{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Katherine D Kinney","gend":1,"currentgend":"","add":"106 MERRILL RD","city":"Atkinson","state":"ME","zip":"04426","dob":"1954-02-10","age":"","mstatus":"","insh":"10000066590","cliId":"","pno":2075647713,"cno":"","email":"","ename":"","eno":"","pphy":"ROXAS, RODRIGO C","ppno":2079073777,"pcpadd":"EMMC Family Medicine of Brewer,234 State St","pcpcity":"Brewer","pcpstate":"ME","pcpzip":"04412","pcpcounty":"","pcpid":"","pcpname":"ST JOSEPH FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"106 MERRILL RD","madd2":"","madd3":"","mcity":"Atkinson","mstate":"ME","mzip":"04426","pcpfaxno":2077778800,"pcpnpi":1023204641,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"6KN0E40HQ31","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z1231","I10","I428","I447","D509","B3732","Z0000","Z4502","C541","E1122","N760","Z23","M85852","J4530","R921","N6002","R062","J4531","Z1211","N1831","F330","M8589","R059","R0989","R0602","I081","Z1272","D508","N1832","Z20822","J111","Z0101","E119","H5202","H524","R748","Z1159","G43B1","H43811","F419","D120","Z1151","Z01419","I340","Z9189","K640","K5730","N1830","I499","R928","H6121","N8110","Z8542","Z90710","N393","Z01411","K635","Z95810"],"date":["2025-02-24","2025-08-11","2025-08-11","2025-08-11","2024-09-19","2025-01-30","2025-04-16","2025-07-19","2025-01-30","2025-04-14","2024-08-15","2025-01-08","2024-12-06","2023-07-05","2025-09-16","2025-03-18","2023-01-02","2022-10-26","2024-10-02","2023-08-08","2023-04-11","2024-12-06","2023-01-02","2023-01-02","2023-01-02","2024-12-17","2023-01-27","2025-05-29","2025-01-08","2023-01-02","2023-01-02","2024-05-15","2024-05-15","2024-05-15","2024-05-15","2023-08-08","2023-12-08","2023-11-14","2025-02-26","2024-09-04","2024-10-02","2023-01-27","2023-01-27","2024-01-31","2023-01-27","2024-10-02","2024-10-02","2023-03-24","2023-09-11","2025-03-18","2023-01-02","2025-01-30","2024-01-26","2024-01-26","2023-01-27","2023-01-27","2024-10-02","2022-09-01"],"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":[["","","FLUCONAZOLE","","","Select","Select",""],["","","LOVASTATIN","","","Select","Select",""],["","","FLOVENT HFA","","","Select","Select",""],["","","MONTELUKAST SODIUM","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","FLUAD QUAD 2022-2023","","","Select","Select",""],["","","SACUBITRIL-VALSARTAN","","","Select","Select",""],["","","AMITRIPTYLINE HCL","","","Select","Select",""],["","","PEG 3350-ELECTROLYTE","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","ARNUITY ELLIPTA","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","CARVEDILOL","","","Select","Select",""],["","","ENTRESTO","","","Select","Select",""],["","","ALPRAZOLAM","","","Select","Select",""],["","","JANUVIA","","","Select","Select",""],["","","PREDNISONE","","","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":""}]}]}