{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Stephen C Mclellan","gend":0,"currentgend":"","add":"32 ROSE ST","city":"Caribou","state":"ME","zip":"04736","dob":"1948-07-04","age":"","mstatus":"","insh":"10000073617","cliId":"","pno":2074936677,"cno":"","email":"","ename":"","eno":"","pphy":"FLYNN, CARL E","ppno":"","pcpadd":"PO BOX 40,","pcpcity":"CARIBOU","pcpstate":"ME","pcpzip":"47360040","pcpcounty":"","pcpid":"","pcpname":"PINES CARIBOU HEALTH CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"32 ROSE ST","madd2":"","madd3":"","mcity":"Caribou","mstate":"ME","mzip":"04736","pcpfaxno":2074983947,"pcpnpi":1609844422,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5HQ3UG7DR14","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G4733","L570","L249","H2512","N401","K219","Z125","Z0101","H35373","L603","L84","I70223","Z7982","K2100","R5381","G4761","Z0000","R140","M170","I080","I358","R0602","M11262","M11261","L299","S0002XA","E7800","I10","Z79899","B351","L608","B353","F419","Z9989","R21","L853","I5030","R55","G4730","F5104","J309","R234","G4710","G2581","K5792","Z86010","L600","D120","D122","K319","K2970","W228XXA","Y998","J45909","R432","K529","H01001"],"date":["2025-09-11","2025-03-25","2025-01-28","2023-10-26","2023-07-14","2024-08-20","2024-05-16","2024-10-23","2024-10-23","2025-04-24","2025-04-24","2025-04-24","2025-01-20","2024-05-16","2023-03-09","2025-07-09","2025-02-05","2023-03-28","2025-08-19","2025-08-13","2025-08-13","2024-11-18","2025-06-24","2025-06-24","2025-01-28","2023-05-23","2024-11-02","2024-11-02","2023-09-11","2024-07-08","2023-09-26","2023-09-26","2023-11-10","2023-02-08","2025-05-07","2025-04-24","2025-08-18","2024-11-02","2024-11-02","2025-07-09","2025-06-20","2025-09-08","2024-02-09","2025-05-16","2024-08-20","2024-08-20","2023-04-24","2024-08-20","2024-08-20","2024-08-20","2024-08-20","2023-05-23","2023-05-23","2024-12-16","2025-05-14","2024-10-03","2022-09-22"],"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":[]},{"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":""}]}]}