{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Gary S Webber","gend":0,"currentgend":"","add":"25 HAMMA DR","city":"TRENTON","state":"ME","zip":"04605","dob":"1953-01-25","age":"","mstatus":"","insh":"10000074346","cliId":"","pno":2074607571,"cno":"","email":"Webbergary1953@gmail.com","ename":"","eno":"","pphy":"PLOURDE, GABRIEL J","ppno":2072885119,"pcpadd":"Cadillac Family Practice,322 Main St","pcpcity":"Bar Harbor","pcpstate":"ME","pcpzip":"04609","pcpcounty":"","pcpid":"","pcpname":"CADILLAC FAMILY PRACTICE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"PO BOX 128","madd2":"","madd3":"","mcity":"ELLSWORTH","mstate":"ME","mzip":"04605","pcpfaxno":2078015801,"pcpnpi":1235525759,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3VH7YU1QT79","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F331","S0990XA","S0181XA","W010XXA","Z01810","R42","M2392","I2510","M5450","Z96653","H04123","R519","S838X2A","R5382","M542","R0789","R9431","I872","L400","I25119","I10","Q278","L4050","R55","S0993XA","G5603","M25561","I255","E785","Z955","G4733","S8392XA","S82831A","G4730","R001","R531","E860","H26493","M5124","M4724","R3981","L309","G252","R296","R270","Z79899","R319","L298","R600","M25569","S83422A","G20A1","L409","S098XXA","W19XXXA","M19011","M25562","Z96652","S3991XA","S3993XA","N401","R4781","L4059","H40013","J069","R109","I77819","R1084","R079","R29898","G20C","I209","R3589","R4182","R509","S0993XD","H5319","M79605","L578","L821","L408","M25519","M25511","R058","G119","F32A","M6281","Z5189","K56609","M25551","M25552","Z0000","N433","N503","G8929","M48061","M5127","M47817","M5459","S069X9A","S199XXA","S3992XA","M25571","Z471","Z96651","M1612","M1611","M25512","S299XXA","I959","M4802","R059","J0100","M79671","Z01812","Z961","S21219A","W1839XA","M47812","J3489","Z86010","H401131","H532","H8113","S0083XA","I214","Z4682","G250","G894","R260","S060XAA","M160","R102","S4992XA","I208","R0600","R0602","S0003XA","I4720","Z7409","J328","N50811","R52","S0081XA","K5650","T84023A","M23602","X58XXXD","H608X3","K5900","M130","R1310","G3184","G2581","S31010A","M353","R61","R220","I509","M19071","M7061","I479","K5730","I6523","R29818","Z1211","D123","R292","J189","Z20822","Z87891","S0191XA","M25362","E669","M5136","R6889","H2512"],"date":["2025-02-28","2025-07-18","2024-01-25","2024-01-25","2023-12-27","2025-04-28","2023-08-08","2025-04-22","2025-03-13","2024-02-23","2024-10-09","2025-03-12","2023-12-31","2023-03-07","2025-02-27","2025-06-06","2025-05-05","2024-10-23","2024-10-23","2024-11-27","2025-04-22","2022-10-25","2025-02-11","2024-07-08","2024-08-27","2025-08-27","2024-02-23","2025-03-26","2025-04-22","2025-03-26","2025-08-29","2023-12-31","2025-02-19","2024-09-25","2025-04-22","2025-07-28","2024-06-17","2024-03-20","2025-01-02","2025-01-02","2024-02-07","2024-07-25","2024-10-24","2025-07-24","2025-08-07","2025-08-07","2024-02-12","2024-07-25","2025-07-28","2023-12-31","2024-01-09","2025-07-24","2024-07-25","2025-06-07","2025-06-07","2023-12-31","2023-12-31","2025-02-19","2025-06-07","2025-06-07","2024-04-19","2025-06-06","2025-04-17","2024-04-10","2023-02-02","2023-09-01","2024-07-17","2023-08-23","2024-11-01","2024-12-03","2025-09-04","2025-01-02","2022-12-20","2025-05-02","2025-05-04","2024-03-20","2024-03-20","2023-03-12","2022-12-12","2022-12-12","2022-12-12","2023-12-14","2023-12-14","2023-02-02","2025-03-27","2024-02-21","2025-03-13","2025-01-16","2024-06-05","2024-05-26","2024-05-26","2025-06-19","2024-07-29","2024-09-20","2025-04-07","2024-10-21","2024-10-21","2024-10-21","2024-10-21","2024-07-03","2025-07-18","2025-07-18","2025-02-19","2025-02-19","2025-02-19","2024-02-23","2024-02-23","2025-06-23","2025-06-07","2025-04-28","2024-12-06","2024-06-17","2023-11-01","2024-11-14","2023-11-30","2024-04-10","2025-06-07","2025-06-07","2024-12-18","2025-03-12","2023-08-21","2024-12-09","2024-12-09","2023-10-16","2025-02-27","2024-11-16","2024-05-30","2024-03-06","2022-12-30","2025-03-12","2024-08-27","2024-09-05","2024-11-16","2024-11-14","2023-02-06","2023-12-01","2024-05-31","2025-06-07","2023-03-24","2025-05-02","2025-01-15","2024-07-27","2025-05-01","2025-02-19","2024-05-30","2023-05-24","2023-05-24","2023-05-24","2025-01-15","2024-06-17","2024-03-28","2025-01-16","2025-01-16","2025-03-27","2025-06-07","2024-09-03","2023-08-30","2025-02-27","2025-05-29","2025-07-28","2025-06-09","2025-02-13","2024-06-17","2023-10-30","2024-11-11","2023-08-21","2023-08-21","2024-11-18","2023-01-29","2023-01-29","2025-08-07","2025-02-27","2023-08-23","2023-08-23","2023-08-23","2022-08-22","2022-08-09"],"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",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","TIZANIDINE HCL","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","LATANOPROST","","","Select","Select",""],["","","TERAZOSIN HCL","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",""],["","","ISOSORBIDE MONONITRATE ER","","","Select","Select",""],["","","FLUTICASONE PROPIONATE","","","Select","Select",""],["","","CARBIDOPA-LEVODOPA ER","","","Select","Select",""],["","","FLUAD QUAD 2022-2023","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","TREMFYA ONE-PRESS","","","Select","Select",""],["","","LUMIGAN","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","IPRATROPIUM-ALBUTEROL","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","RANOLAZINE ER","","","Select","Select",""],["","","HALOBETASOL PROPIONATE","","","Select","Select",""],["","","CARBIDOPA-LEVODOPA","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2023-24","","","Select","Select",""],["","","CLOBETASOL PROPIONATE","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","OTEZLA","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","DICLOFENAC SODIUM","","","Select","Select",""],["","","ARIPIPRAZOLE","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","BUPROPION XL","","","Select","Select",""],["","","HYDROXYZINE HCL","","","Select","Select",""],["","","HYDROXYZINE PAMOATE","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","DULOXETINE HCL","","","Select","Select",""],["","","FLUAD TRIVALENT 2024-2025","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","BRILINTA","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","MODERNA COVID BIVAL(6MO UP)EUA","","","Select","Select",""],["","","FLUOXETINE HCL","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","CALCIPOTRIENE","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","CELECOXIB","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","LEVOFLOXACIN","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","EZETIMIBE","","","Select","Select",""],["","","VALSARTAN-HYDROCHLOROTHIAZIDE","","","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":""}]}]}