity":"LISBON FALLS","mstate":"ME","mzip":"04252","pcpfaxno":"","pcpnpi":1386266393,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5X33XP1GE05","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R918","N281","I2510","I10","I200","R079","I160","T8203XA","Z952","I081","L0390","E119","K5900","I25118","N289","K219","I161","E113293","R0789","R053","J3489","M4722","I088","Z951","K6289","R058","D649","I701","M9908","Z09","I6521","Z953","I071","I6529","J189","R509","Z049","H6122","E785","Z7689","R059","Z0389","Z0000","R1084","I6523","I1A0","M5412","G8929","M25512","Z87891","Z1152","M4802","M50121","Z8679","M19012","Z23","Z955","I700","K5641","I214","R0782","R0602","I509","I252","R9431","Z20822","K4090","R1032","I25810","E1122","I129","T82898A","I083","I0989","I5030","I2720","I9788","I25718","I350","Z95828","I7091","R935","Z801","N400"],"date":["2024-05-16","2024-05-16","2024-12-02","2025-10-20","2024-05-16","2024-09-23","2024-10-23","2024-09-24","2024-12-31","2024-09-24","2025-05-14","2025-07-22","2025-04-26","2025-10-20","2025-02-10","2024-10-01","2024-09-24","2025-03-24","2024-09-23","2023-03-24","2023-03-24","2023-12-16","2024-05-16","2023-05-24","2024-09-28","2024-01-15","2023-05-23","2025-07-22","2024-01-15","2024-10-21","2023-06-01","2024-05-16","2024-07-08","2024-06-06","2024-01-31","2024-01-31","2023-03-24","2024-07-27","2025-07-22","2024-04-09","2024-01-31","2023-03-24","2025-01-10","2025-04-26","2024-06-06","2024-12-23","2023-12-16","2023-12-16","2023-12-16","2023-12-25","2023-12-25","2023-12-16","2023-12-16","2024-12-31","2023-12-16","2023-10-12","2023-05-24","2024-09-23","2022-11-04","2022-11-22","2022-10-16","2022-10-16","2022-10-16","2022-10-17","2022-10-17","2022-10-15","2022-10-11","2022-09-17","2022-09-19","2022-09-17","2022-09-17","2022-09-18","2022-09-19","2022-09-19","2022-09-19","2022-09-19","2022-09-18","2022-09-18","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2022-09-17"],"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":[["","","NITROGLYCERIN","","","Select","Select",""],["","","HYDRALAZINE HCL","","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","ABRYSVO","","","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":""}]}]}