{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Karla R Hunter","gend":1,"currentgend":"","add":"1434 NORTH RD","city":"MOUNT VERNON","state":"ME","zip":"04352","dob":"1961-06-08","age":"","mstatus":"","insh":"10000064973","cliId":"","pno":2072938018,"cno":"","email":"kraehunter@outlook.com","ename":"","eno":"","pphy":"ILYAS, LARA S","ppno":2073772111,"pcpadd":"Rumford Hospital,420 Franklin St","pcpcity":"Rumford","pcpstate":"ME","pcpzip":"04276","pcpcounty":"","pcpid":"","pcpname":"WINTHROP FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1434 NORTH RD","madd2":"","madd3":"","mcity":"MOUNT VERNON","mstate":"ME","mzip":"04352","pcpfaxno":2076243845,"pcpnpi":1902241425,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5UK6AY6CA77","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R0602","F319","R42","R000","F411","F4310","Z0001","H8109","E038","F419","H903","Z1231","Z62819","H401131","H9313","H9203","R944","Z1211","Z1212","F3341","S30861A","W57XXXA","S20469A","H938X3","H40013","H40053","R631","F329","N6459","Z0101","H04123","R110","H918X2","Z8669","G4700","Z9189","G2581","R400","R002","Z0000","Z20818","N6489","N952","Z604","H40023","G8929","G479","H43393","R0683","H43392"],"date":["2025-10-31","2024-04-02","2024-07-26","2024-04-22","2024-01-03","2023-06-01","2025-03-25","2025-03-25","2025-03-25","2023-08-16","2025-06-23","2025-05-27","2023-04-18","2025-07-02","2025-06-23","2025-06-23","2025-10-13","2025-06-23","2025-06-23","2023-10-11","2024-05-13","2025-05-10","2025-05-10","2025-06-23","2024-04-10","2023-06-06","2024-07-26","2023-11-15","2024-05-24","2025-05-01","2025-05-01","2022-12-19","2022-12-19","2022-12-19","2023-01-05","2023-01-05","2023-01-05","2023-01-05","2025-10-31","2024-03-19","2025-05-10","2024-05-24","2024-03-19","2024-03-19","2022-10-24","2022-11-10","2022-11-10","2022-10-05","2022-09-26","2022-08-30"],"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":[["","","FLUCELVAX TRIVALENT 2024-2025","","","Select","Select",""],["","","COMIRNATY 2024-2025","","","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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}